目的：通过对上海曹杨社区500位老年人生活质量的调查分析，结合社区卫生服务中心在社区老年人居家养老中的功能定位，探索适宜社区老年人居家养老模式，进一步提升社区老年人的生活幸福指数。方法：采用纽芬兰纪念大学幸福度量表和老年人生活质量评定量表，对500例上海市某社区的老年居民进行问卷调查，研究老年人生活质量的现状及影响因素。结果：对老年人生活质量影响较大的是心理及社会因素，如情绪、家庭关系、人际关系、社会活动等。社区卫生服务中心可在现有资源下积极参与。结论：政府及护理机构应深化社区护理模式的研究，社区卫生服务中心提供“以人为本”的社区护理服务，开展个性化的护理照顾，把关注老年人心理活动和提供更丰富的社会支持作为社区护理发展的重要内容。%Objective:To explore the appropriate mode of aged caring at home and further improve happiness index of the elderly in the community based on investigation of 500 aged people’s quality of life at Shanghai Caoyang community. Methods:The Memorial University of Newfoundland Scale of Happiness and the Elderly Quality of Life Scale were used. A questionnaire survey was conducted on 500 cases of elderly residents in a community of Shanghai to investigate current status and influencing factors of their quality of life. Results:Psychological and social factors such as emotion,family relationship,interpersonal relationship and social activities had relatively big impact. Community health service centers could actively contribute to the improvement with current resources. Conclusion:It is suggested that the government and nursing institutions speed up the study of community nursing care model. It is also suggested that community health centers provide“people-oriented”community nursing services,individualized nursing care and put elderly’s psychology and more social support as important content of community nursing development.
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