中国全科医学2017，Vol.20Issue(29)：3649-3654,6.DOI:10.3969/j.issn.1007-9572.2017.00.058
不同医养结合机构老年人总体幸福感调查及其影响因素研究
General Well-being and Associated Factors in Elderly People Receiving Integrated Medical and Nursing Care from Different Types of Institutions
摘要
Abstract
Objective To investigate the general well-being and associated factors in elderly people receiving integrated medical and nursing care from different types of institutions,so as to provide a scientific basis for solving the problem of aging in China.Methods From February to May 2016,using typical sampling and stratified cluster sampling,we selected all the elderly persons aged 60 or over receiving integrated medical and nursing care from Henan Provincial Rehabilitation Hospital for Old Cadres and Zhengzhou Central Hospital (hospital group),Henan Provincial Apartment for the Aged (beadhouse group) and the Ninth People's Hospital of Zhengzhou and its cooperating elderly care institutions (hospital + beadhouse group).The demographic data,ADL and general well-being of them were investigated by a questionnaire survey.Results Sex,age,educational attainment,marital status and prevalence of chronic diseases were not associated with the scores of general well-being (P ＞ 0.05).The scores of general well-being significantly varied by monthly income per capita,type of institution delivering integrated medical and nursing care and scores of ADL (P ＜ 0.05).The scores of general well-being and life satisfaction dimension of the elderly in the hospital group were higher than those in the other two groups (P ＜ 0.05).The scores of general well-being of the elderly were positively related to the monthly income per capita and the scores of ADL in all the groups (P ＜0.05).The scores of general well-being of the elderly in the hospital group were positively related to the marital status (P ＜ 0.05),specifically speaking,those who had a spouse showed a higher sense of happiness.The scores of general well-being of the elderly in hospital + beadhouse group were negatively correlated with the prevalence of chronic diseases (P ＜0.05),that was,those who had no chronic diseases demonstrated higher subjective well-being.The results of multiple linear regression analysis showed that the type of institution delivering integrated medical and nursing care,marital status,monthly income per capita,and scores of ADL were significantly associated with the general well-being of the elderly (P ＜ 0.05).Conclusion In order to improve the wellbeing and quality of life of the elderly,national and social efforts should be made to increase their healthcare level,ADL and economic status,reduce their physical health problems and relieving the anxiety caused by medical and nursing care cost.关键词
幸福/医养结合/老年人/数据收集/影响因素分析Key words
Happiness/Combination of medical and health care/Aged/Data collection/Root cause analysis分类
医药卫生引用本文复制引用
何燕,覃日英,全旭红..不同医养结合机构老年人总体幸福感调查及其影响因素研究[J].中国全科医学,2017,20(29):3649-3654,6.基金项目
河南省重点科技攻关项目(152102310128) （152102310128）
河南省科技攻关计划项目(162102310548) （162102310548）
河南省医学科技攻关计划项目(201504053,201602277) （201504053,201602277）
