摘要
目的通过对辖区内养老机构中住养老人健康状况的评估,掌握住养老人生命质量状况,探讨医养结合养老服务模式医疗服务内容范围,为医养结合机制服务政策和范围制定提供客观依据。方法选取2018年6月-2019年6月上海市某镇敬老院所有住养的342位老人作为调查对象。通过达特茅斯库普/世界家庭医生组织(Dartmouth Coop Project/World Organization of National Colleges,Academies and Academies Association of GeneralPractitioners and Family Physicians,COOP/WONCA)功能状态量表对住养老人进行评估,分析掌握住养老人生命质量现状。结果住养老人健康生命质量总体偏低,0.88%为良好,45.03%为较差,54.09%为差。多种疾病共患严重,91.81%的老人患有≥2种疾病,61.99%患有≥3种疾病,情感、社会活动和疼痛3个维度良好的比例均>50%,其余维度良好的比例均<50%。,患者有1、2、3、4和5种疾病的住养老人生理适应性维度评分分别为(4.38±0.50)、(4.67±0.51)、(4.61±0.55)、(4.74±0.48)和(4.65±0.60)分,差异有统计学意义,F=2.46,P=0.046;日常活动维度评分分别为(2.97±1.50)、(3.41±1.62)、(2.90±1.57)、(3.45±1.57)和(3.60±1.57)分,差异有统计学意义,F=2.57,P=0.038。结论住养老人生命质量较差,需医-护-康-养多元化的有效衔接,多学科优势互补,以实现养老服务的精准化、精细化和精致化,改善老年人生命质量。
OBJECTIVE Through the assessment of the health status of the elderly living in the elderly care institutions,this paper aimed to explore the scope of medical services in the mode of combining medical care with elderly care,and to provide objective basis for the formulation of the policy and scope of medical care combined with elderly care.METHODS A total of 342 elderly people living in nursing homes in a town in Shanghai City from June 2018 to June 2019 were selected as the survey subjects.Through the Dartmouth Coop Project/World Organization of National Colleges,Academies and Academies Association of GeneralPractitioners and Family Physicians(COOP/WONCA)functional state scale to assess the elderly living,the quality of life status of the elderly living was analyzed.RESULTS The quality of health of the elderly living was generally low,with 0.88%being good,45.03%being not good,and 54.09%being poor.Multiple diseases were coexisting and serious,91.81%of the elderly were suffering from≥2 diseases,61.99%were suffering from≥3 diseases,the proportion of the three dimensions of emotion,social activity and pain was>50%,and the proportion of the other dimensions was good<50%.The scores of the physiological adaptability dimension of quality of life among residents with 1,2,3,4 and 5 kinds of disease were(4.38±0.50),(4.67±0.51),(4.61±0.55),(4.74±0.48),(4.65±0.60),the difference was statistically significant,F=2.46,P=0.046.The daily activity dimension scores were(2.97±1.50),(3.41±1.62),(2.90±1.57),(3.45±1.57),(3.60±1.57),the difference was statistically significant,F=2.57,P=0.038.CONCLUSION The quality of life of the elderly living and supporting is poor,which requires the effective connection of medical care rehabilitation pension and the complementary advantages of multiple disciplines,so as to realize the precision,refinement and refinement of pension services and improve the overall quality of life of the elderly.
作者
方红
姚红
刘奕男
FANG Hong;YAO Hong;LIU Yi-nan(Shanghai Hongqiao Community Health Service Center,Shanghai 201103,P.R.China)
出处
《社区医学杂志》
CAS
2020年第24期1692-1694,共3页
Journal Of Community Medicine
关键词
健康评估
生命质量
住养老人
上海市
health managemen
quality of life
the elderly living
Shanghai City
