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居家受照顾老年人的生活质量研究

发布时间:2018-05-29 16:44

  本文选题:生活质量 + 主观生活质量 ; 参考:《济南大学》2011年硕士论文


【摘要】:在我国,受传统观念的影响,以及基于支付能力的考虑,居家养老一直是绝大部分老年人养老方式的首选。本文选取居家受照顾老年人为研究对象,通过访谈法和观察法收集资料,对其生活质量进行了深入研究。居家受照顾老年人是指居住在家中且由于疾病、残疾或高龄部分生活需要他人照顾的老年人,这里的“部分生活需要他人照顾”是指老人吃饭、穿衣、如厕等可以自己完成,但是做饭、洗衣、外出活动等需要他人照顾。本研究发现: 1.居家受照顾老年人对生活质量的认知内容包括经济、家庭关系、健康医疗、文体活动和居住环境。 2.居家受照顾老年人对生活质量的认知与一般社会成员生活质量的测量维度不同。对居家受照顾老年人的主观生活质量进行测量时,不能直接使用已有的生活质量测量量表。居家受照顾老年人生活质量测量指标的设计可以考虑从健康、医疗、家庭与子女关系、文娱活动这几个维度进行设计。 3.居家受照顾老年人生活质量的主观评价与客观评价存在差距。居家受照顾老年人对自身生活质量的评价多是通过横向比较和纵向比较得出的,并且居家受照顾老年人的自身素质也影响了其对生活质量的评价。自身素质影响了居家受照顾老年人对参考标准的选择,进而影响其对自身生活质量的评价,也就是说,教育水平不同以及生活经历不同都使得居家受照顾老年人对生活质量有不同的认识。居家受照顾老年人在评价自身生活质量时选择了不同的标准,导致其对生活质量的主观评价与客观评价出现差异。此外,居家受照顾老年人对生活质量的主观评价高于客观评价,而客观评价更能准确反应他们的实际生活质量。 通过对居家受照顾老年人生活质量相关内容的研究可以发现,居家受照顾老年人的生活质量有待于进一步提高和改善。调查显示家人是居家受照顾老人生活质量的重要方面,在制定老年人政策时,不仅要制定针对居家受照顾老年人的政策,还要考虑到居家受照顾老年人的家庭和家人,为他们照顾老人提供便利,为居家受照顾老年人创造更好的家庭和社会氛围。各级政府和组织应共同探索,建立以社区为中心、政府为辅助、非政府组织积极介入的新型体制,在各种社会力量的支持下,根据居家受照顾老年人的实际需要。改善社区环境,扩大绿化面积,增加适合居家受照顾老年人的活动设施,充分挖掘、有机开发现有社会资源,真正实现“老有所乐、老有所为”,让居家受照顾老年人拥有一个高质量的晚年。
[Abstract]:In our country, under the influence of the traditional concept, and based on the consideration of the ability to pay, home pension has always been the first choice for the majority of the elderly. In this paper, the quality of life (QOL) of the elderly who are cared for at home is studied by means of interview and observation. The elderly who are cared for at home refer to the elderly who live in the home and who, as a result of illness, disability or old age, need to be taken care of by others. In this case, the term "part of life needs other people's care" means that the elderly can eat, dress, go to the toilet, and so on. But cooking, laundry, outings, etc., need to be taken care of. This study found that: 1. The understanding of the quality of life of the elderly who are cared for at home includes economy, family relationship, health care, sports and activities, and living environment. 2. The cognition of quality of life of the elderly who are cared for at home is different from the measurement dimension of the quality of life of the general social members. When measuring the subjective quality of life of the elderly who are cared for at home, the existing quality of life measurement scale should not be used directly. The design of the quality of life measurement index for the elderly who are cared for at home can be considered from the aspects of health, medical treatment, family and child relationship, and recreational activities. 3. There is a gap between subjective evaluation and objective evaluation of the quality of life of the elderly cared for at home. The evaluation of the quality of life of the elderly who are taken care of at home is mostly obtained through horizontal and vertical comparison, and the quality of the elderly who are taken care of at home also affects their evaluation of the quality of life. Their own quality affects the choice of reference standards for the elderly who are cared for at home, and thus their evaluation of their own quality of life, that is, Different levels of education and different life experiences make the elderly people who are cared for at home have different understanding of the quality of life. The elderly who are cared for at home choose different criteria when evaluating their own quality of life, which leads to the difference between subjective and objective evaluation of quality of life. In addition, the subjective evaluation of the quality of life was higher than that of the objective evaluation, and the objective evaluation could more accurately reflect their actual quality of life. It is found that the quality of life of the elderly who are cared for at home needs to be further improved through the study of the contents of the quality of life of the elderly who are cared for at home. The survey shows that family is an important aspect of the quality of life of the elderly who are cared for at home. In formulating policies for the elderly, it is necessary not only to formulate policies for the elderly who are cared for at home, but also to take into account the families and families of the elderly who are cared for at home, Provide convenience for them to take care of the elderly, and create a better family and social atmosphere for the elderly who are cared for at home. Governments and organizations at all levels should jointly explore the establishment of a new type of system with the community as the center, the government as the aid, and non-governmental organizations as the active participants, with the support of various social forces, according to the actual needs of the elderly who are cared for at home. To improve the community environment, expand the area of greening, increase the activity facilities suitable for the elderly to be cared for at home, fully excavate and organically develop existing social resources, and truly realize "having fun and doing well for the elderly." Let home care for the elderly have a high quality of old age.
【学位授予单位】:济南大学
【学位级别】:硕士
【学位授予年份】:2011
【分类号】:C913.6

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