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社区老年人医养康护一体化服务需求及影响因素研究 被引量:18

Research on the status and influencing factors of the integrated service needs of medicine, pension, rehabilitation and care of the community elderly
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摘要 目的探讨社区老年人医养康护一体化服务需求现状及影响因素,为构建符合国情的养老服务模式提供理论依据。方法便利选取泰安市3个社区330名老年人,采用自行编制的社区老年人医养康护服务需求问卷对其进行调查。结果83.54%(259/310)的老年人存在中度及以上养老需求;排在前3位的需求依次是康复服务、家庭病床及社区公共卫生服务。年龄、文化程度、自评健康状况、慢性病数量是医养康护服务需求的影响因素(t=2.374~4.844,均P<0.05)。结论绝大多数老年人存在中度及以上医养康护一体化服务需求,老年人对康复服务需求最高;年龄、文化程度、自评健康状况和慢性病数量对养老需求有不同程度的影响;政府、社会、教育和医疗机构跨学科多元联动,加强康复、医护专业人才的培养,探索符合国情的最佳养老服务模式。 Objective To explore the status and influencing factors of the integrated service needs of medicine, pension, rehabilitation and care of the community elderly in order to provide a theoretical basis for the construction of an old-age service model in line with the national conditions. Methods A total of 330 elderly people from three communities in Tai'an were selected and investigated by self-made questionnaire of the integrated services needs for medicine, pension, rehabilitation and care of community elderly. Results Nearly 83.54%(259/310) of the elderly had moderate and above pension needs, and the first three were rehabilitation services, family beds and community public health services. Age, educational level, self-rated health and number of chronic diseases were the influencing factors of the integrated service needs of medicine, pension, rehabilitation and care(t=2.374-4.844, all P<0.05). Conclusions The majority of elderly people have the moderate and above health care integration service demand, the elderly have the highest demand for rehabilitation services. Age, education, self-rated health status and the number of chronic diseases have different influence on the needs of the elderly;government, society, education and medical treatment institutions interdisciplinary multi linkage, and strengthen the professionals training of health, rehabilitation, health care, in order to explore the best old-age service model in line with national conditions.
作者 许文丽 刘化侠 杨朝霞 王祖麟 王彩英 Xu Wenli;Liu Huaxia;Yang Zhaoxia;Wang Zulin;Wang Caiying(School of Nursing,Taishan Medical University,Taian 271000,China;Department of Nursing,the Affiliated Hospital of Taishan Medical University,Taian 271000,China)
出处 《中国实用护理杂志》 2019年第6期451-456,共6页 Chinese Journal of Practical Nursing
基金 山东省软科学研究计划(2017RZB14002).
关键词 老年人 医养康护 医养结合 社区 需求评估 影响因素 Aged Medicine, pension, rehabilitation and care Combination of medicine and pension care Community Needs assessment Influencing factors
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