关键词: 农村, 老年人, 居家养老, 综合健康评估

Abstract: Objective: To investigate the comprehensive health status and its influencing factors of the elderly living at home in the rural areas. Methods: The WHOQOL-BREF, Morisky medication adherence scale, APGAR family function assessment scale, Athens insomnia scale, and geriatric depression scale were used to survey 216 rural elderly living at home. Results: The scores of the elderly in the physiological, psychological, and general health status and quality of life were significantly lower than the norm(P<0.05), the score in the environmental field was significantly higher than the norm (P<0.05), and the score in the social relations field between elderly and norm was no significant difference(P>0.05). Multiple regression analysis showed that the depression, insomnia, and chronic diseases entered the regression equation of the physiological field, accounting for 50.3% of the total variation in the physiological domain; The depression, family function, insomnia, work and labor conditions, and economic income entered the regression equation of the psychological field, accounting for 49.7% of the total variance in the psychological field; The depression, family function, and insomnia entered the regression equation of the social relationship field, accounting for 29.4% of the total variance in the social relationship field; The depression, insomnia, family function, and economic income entered the regression equation of the environmental field, accounting for 36.9% of the total variance in the environmental field; The depression, insomnia, family function, and chronic disease entered the regression equation of general health and quality of life, accounting for 45.0% of the total variance of general health and quality of life. Conclusion: The physical and psychological health of the elderly living at home in the rural areas is still relatively low. Depression, insomnia, family dysfunction, chronic diseases, and low income are the most important factors.

Key words: Rural areas, Elderly, Aged-care at home, Comprehensive geriatric assessment (CGA)