深圳市老年人群生活质量的流行病学研究

目的：为了解深圳市老年人群生活质量现状及其影响因素。方法：采用随机抽样的方法，对深圳市１１０９例老年人进行了生活质量调查分析。结果：８７．５％的老年人月收入在５００元以上；患病率为６７．２％，有躯体残疾者占３．９％；ＡＤＬ量表评分完全自理者占９２．０％，ＩＡＤＬ量表评分全部能完成者占５６．４％；近２年有负性生活事件者占５３．０％；ＬＳＩＡ（满分４０分）平均得分１９分，男性高于女性，干部高于工人和农民；社会支持量表（满分５２分）平均得分１８．３分；影响健康自评和生活满意度的因素有经济收入、慢性疾病、生活功能、社会支持、严重负性生活事件和深圳市户口等。结论：应从影响生活质量的因素出发制订老年卫生保健政策，有针对性、有重点地开展社区卫生保健项目，以促进老年人生活质量的提高。

An Epidemiological Study on Quality of Life among Elderly Population in Shenzhen

Objective:In order to undersdand the present situation and the affecting factors of quality of life(QOL) among elderly population in Shenzhen.Methods:1 109 cases of elderly people were investigated by a random sampling procedure.Results:87.5% of the elderly people had more than 500 yuan income every month;Prevalence rate was 67.2%,and 3.9% of them were disability.92.0% were independently managing their activities of daily life(ADL),with 52.8% lived by themselves(IADL).53.0% of them had negative life affairs in recently two years.Life Satisfaction Index(full mark 40) had the average 19,which was higher in male than in female,and also had obviously occupational difference.Social Support Battery (full mark 52) had the average 18.3.Factors affecting the degree of satisfaction to their health status and life are economic income,chronic disease,ADL,IADL,social support,negative life affairs,Shenzhen registered permanent resident et al.Conclusion:It is suggested that the health policy for elderly people be formulated to the affecting factors of QOL,and to develop the health care items in community,so as to improve QOL of elderly people.