文章摘要
刘艳丽,李涛,朱清,魏学玲,俞智泷,张本忠.兰州市城关区残疾人生存质量的影响因素解析[J].中国康复,2021,36(7):409-413
兰州市城关区残疾人生存质量的影响因素解析
Analysis on the Factors Influencing the Quality of Life of the Disabled in Chengguan District of Lanzhou City
  
DOI:
中文关键词: 残疾人  城关区  生存质量  护理质量  残疾态度  结构方程模型
英文关键词: disabled  chergguan district  quality of life  quality of care  attitude of disability  structural equation model
基金项目:兰州市城关区残疾人联合会科研课题(No. 20140410)
作者单位
刘艳丽 兰州大学公共卫生学院兰州 730000 
李涛 兰州大学公共卫生学院兰州 730000 
朱清 兰州大学公共卫生学院兰州 730000 
魏学玲 甘肃省兰州市城关区疾病预防控制中心兰州 730000 
俞智泷 甘肃省兰州市城关区残疾人联合会兰州 730000 
张本忠 兰州大学公共卫生学院兰州 730000 
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中文摘要:
      目的:研究兰州市城关区残疾人生存质量,为加强城关区残疾人保障体系建设提供基线资料和询证。方法:采用多阶段分层整群抽样抽取兰州市城关区登记在册的606例残疾人,首先使用世界卫生组织残疾人生存质量量表、残疾态度量表、残疾人照顾质量量表和自编基本情况问卷以面访或指导自填形式完成,其次通过拟合生存质量影响因素结构方程模型构建多维度残疾人生存质量综合评价体系,从残疾严重程度、残疾照顾护理质量和残疾态度3个方面探讨对生存质量的综合作用。结果:城区残疾人生存质量量表评分(40.76±14.79)分,不同人口学特征残疾人间生存质量评分有统计学差异(P<0.05);本组残疾人残疾态度总分(55.31±14.58)分、残疾人护理质量总分(50.33±11.25)分;结构方程模型分析结果显示,残疾态度、残疾严重程度、护理质量对兰州市城区残疾人生存质量的总效应分别为0.36、-0.23、0.49,残疾严重程度通过影响护理质量和残疾态度产生间接作用。结论:研究发现兰州市城关区残疾人生存质量水平较低,受自身、家庭和社会,生理和心理以及社会保障制度等各方面影响,应针对性加强残疾人福利救助体系建设。
英文摘要:
      Objective: To study the quality of life of the disabled in the Chengguan District of Lanzhou city, and to provide baseline data and evidence for the construction of the protection system for the disabled in the Chengguan District. Methods: Multi-stage stratified clusters were used to extract 606 registered disabled persons in Chengguan District of Lanzhou city. First, the World Health Organization Quality of Life Scale of Disabled Persons, Disability Attitude Scale and Self-Compiled Basic Situation Questionnaire were used. It was completed in the form of face-to-face interview or guided self-filling. Secondly, by fitting the influencing factors of the quality of life, a comprehensive evaluation system for the multi-dimensional quality of life of the disabled was constructed based on the structural equation model, and the comprehensive effect on the quality of life was discussed from the three aspects of the severity of disability, the quality of disability care and the attitude of disability. The comprehensive effect of disability severity, disability attitude and quality of care on the quality of life based on the structural equation model were analyzed. Results: The scores of the quality of life scale for the disabled in urban areas were (40.76±14.79), and there were significant differences in the scores of the quality of life among the disabled with different demographic characteristics (P<0.05). The total score of disability attitude of this group was (55.31±14.58), and the total score of disabled care quality (50.33±11.25). The structural equation model analysis showed that the total effects of disability attitude, disability severity and quality of care on the quality of life of disabled people in Lanzhou city were 0.36, -0.23, and 0.49, respectively. The severity of disability had an indirect effect by affecting the quality of care and disability. Conclusion: The study found that the quality of life of persons with disabilities in Chengguan District of Lanzhou city is relatively low, and influenced by their own, family and social, physical and psychological and social security systems. Therefore, the construction of the welfare and assistance system for persons with disabilities should be strengthened.
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