[健康和对医疗系统的满意度是影响大都市老一代居民生活质量的因素]。

I V Bogdan, E A Aksenova, V E Filippov, M D Gornostalev, M B Myakisheva, D P Chistyakova
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引用次数: 0

摘要

在特大城市人口老龄化的背景下,保持老年人的健康和活动,提高他们的生活质量非常重要。为此,有必要研究影响长寿的因素,包括个人健康特征和对医疗系统的看法(可及性、响应性、有效性、年龄歧视)。研究目的:确定对莫斯科老年人生活质量的评估,以及与健康有关的因素和对医疗系统的评估对其的影响。材料和方法:采用社会学调查、描述性统计、相关性分析和 z 检验来比较变量的比例。结果:根据调查问卷对生活质量及其组成部分进行的评估表明,健康是老年人的一个关键因素,尽管对其评估较低。47% 的老人坚持健康的生活方式,其中 40% 的老人经常锻炼身体。25%的人有不良生活习惯,26%的人有残疾,这降低了生活质量。18%的人每月求医。就医次数少的人对生活质量的评价更高(p m 0.001)。对上次就医的满意度高于对整个医疗系统的满意度。结论:研究显示,健康的生活方式与老年人的生活质量之间存在联系。经常参加体育锻炼可以减少疑病症,减轻医疗系统的负担,从而提高生活质量。对医疗保健系统的满意度也会影响生活质量,因此需要增加医疗保健服务。
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[HEALTH AND SATISFACTION WITH THE HEALTH CARE SYSTEM AS FACTORS IN THE QUALITY OF LIFE OF THE OLDER GENERATION OF METROPOLITAN RESIDENTS].

In the context of an aging population in megacities, it is important to maintain the health and activity of older people, improving their quality of life. To do this, it is necessary to study the factors affecting longevity, including individual health characteristics and perception of the health system (accessibility, responsiveness, effectiveness, ageism).

The purpose of the study: to identify an assessment of the quality of life of elderly Muscovites and the influence of factors related to health and the assessment of the health care system on it.

Materials and methods: a sociological survey, descriptive statistics, correlation analysis, and a z-test were used to compare the proportions of variables.

Results: an assessment of the quality of life and its components based on questionnaires showed that health is a key factor for the elderly, although its assessment was low. 47% of the elderly are committed to healthy lifestyle, of which 40% regularly exercise. 25% have bad habits, 26% are disabled, which reduces the quality of life. 18% seek medical help on a monthly basis. Those who go to doctors less often rate the quality of life higher (p m 0.001). Satisfaction with the last medical visit is higher than with the healthcare system as a whole.

Conclusion: the study revealed a link between healthy lifestyle and the quality of life of the elderly. Regular physical activity improves quality of life by reducing hypochondria and potentially offloading the healthcare system. Satisfaction with the health care system also affects the quality of life and requires an increase in the availability of medical care.

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