关键词: 老年人, 80以上, 生活质量, 生活满意度, 影响因素分析

Abstract: Objective　To identify factors influencing life satisfaction among elderly people who live in high buildings without elevatorsin the Jingan District of Shanghai City.Methods　In March 2017，224 elderly people（≥80 years of age） living in high buildings without elevators on Linfen Road，Pengpu New Village and Pengpu Town of the Jing'an District of Shanghai City were randomly selected as study subjects to complete a questionnaire.The questionnaire was self-designed and covered items，such as life satisfaction，general information，health status，living conditions，acknowledgment of nursing service，and alone time per week.Factors which potentially affected the life satisfaction of the subjects were analyzed.Results　A total of 224 questionnaires were distributed and 218 valid questionnaires were recovered，for a valid recovery rate of 97.3%.The respondents who rated their life satisfaction as "OK（neither satisfied nor dissatisfied）" accounted for the greatest percentage of study subjects（39.0%）．Satisfaction in the respondents with different living conditions，self-rated health status，number of chronic diseases，self-rated visual acuity and hearing，living status，ability to go downstairs，economic pressure for nursing service，acknowledgment of nursing service，and alone time per week was significantly different（P<0.05）．Multivariate Logistic regression analysis showed that factors influencing the satisfaction of respondents included self-rated health status，self-rated visual acuity，living status，the ability to go downstairs freely，economic pressure for nursing service，and alone time per week（P<0.05）．Conclusion　Elderly people living in high buildings without elevators do not have high life satisfaction.Many factors influence the life satisfaction of elderly people.The present study is valuable for further improving the care services for elderly people and enacting associated policies.

Key words: Aged, 80 and over；Quality of life；Self-related life satisfaction；Root cause analysis