Li Lydia W, Essex Elizabeth L, Long Yan
School of Social Work, University of Michigan, Ann Arbor, MI, USA,
J Cross Cult Gerontol. 2014 Dec;29(4):417-28. doi: 10.1007/s10823-014-9246-5.
This qualitative study aimed to understand the meaning of quality of life to older persons with chronic illness in China, and to compare the perceptions of those living in rural and urban areas. Semi-structured interviews were conducted with 24 older Chinese, half residing in urban and half in rural areas in Shandong province. Through an inductive coding and categorization process, the study identified two shared domains of quality of life: basic necessities and family wellness. Two additional domains, physical health and mood and spirit, were endorsed predominantly by urban residents. Entertainment and leisure comprised a quality of life domain for urban residents only. Cohort experience and cultural values likely played a role in shared beliefs about quality of life, whereas socioeconomic context may account for differences in rural and urban conceptions. An implication of the findings is that for older Chinese with chronic illness, developing and sustaining programs to meet basic needs is critical to quality of life.
这项定性研究旨在了解生活质量对中国慢性病老年人的意义，并比较城乡老年人的看法。对24名中国老年人进行了半结构化访谈，其中一半居住在山东省城市地区，一半居住在农村地区。通过归纳编码和分类过程，该研究确定了生活质量的两个共同领域：基本生活需求和家庭幸福。另外两个领域，即身体健康以及情绪和精神，主要得到城市居民的认可。娱乐和休闲仅构成城市居民生活质量的一个领域。群体经历和文化价值观可能在关于生活质量的共同信念中发挥了作用，而社会经济背景可能解释了城乡观念的差异。研究结果的一个启示是，对于患有慢性病的中国老年人来说，制定和维持满足基本需求的项目对生活质量至关重要。
