兰州市城关区残疾人照顾质量及其影响因素

doi:10.3969/j.issn.1006-9771.2020.09.021

摘要/Abstract

摘要：

目的探讨兰州市城关区残疾人照顾质量现状及其影响因素。
方法 2016年8月至11月,多阶段分层整群抽样法抽取兰州市城关区登记在册的残疾人606例,采用世界卫生组织残疾人照顾质量量表进行入户调查。
结果城关区残疾人照顾质量总分(50.33±11.25)。照顾的获得、照顾的给予、照顾的可及性和照顾的环境评分占各维度满分的59.5%、62.0%、63.9%和72.6%。多元线性回归分析显示,残疾程度、残疾影响程度和收入水平是残疾照顾总分的独立影响因素(P < 0.05)。不同人口学特征和残疾严重程度残疾人,照顾质量各维度评分有显著性差异。
结论兰州市城关区残疾人照顾质量有待改善。应采取有针对性的措施提升残疾人照顾质量。

关键词: 残疾人, 照顾质量, 兰州, 调查

Abstract:

Objective To investigate the the quality of care for the people with disabilities and the related factors in Chengguan district of Lanzhou, Gansu, China.
Methods From August to November, 2016, 606 persons with disabilities registered in Chengguan District of Lanzhou City were sampled with multi-stage stratified cluster sampling, and investigated with World Health Organization Quality of Care and Support (QOCS) for people with disabilities in home.
Results The total score of QOCS was (50.33±11.25), and the dimension-score proportion were 59.5%, 62.0%, 63.9%, and 72.6% in the dimensions of acquisition, care giving, care accessibility and care environment, respectively. Multiple linear regression showed that the degree of disability, degree of disability influenced and income level were the independent factors realted with the total score of QOCS. There are significant differences among people with disabilities in term of different demographic characteristics and the severity of disability in each dimension-score.
Conclusion The quality of care for the people with disabilities needs to be improved in Chengguan District of Lanzhou in reasonable ways.

Key words: people with disabilities, quality of care, Lanzhou, survey

魏学玲,张婕,俞智泷,朱清,张本忠. 兰州市城关区残疾人照顾质量及其影响因素[J]. 《中国康复理论与实践》, 2020, 26(9): 1112-1116.

WEI Xue-ling,ZHANG Jie,YU Zhi-long,ZHU Qing,ZHANG Ben-zhong. Quality of Care for People with Disabilities and Related Factors in Chengguan, Lanzhou, China[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(9): 1112-1116.

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人口学特征	n	人口学特征	n	人口学特征	n	人口学特征	n
性别		居住支持		收入水平		残疾类型
女	266	家中,可自理	114	高于平均水平	17	言语残疾	27
男	340	家中,家人照顾	453	平均水平	113	听力残疾	110
年龄(岁)		家中,付费照顾	7	较低于平均水平	109	视力残疾	138
< 40	94	生活在疗养机构等	4	远低于平均水平	367	精神残疾	91
40~59	370	长期住院	28	残疾明显程度		肢体残疾	219
60~79	118	文化程度		完全看不出来	22	多重残疾	21
≥80	24	小学及以下	169	较难看出来	84	残疾影响程度
婚姻状况		中学	327	能看出来	179	不会影响	8
未婚	93	大专	67	较容易看出来	85	影响较小	45
已婚	402	本科及以上	43	完全能看出来	236	一般影响	152
离婚	53	职业类型		残疾时间		影响较大	236
丧偶	58	就业	130	< 20年	244	非常影响	165
		待业	367	20~40年	241
		退休	109	>40年	121

自变量	总分			照顾的环境			照顾的获得性			照顾的可及性			照顾的给予
自变量	β值	t值	P值	β值	t值	P值	β值	t值	P值	β值	t值	P值	β值	t值	P值
性别	-0.012	-0.281	0.778	0.029	0.688	0.492	0.001	0.014	0.989	-0.056	-1.353	0.176	-0.012	-0.281	0.779
年龄段	-0.018	-0.363	0.716	0.028	0.588	0.557	-0.056	-1.145	0.253	-0.002	-0.047	0.962	-0.019	-0.388	0.698
婚姻状况	-0.025	-0.534	0.593	-0.04	-0.878	0.380	-0.008	-0.169	0.866	-0.072	-1.571	0.117	0.049	1.069	0.286
居住支持	-0.078	-1.921	0.055	-0.088	-2.144	0.032	0.003	0.063	0.949	-0.099	-2.431	0.015	-0.028	-0.682	0.496
文化程度	0.005	0.114	0.909	0.016	0.390	0.696	0.021	0.496	0.620	-0.053	-1.263	0.207	0.021	0.501	0.616
残疾明显程度	-0.150	-3.073	0.002	-0.113	-2.307	0.021	-0.122	-2.466	0.014	-0.013	-0.269	0.788	-0.143	-2.896	0.004
残疾影响程度	0.115	2.345	0.019	-0.006	-0.118	0.906	0.097	1.966	0.050	0.118	2.433	0.015	0.105	2.147	0.032
职业类型	0.023	0.517	0.605	0.02	0.467	0.641	0.072	1.628	0.104	-0.099	-2.298	0.022	0.055	1.258	0.209
收入水平	-0.122	-2.854	0.004	0.023	0.540	0.590	-0.098	-2.28	0.023	-0.166	-3.906	< 0.001	-0.099	-2.313	0.021
残疾类型	-0.049	-1.185	0.236	-0.100	-2.437	0.015	-0.041	-0.986	0.325	0.016	0.386	0.700	0.004	0.105	0.916
残疾时间	-0.048	-1.186	0.236	-0.107	-2.646	0.008	-0.019	-0.475	0.635	0.080	1.988	0.047^a	-0.064	-1.578	0.115