摘要
目的探讨享受长期护理保险待遇的居家失能老年人生命质量现状及影响因素,为提高其生命质量、完善长期护理保险制度提供科学依据。方法采用方便抽样方法,应用一般资料调查表、世界卫生组织生命质量简表、Barthel指数评定量表、抑郁自评量表、焦虑自评量表及世界卫生组织幸福感指数量表,对广州市161名已经享受长期护理保险待遇的居家失能老年人进行问卷调查。结果居家失能老年人生命质量总分为(41.17±7.79)分,其中环境领域得分最高,其次是社会关系、心理、生理领域,分别为(11.38±2.71)、(10.36±3.16)、(9.86±2.08)、(9.56±1.89)分;多重线性回归分析结果显示,平均每周出门活动次数、近1年住院次数、主观幸福感、抑郁、焦虑是失能老年人生命质量的影响因素(P<0.05)。结论失能老年人生命质量不容乐观,居家护理机构的护士应针对影响因素制订个性化的护理干预措施,以提高其生命质量,同时为优化长期护理保险政策提供依据。
Objective To investigate the status and influencing factors of quality of life among disabled elderly whose home care services were paid by the long-term care insurance in Guangzhou,in order to provide a scientific evidence for improving their quality of life and improving the long term care insurance system.Methods A convenience sample of 161 disabled elderly whose home care services were paid by the long-term care insurance were recruited and investigated.A cross-sectional survey was conducted by general information questionnaire,World Health Organization Quality of Life Brief Scale,Barthel Index,Self-rating Depression Scale,Self-rating Anxiety Scale and World Health Organization Happiness Index Scale.Results The score of the quality of life among disabled elderly was 41.17±7.79.And the score of its four dimensions in descending order:environment,social relationships,psychological and physical with(11.38±2.71),(10.36±3.16),(9.86±2.08),(9.56±1.89)points.The multiple linear regression analysis found that frequencies of outdoor activities per week,frequencies of hospitalization in the past year,subjective well-being,depression and anxiety influenced the quality of life of the disabled elderly(P<0.05).Conclusions The quality of life of disabled elderly is not optimistic.Nurses in home care institutions should formulate personalized nursing intervention based on influencing factors to improve the quality of life of disabled elderly,while providing a basis for optimizing long-term care insurance policies.
作者
何桂连
周英
黄瑶
张港娜
骆冬怡
赖盛锋
He Guilian;Zhou Ying;Huang Yao;Zhang Gangna;Luo Dongyi;Lai Shengfeng(Department of Pulmonary and Critical Care Medicine,the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510150,China;School of Nursing,Guangzhou Medical University,Guangzhou 510182,China)
出处
《中国实用护理杂志》
2021年第25期1946-1952,共7页
Chinese Journal of Practical Nursing
基金
国家社会科学基金(18BRK034)
广州市教育局重点学科项目(穗教科〔2019〕5号)。
关键词
生活质量
长期护理保险
失能老年人
居家护理服务
Quality of life
Long-term care insurance
Disabled elderly
Home care services
