Study On Life Quality Of The Eldly In The Urban Area Of Linyi City, Shandong

As the biggest prefecture level city in Shandong province,Linyi city had 1.26 million old people that aged 60 years or above by 2006,the elderly constituted 12%of all population,and Linyi City had gone into aging society.Linyi city has the biggest wholesale market in South Shandong and North Jiangsu,so the commerce and logistics of Linyi City are more developed than most other similar scale cities,and that affects the life styles and ideology of the old people lived in Linyi City.In order to find out the quality of life(QOL)and the main influential factors of QOL of the elderly lived in urban area of Linyi City,and propose some measures and advices to raise the quality of life of the elderly,a survey was made.Using WHO Quality of Life Scale WHOQOL-BREF and questionnaire of QOL of the elderly developed by the author of this paper,310 elderly were interviewed,the main realm of the survey can be divided into physiological dimension,psychological dimension,social dimension, environmental dimension,subjective QOL perception and subjective health perception,and the results are as follows:(1)79.67%of average scores of the QOL of the elderly are higher than 60 in Linyi City urban areas.That shows that,most QOL of the elderly are higher than the medium.Among all indexes,the highest score is subjective QOL perception Q₁ (72.21±113.78),the second is subjective health perception Q2(67.63+14.53),which shows that the elderly are more satisfied in their QOL than their health.Of the other four indexes of QOL,the scores from high to low are:physiological index (62.16±13.13),social index(61.26±13.93),psychological index(60.12.±12.84), environmental index(60.03±12.88),but there no significant difference(P＞0.05), that shows that the four factors have the same influence to QOL of the elderly.The scores of Q₁ and Q₂ are higher than the other four indexes,that shows the subjective perception of the QOL of the elderly is higher than objective evaluation of QOL(2)The sex has little influence to QOL of the elderly,but age,marriage condition, education level,profession,income and living pattern have influence to QOL of the elderly. (3)In health evaluation,two-week prevalence rate,morbidity rate of chronic disease,healthy service use for the elderly,and the ratio of hospital fee paid by the elderly themselves have significant influence to the QOL of the elderly(4)By stepwise regression analysis to the 24 factors that influence Q1,it shows that environmental condition,subjective perception of health condition,psychological factor,marriage condition,income are positively related to subjective perception of the QOL of the elderly.By stepwise regression analysis to the 24 factors that influence Q2,it shows that physiological condition,medical insurance,chronic disease,have the significant influence to subjective perception of the health condition of the elderly.(5)Sexes,morbidity rate of chronic disease,two-week prevalence rate are the main factors that influence the scores on psychological dimension of QOL of the elderly.Income,profession,marriage condition,education degree are the main factors that influence the scores on psychological dimension of QOL of the elderly.Age, marriage condition,living pattern,education degree and profession are the main factors that influence the scores on social dimension of QOL of the elderly.Medical insurance,economic condition and profession are the main factors that influence the scores on environmental dimension of QOL of the elderly.Proposes:(1)Social security system for the elderly should be perfected,especially the medical security,in order to alleviate economic load on diseases of the elderly and ensure the accessibility and timeliness of health service.(2)Disease-prevention and healthcare for the elderly should be strengthened. Taking social health service as platform,develop various community health education activities.Systemic supervision for the chronic diseases of the elderly and home health services should also be strengthened.(3)Developing health promotion organizations in community,exploiting various health resources,including family resources,developing health promotion activity that suitable for physiology and psychology of the elderly,building a harmonious living environment to promote healthy aging.