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目的调查农村地区中老年人生命质量,建立中老年人群年龄别、性别SF-36量表各维度正常参考值,并分析影响该人群生命质量的因素,为提高目标人群生命质量提供参考依据。方法用SF-36量表对农村地区1009名45～75岁的普通人群进行生命质量评价,同时调查可能影响生命质量的性别、年龄、文化程度、职业、婚姻状况等一般情况,用t检验、方差分析和多元线性回归统计方法分析影响生命质量的因素。结果本次调查的中老年人生命质量总得分平均为73.32±24.61;多元线性回归分析显示,影响中老年人生命质量的可能因素有性别、婚姻状况、职业和年龄。结论政府应采取积极的政策预防和控制慢性病、改善女性的家庭地位、加强对孤寡老人的救助。针对女性以及孤寡老人等社会弱势人群,在制订和实施卫生服务以及社会保障政策时应予以重点考虑,以期提高农村地区中老年人的生命质量。
Objective To investigate the quality of life of middle-aged and elderly people in rural areas and to establish the normal reference value of each dimension of SF-36 scale of middle-aged and elderly people, analyze the factors affecting the quality of life of the population, and provide reference for improving the quality of life of the target population. Methods The quality of life of 1009 ordinary people aged 45-75 years in rural areas was assessed by SF-36 scale. At the same time, the general situation of gender, age, education level, occupation and marital status, which may affect the quality of life, were investigated by t test, Variance analysis and multivariate linear regression analysis of factors affecting the quality of life. Results The average quality of life of the elderly in this survey was 73.32 ± 24.61. Multivariate linear regression analysis showed that the possible factors influencing the quality of life of the elderly were gender, marital status, occupation and age. Conclusion The government should adopt active policies to prevent and control chronic diseases, improve women’s family status and strengthen assistance to lonely elderly people. For the disadvantaged groups such as women and lonely old people, they should give due consideration to the formulation and implementation of health services and social security policies with a view to improving the quality of life of the elderly in rural areas.