重大地震灾害幸存人群的远期生命质量调查
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摘要
目的了解重大地震灾害幸存人群远期生命质量状况,探究地震中家庭结构破坏对远期生命质量是否有影响。方法采用分层整群随机抽样的方法,对经历过唐山大地震且年龄≥60岁的老年幸存者进行生命质量评价。结果唐山市老年人生命质量测评总分平均为(73±23)分。男性老年人在生理功能、生理职能、身体疼痛、总体健康、活力、社会功能及精神健康7个维度的得分与中国评分参考值比较,差异均有统计学意义(P<0.05);女性老年人在生理功能、生理职能、身体疼痛、总体健康、社会功能及情感职能6个维度的得分与中国评分参考值比较,差异均有统计学意义(P<0.05)。有配偶震亡的老年人与无配偶震亡的老年人比较,总体健康维度得分间差异有统计学意义(P<0.05);有子女震亡的老年人与无子女震亡的老年人比较,生理功能维度得分间差异有统计学意义(P<0.05)。结论地震灾害对大部分幸存人群的远期生命质量有一定影响,家庭结构的不完整和正常家庭功能的缺失对幸存者远期生命质量的影响尤甚,应予以关注。
Objective To investigate the condition of long-term quality of life(QOL)of the survivor population after the major earthquake,and to study on whether the family deconstruction by an earthquake would affect the long-term QOL.Methods Cluster stratified random sampling was taken in assessment of the quality of life of the elderly survivors more than 60 years old who experienced the Tangshan earthquake.Results The total average score of QOL of the elderly people in Tangshan city was(73±23).The scores of the elderly male people in the 7 dimensions of physiological function,physiological role,physical pain,general health,vitality,social function and psychological health showed statistically different significance as compared with those of reference values of Chinese people(P<0.05);and so did the scores of the female in 6 dimensions of physiological function,physiological role,physical pain,general health,social function and emotional role(P<0.05).There was a significant difference in general health in comparison of the elderly who lost the spouse with those who did not(P<0.05);and so there was in comparison of the elderly who lost the child with those who did not(P<0.05).Conclusion The earthquake disaster has a certain influence on long-term QOL of the most survivor population,especially of the people who have a incomplete family structure or who are lack of normal family function,which should be paid attention to.
引文
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