目的了解失能老人的幸福度状况及其影响因素。方法采用自行设计的一般资料调查表、纽芬兰纪念大学幸福度量表(MUNSH)、医学应对方式量表(MCMQ)、家庭照护能力量表对492例失能老人进行调查。结果失能老人幸福度总分(28.30±11.66)分,表明其幸福度处于中等水平。多元线性回归分析显示失能老人采取屈服应对方式、每周外出次数少、使用辅助器具、低龄失能、家庭照护认知能力低下是降低失能老人幸福度的主要因素(P<0.05)。结论失能老人幸福度处于中等水平,照护者应在提高家庭照护能力的同时帮助老人多参与社会活动,关注精神层面的需求,提升其主观幸福感。 Objective To understand the state of happiness of disabled seniors and its influencing factors. Methods A total of 492 disabled seniors were surveyed by self-designed general information questionnaire, Newfoundland Memorial University Happiness Scale (MUNSH), Medical Coping Style Inventory (MCMQ) and Family Care Ability Scale. Results The disability elderly total score of happiness (28.30 ± 11.66) points, indicating that their happiness at a moderate level. Multivariate linear regression analysis showed that the elderly with disability took coping strategies, the number of trips out per week, the use of assistive devices, low age disability, and low cognitive ability of family care were the main factors to reduce the happiness of disabled elders (P <0.05). Conclusion The disability elderly is at a moderate level of happiness. Caregivers should help elderly people to participate more in social activities while paying more attention to spiritual needs and enhance their subjective well-being.