上海市石门二路社区老年人生存质量调查及影响因素分析

采用分层整群抽样方法，对上海市石门二路社区1731名老年人进行问卷调查，结果示该社区老年人的平均生存质量中等偏上，大部分老年人生存质量良好，但社区老年人慢性病患病率很高，患1种及以上慢性病者1536名（88．7％）；老年人抑郁症状发生率较高，达到17．2％。老年人生存质量的影响因素包括日常生活自理能力、疾病严重程度、年龄、抑郁症状、婚姻、参与社区活动情况、主要照顾给予者、性别、疾病数目、糖尿病、业余爱好、人均收入、日常开支、家人支持、居住情况，与文化程度、退休前职业、医疗保险情况、配偶患病严重程度无关。提示社区卫生服务工作中应更加重视慢性病管理及心理健康干预，重视家庭支持资源的开发，组织老年人培养业务爱好，参加社会活动，从而不断提高社区老年人的生存质量。

Quality of life and its affecting factors for elderly residents at Shimenerlu community of Shanghai

In order to evaluate the quality of life and affecting risk factors for the elderly populations, cluster sampling method was used to investigate 1731 elderly individuals at Shimenerlu Community in Shanghai. The results showed that the average quality of life of the participants was above medium level, and most elderly demonstrated good quality of life. Moreover, 1536 elderly individuals (88.9%) developed at least one chronic disease, and the incidence of depression was up to 17. 2%. Affecting factors of quality of life included daily life capability, severity of disease, age, depression symptom, marriage, community activities, care provider, gender, number of disease, diabetes, hobby, income, expense, family support, and living conditions. No correlation with education, career, health insurance, and partner's disease was found. Those data suggest that community heahhcare should pay more attention to the management of chronic diseases and mental health, the development of family resources, and the improvement of hobbies and social activities in the elderly populations.