Objective To study the attitude to death and quality of life of community elderly patients with chronic diseases , and analyze their correlation under different influential factors. Methods The death attitude profile - revised ( DAP -R ) and WHOQOL - BREF were used to survey 120 community elderly patients with chronic diseases. Results The highest score was ( 16. 14 ± 3. 27 ) for death avoidance, the nest was ( 15. 88 ± 1. 69 ) for natural acceptance, and the lowest was (11. 63 ± 3. 63 ) for approach death acceptance. The total score of quality of life was ( 59. 91 ± 7. 88 ). The scores of death fear and anxiety , escape death acceptance, approach death acceptance, and death avoidance were negatively correlated with the total score of quality of life ( r = - 0. 473 , - 0. 563 , - 0. 256 , - 0. 282 ). And natural acceptance score was positively correlated with the total score of quality of life ( r = 0. 276 ). Conclusion The attitude to death of the majority of the community elderly patients with chronic diseases is of ambivalence, which affects their quality of life. Nurses should pay attention to their attitude to death when implementing community nursing intervention and take the corresponding measures so as to improve their quality of life.%目的 了解社区老年慢性病患者死亡态度与生活质量状况,分析不同因素下老年慢性病患者对死亡的态度及探讨死亡态度与生活质量的相关性.方法 应用老年人死亡态度量表和世界卫生组织生存质量测定量表简表(WHOQOL-BREF)对120例社区老年慢性病患者进行调查.结果 社区老年慢性病患者死亡态度中死亡逃避维度得分((16.14±3.27)分)最高,其次为自然接受维度得分((15.88±1.69)分),趋近导向的死亡接受维度得分((11.63±3.63)分)最低;生活质量总分为(59.91±7.88)分;死亡恐惧与焦虑、逃离导向的死亡接受、趋近导向的死亡接受及死亡逃避得分与生活质量总分均呈负相关,相关系数分别为-0.473、-0.563、-0.256和-0.282,自然接受得分与生活质量总分呈正相关,相关系数为0.276.不同医疗费用支付方式、宗教信仰及家中谈论死亡情形的老年慢性病患者死亡态度间差异有统计学意义(P＜0.05).结论 大多数社区老年慢性病患者对死亡的态度存在矛盾心理,影响其生活质量水平;实施社区护理干预时,护士应关注老年慢性病患者的死亡态度,采取相应的干预措施以提高其生活质量水平.
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