SF-36量表评价某县农村老年人的生活质量

Evaluation of life quality of the rural elderly in a county by SF-36 scale

目的了解某县农村地区居民的生活质量和医疗现状。方法采用随机整群抽样的方法,使用简明健康调查问卷(SF-36和自制量表)对居民进行实名问卷调查。结果SF-36量表的Cronbach’sα系数>0.8,KMO值>0.6。将该县农村60岁以上人群各维度评分与河南省农村老年人各维度评分比较,活力(VT)维度评分低于常模,生理功能(PF)、躯体疼痛(BP)、总体健康状况(GH)、社会功能(SF)、情感职能(RE)和精神健康(MH)这6个维度评分高于常模(P<0.05)。与深圳常模比较,生理职能(RP)、躯体疼痛(BP)、活力(VT)、社会功能(SF)这四个维度评分低于常模(P<0.05)。与四川常模比较,年龄性别人群分组中,情感职能(RE)维度评分均高于常模(P<0.05),活力(VT)维度评分均低于常模(P<0.05)。结论该县农村老年人生活质量有所提高,但相比部分发达地区仍有欠佳。应继续推进精准扶贫,提升农民收入,提高农村医疗服务水平和农民健康意识,丰富农民业余生活对稳步提升农村居民生活质量有较大意义。

Objective To understand the quality of life and medical status of residents in rural areas of a County.Methods By using the method of random cluster sampling,a real-name questionnaire survey was conducted among residents by using SF-36 and self-made scale.Results The Cronbach’s α coefficient and KMO value of SF-36 scale were>0.8 and 0.6 respectively.Comparing the scores of the rural elderly in Fengqiu county with those of the rural elderly in Henan Province,the score of vitality(VT)was lower than that of the norm,while the scores of physiological function(PF),body pain(BP),overall health status(GH),social function(SF),emotional function(RE)and mental health(MH)were higher than those of the norm.Compared with the Shenzhen norm,the scores of physiological function(RP),body pain(BP),vitality(VT)and social function(SF)were lower than those of the norm.Compared with the norm of Sichuan Province,the score of emotional function(RE)dimension of the four age and gender groups was higher than that of the norm,and the score of vitality(VT)dimension was lower than that of the norm(P<0.05).Conclusion The quality of life of the elderly in rural areas of the studied county has been improved,but it is still poor compared with some developed areas.It is necessary to arrange work reasonably according to the factors affecting the quality of life of the elderly in the county.