摘要
目的探讨居家不出老年人居家养老服务需求的现状及其影响因素,为更好的开展居家养老服务和提高老年人的生活质量提供理论依据。方法采取随机整群抽样方法在河北省唐山市路北区抽取2个社区860名≥60岁老年人进行居家不出状况筛查,对筛查出的居家不出老年人进行问卷调查。结果 860名老年人中共筛查出居家不出老年人149人,居家不出发生率为17.4%;对于养老服务的需求,有70.5%和77.2%的居家不出老年人选择日常生活照料养老服务和医疗保健养老服务,仅有11.4%的居家不出老年人选择精神慰藉养老服务;多因素非条件logistic回归分析结果显示,女性、患≥2种慢性病、不能自理是居家不出老年人日常生活照料养老服务需求的影响因素;患≥2种慢性病是居家不出老年人医疗保健养老服务需求的影响因素。结论居家不出老年人更愿意选择日常生活照料和医疗保健养老服务;性别、患慢性病数量、自理能力是日常生活照料和医疗保健养老服务需求的影响因素。
Objective To investigate the situation and influencing factors of the home care service demand in house- bound elderly people and to provide a theoretical basis for developing home care service and improving living quality for older people. Methods Two communities were chosen randomly in 127 communities in Tangshan city. Totally 860 resi- dents 60 years old or elder were screened for housebound behaviour and the houseboud elderlies identified were investigated with a questionnaire survey. Results There were 149 housebound elderly people among the 860 elderly people and the prevalence rate of housebound was 17.4%. Most of the housebound elderly people chose life care （ 70. 5 % ） and health care services （ 77.2 % ）, and only 11.4 % of housebound elderly people chose spiritual consolation. The results of non-conditional logistic regression model showed that the female, with more than two chronic diseases, without self-care ability were independently associated with the demand of life care services among the housebound elder- ly people. With two or more chronic diseases was independently associated with the demand of health care service. Con- clusion Gender, suffering from chronic disease, self-care ability are associated with the demand of home care services a- mong housebound elderly people and the housebound elderly people are more likely to choose life care and health care services.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2014年第5期641-644,共4页
Chinese Journal of Public Health
基金
国家社科基金(13BRK005)
河北省社科基金资助项目(HB12SH048)
关键词
居家不出
老年人
居家养老服务需求
影响因素
housebound
elderly people
home care service demand
influencing factor
