湖北省革命伤残军人生活质量的调查研究

A survey of quality of life in disabled veterans in Hubei Province

目的 :探讨伤残军人的人口学、社会经济学特征和健康相关生活质量。方法 :以湖北省伤残军人为研究对象 ,采用两阶段分层整群抽样方法 ,调查了湖北省 5个县市 41个乡镇和街道办事处 ,共 851人。结果 :851名伤残军人中 ,男 849人 ,女 2人 ;在乡者占 62 .2 % ,在职者占 37.8% ;年龄最小 2 6岁 ,最大 83岁 ,平均 (52± 1 5)岁 ;特等和一等伤残 2 8人 ,二等伤残 2 92人 ,三等伤残 531人 ;因战致残 31 3人 ,因公致残 492人 ,因病致残 46人。精神症状自评量表 (SCL - 90 )的测评结果为 :(1 )量表总均分高于全国常模 :(2 )躯体化、强迫、人际敏感、抑郁、焦虑、敌对、恐怖、偏执与精神病性等。 9个因子的均分也高于全国常模 ,其中躯体化、抑郁、焦虑和精神病性 4个因子表现得较为明显 (P<0 .0 1 )。在职伤残军人的敌对和偏执 2个因子的均分高于在乡伤残军人 (P<0 .0 1 )。结论 :革命伤残军人的健康相关生活质量较同龄人差 ;

Objective:To discuss demographic and socioeconomic characters and the quality of life associated with health in disabled veterans Methods:Stratified and cluster sampling method was used to study 851 disabled veterans from 41 villages and towns,and subdistrict offices of 5 cities/counties in Hubei province Results:Of 851 disabled veterans(849 males and 2 females),aged between 26 and 83 years(average age,52±15 years),62 2%lived in the country and 37 8%lived in the city The numbers of the special and first class,the second class and the third class disablement were 28,292 and 531,respectively;and there were 313,492 and 46 persons disabled in war,on duty and from illness respectively The results of the symptom checklist 90 in 851 disabled veterans were as follows:in contrast to the norm of normal Chinese,the total mean score and the mean scores of 9 factors (obsessive,hostile,phobic,somatization,depressive,anxiety and psychotic factor)were much higher,especially in the last 4 factors( P <0 01);there was a remarkable difference in the average scores of hostile and paranoic factors between urban and rural veterans( P <0 01) Conclusion:The quality of life associated with health in disabled veterans is poorer than that in the same age group The disabled urban veterans are more hostile and paranoic than the rural ones