摘要
目的调查革命老区老年人生活状况及其养老意愿。方法2017年8月至12月,采用便利抽样法在延安市抽取符合纳入标准的老年人580名作为调查对象,采用一般情况调查表、生活状况调查表、养老意愿调查表进行问卷调查。分析革命老区老年人生活的现状以及老年人养老的意愿。结果554名革命老区老年人中,476名(85.92%)老年人意愿选择家庭养老,452名(81.59%)老年人不愿去机构养老,究其原因:不愿离开家人、养老院费用太高、目前生活能自理、养老院照顾不好、怕别人讲子女不孝顺、养老院不自由等分别占58.66%、34.48%、33.39%、29.06%、26.53%、21.12%。而生活状况方面,456名(82.31%)老年人为空巢老人,406名(73.29%)老年人的子女不在身边;334名(60.29%)老年人主要收入来源为养老金,其中184名(33.21%)老年人月收入在500元以下;468名(84.48%)老人患一种以上慢性疾病,且居前三位的为高血压、冠心病、糖尿病分别占41.52%、25.27%、13.35%,其中296名(53.43%)老年人生活不能完全自理。结论家庭养老是革命老区老年人首选的养老意愿,建议结合其空巢化严重、子女多不在身边、经济收入偏低、慢性病患病率高、生活自理能力下降及老年人选择家庭养老的主客观原因来完善养老服务体系,并大力发展社区居家养老。
Objective To investigate the living conditions and the willingness of elderly people in the old revolutionary area.Methods A total of 554 elderly people who met the Inclusion criteria in Yan’an City were selected through a convenience sampling method between August 2017 and December 2017.The following questionnaire surveys were used:general information questionnaire,living conditions questionnaire and willingness questionnaire of elderly care.The present living conditions and the willingness of aging-support for the participants to choose were analyzed.Results In total of 554 elderly people in the old revolutionary area,there were 476(85.92%)respondents showed a willingness to choose home care and there were 452(81.59%)respondents who were unwilling to go to the old-age care institutions,the main reason is that:unwilling to leave the family(58.66%),old-age care institution costs too high(34.48%),they can take care of themselves at present(33.39%),old-age care institution cannot take care of well(29.06%),afraid of others say children unfilial(26.53%),old-age care institution is not free(21.12%).About Living conditions,456(82.31%)elderly were empty-nesters,406(73.29%)elderly’s children were not around,334(60.29%)elderly’s main income was pension,and 184(33.21%)of those with monthly income less than 500yuan,468(84.48%)of the elderly suffered from more than one chronic disease,and the top three were hypertension(41.52%),coronary heart-disease(25.27%),diabetes mellitus(13.35%),and 296(53.43%)of those were unable to take care of themselves completely.Conclusion Home care is the primary willingness of aging-support for the elderly in the old revolutionary areas.It is recommended to improve the endowment service system in combination with the subjective and objective reasons of the elderly’s choose home care,such as the serious empty-nest,the most children not around,low economic income,high prevalence of chronic diseases,decreased self-care ability.And develop community-based household services vigorously.
作者
冯俏
苗健
张金
关欣
高艺
刘哲
师孟武
张远志
李治江
郗凡
FENG Qiao;MIAO Jian;ZHANG Jin;GUAN Xin;GAO Yi;LIU Zhe;SHI Meng-wu;ZHANG Yuan-zhi;LI Zhi-jiang;XI Fan(Medical College of Yan′an University,Yan′an 716000,China;Yan′an Civil Affairs Bureau,Yan′an 716000,China)
出处
《延安大学学报（医学科学版）》
2019年第4期19-23,共5页
Journal of Yan'an University:Medical Science Edition
基金
2017年陕西省大学生创新创业训练计划项目(陕教高办[2017]15号-1572)
2016年延安大学资政育人项目(YDZZYB16-20)
关键词
革命老区
老年人
生活状况
养老意愿
Old revolutionary area
Elderly
Living conditions
Willingness of aging-support
作者简介
冯俏(1988-),女,陕西榆林人,讲师,医学硕士。研究方向:老年人慢性病的预防与护理。
