摘要
目的了解武陵山片区域农村老年人生活现状及健康需求,加强各级政府部门对其贫困地区老年人生活状况的关注,为提高其生活质量制定相关措施提供科学依据。方法 2013年7—9月通过对武陵山片区域的湖南湘西州、邵阳、怀化,湖北恩施州、重庆秀山县、贵州的铜仁四省六地60岁以上576名农村老年人进行整群随机抽样法入户问卷调查。结果 576人中具有医疗保障563人(97.74%),但养老保障和重大疾病保障严重不足,具有养老保障的老年人仅有46人(7.99%),重大疾病保障33人(5.73%),无社会保障的497人(86.28%)。561人(97.40%)表示想居家与子女养老,6人(1.04%)想居家独居养老,13人(2.26%)想去养老机构养老。209人(36.28%)患病后是选择到县以上医院就诊,130人(22.57%)选择个体诊所就诊,72人(12.50%)选择乡镇医院就诊,56人(9.72%)自行药店购药,64人(11.11%)找偏方自己治疗,45人(7.81%)未就医自己扛着。对老年健康保健认知现状:在576名老年中有74人(12.85%)很了解,339人(58.85%)了解一些,105人(18.23%)了解很少,58人(10.07%)不了解。卫生保健需求:迫切的388人(67.36%),一般的165人(28.65%),不需要的23人(3.99%)。生活满意度评价为差为245人(42.53%),评价为中等的为226人(39.24%),评价为良好的为105人(18.23%)。结论武陵山片区农村老年人生活现状窘迫,生活质量低下,希望得到各级政府的关注与支持,将武陵山片老年人生活质量的提升作为扶贫攻坚任务重要部分。
Objective To understand living actuality and health requirement of the elderly in Wuling mountain areas,to pay close attention to the living status of the elderly in poverty- stricken area,and to provide scientific basis for formulating measures of the living quality of the aged in countryside.Methods 576 elderly people in countryside whose aged ≥60 years old in Xiangxi,Shaoyang,Huaihua of Hunan,Shien of Hubei,Xiushan of Chongqing city,and Tongren of Guizhou from July to September 2013 were chosen with cluster random sampling method.Results 97.74% of people（563/576） had health care,7.99% of people had their old- age security（46/576）,33 people（5.73%） had serious illness insurance,497 people（86.28%） had no social security.While561 people（97.40%） would like to live with their children,6 people（1.04%） lived alone and 13 people（2.26%） wanted to nursing institution for the aged.When people who suffered from diseases,209 people（36.28%） chose to go to the hospital at or above the country level,130 people（22.57%） chose to go to individual clinic,72 people（12.50%） chose to go to township hospital,56 people（9.72%） go to the drugstore to buy medicine,64 people（11.11%）chose to find folk prescription treatment,45 people（7.81%） didn’t go to see a doctor.74 people（12.85%） knew about cognitive status for the elderly health care very well,339 people（58.85%） knew something,105 people（18.23%） know a little,58 people（10.07%） knew nothing.388 people（67.36%） were pressing for health care,165 people（28.65%） had general demands for it,23 people（3.99%） didn’t need it.245（42.53%） people’s life satisfaction evaluation were bad,39.24%（226/576） medium and 18.23%（105/576） good.Conclusion The living condition of the aged in countryside of Wuling mountain areas is poor and the quality of life is low.The government should pay more attention about the life of the aged in Wuling mountain areas,and it is important to improve their living quality.
出处
《社区医学杂志》
2016年第4期1-3,共3页
Journal Of Community Medicine
基金
吉首大学大学生研究性学习和创新性实验项目(教通〔2012〕43号)
湖南省普通高校实践教学建设项目-吉首大学医学类专业大学生创新训练中心(湘教通〔2014〕272号)
关键词
老年人
农村
生活现状
健康需求
Aged
Countryside
Living actuality
Health requirement
