| Objectives:This paper is to investigate the feasibility of rural elders'QOL by SF-36questionnaire(Chinese version), based on that, QOL evaluation for rural elders andinfluential factors are analyzed so that potential scientific suggestions andprocedures aimed to the improvement of QOL of rural elders are able to directlyput forward in this research.Methods:853 rural elders aged more than 60 years in city of Yizhou chosen bystratified-clustering sample technique were questionnaired by SF-36 forms. Meansfor evaluating item scores follow the standard of IQLA Project.Results:1,Health Survey Scales of SF-36 Chinese version are used for assessingreliability and validity of rural elders'QOL.(1),Reliability testing:split-half reliability:SF-36 Health Survey split-half reliability is 0.927(Crobach's a coefficients).Internal consistency reliability:the remaining Crobach's a coefficients are more than 0.80 except SF and VTscales that is well consistent with SF-36 scales in PF, RP, BP, RE, and ME andalso meet the requirement of the groups comparisons.(3),Validity testing:successful rate of convergent validity reaches 100%, Among 280 trials fordiscriminant validity, 278 succeed with a successful rate 99.3%.In this paper, the data can be complied with by factor analysis. Eigenvalue oftwo main ingredients derived from factor analysis are 4.14 and 0.93 respectively,the first ingredient represents physical factor and accounts for 55.7% variation oftotal variance, while the second represents mental factor and accounts for another11.60% variation of total variance, cumulative variance contribution rate is 63.36%.After the model was circumrotated by varimax, the construct validity created byfactor analysis is different from the theoretical structure.2,QOL evaluation and influential factors analysis of the rural aged people in cityof Yizhou.Elders with different ages, sex, and self-evaluated family economic statusshow different QOL values. The scores of each scale of SF-36 in male elders areall higher than female( P <0.01); PF score drop off markedly along with agesincrease ( P <0.01) while the other 7 dimensionalities don't display such beelinechanging trend; OOL scores for elders who come from wealthier families arehigher than those from middle-class or poor families.We calculate weights of eight scales through factor analysis, then measurePCS and MCS, two of which are considered as dependent variables to performmultiple linear regression analysis (SLE=0.05,SLS=0.10). Multivariate analysisdemonstrate 11 factors correlated to physical health sector including chronicdiseases, two-week illnesses, sex, ages, self-evaluation family economical status,regional economic development level, satisfaction level in personal life, life-dependence, medical expenditure, and family population. For the mental healthsector, 8factors are selected as influential ones, such as chronic diseases, two-weekillnesses, sex, self-evaluation family economic status, etc.Conclusions:We find that reliability and validity of SF-36 Chinese version are receivablebasically in this research and its questionnaire can be well applied into rural seniors.In this study, The top three influential factors for physical and psychological healthare focused on "rising medical cost"and "not-easy to access to health care service"and economic development. Governmental concrete procedures can includedevelopping rural economics, increasing farmers'incomes, constructing ruralhealth insurance network, quickly consummating and promoting new type of ruralcooperative medical insurance (NTCMI) within country et al, which will requirethe government to play a major role in the improvement of quality of life of ruralaged. Among these procedures, the most imperative and feasible one is to buildNTCMI pilot programs as soon as possible, which will be playing a key role indealing with aging and increasing health care services utilization. Differentprocedures should be put into practices in different ways. More concerns must beput on the seniors especially...
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