海南琼海农村老年人生活质量调查

Survey of quality of life among aging population in the rural areas of Qionghai in Hainan

目的了解海南农村老年人生活质量现状。方法随机抽取中原镇 6 0岁及以上常住人口 2 5 3人进行入户逐人调查。结果 96 .0 %的老年人具有日常生活活动能力 (ADL量表评定 ) ,77.5 %的老年人具有独立生活能力 (IADL量表评定 ) ;健康自评 ,32 .0 %的老年人良好 ,5 0 .8%中等 ,17.2 %差 ;70 .75 %的老年人有慢性病史 ,居前 5位的是白内障、高血压、慢性支气管炎、骨关节病、贫血 ;对医疗服务满意程度调查发现 ,满意占 41.0 % ,一般占 5 2 .4% ,不满意占 6 .6 % ;75 .1%的老年人认为医疗费太贵 ;生活满意度综合评分发现良好者占 2 0 .2 % ,中等占 6 3.8% ,差占 16 .0 %。结论农村老年人的卫生服务需求量较大 ,社区卫生服务应以老年人为重点对象 ,以慢性病为工作重点 ,坚持以预防为主。

ObjectiveTo investigate the current situation of the quality of life of aging people living in the rural areas in Hainan province. Methods253 permanent residents at age of 60 and above in Zhongyuan Town were sampled at random, and were investigated face to face at home. Results96.0% of them were independently managing their activities of daily life with 77.5% lived by themselves. In a self evaluation questionnaire on health status, 32.0% perceived good, 50.8% moderate and 17.2% bad, 70.75% had history of chronic illnesse, cataract, hypertension, chronic bronchitis, bone and joint diseases and anemia appeared to occupy the previous five positions. 41.0% were satisfied with the current medical condition, 52.4% moderate and 6.6% un satisfied. 75.1% thought medical costs too expensive. At the degree of satisfaction to life, 20.2% were high, 63.8% moderate and 16.0% low. ConclusionsDue to the huge amount of demand on health services of the rural elderly people, it was suggested that more medical care should be provided to the rural elderly people, with emphasis on the chronic diseases, and the policy of prevention first and combining prevention with treatment should be sticked to.