摘要
目的探讨医养结合型养老机构老年人的生活空间受限状况及其影响因素,为制定有效的干预措施提供理论支持。方法利用便利抽样法,于2021年7月—10月选择合肥市某三所医养结合型养老机构的240名≥65岁的老年人为研究对象,采用一般资料调查表、制度化环境中生活空间评估量表(life-space assessment in institutionalized settings,LSA-IS)对老年人进行现况调查。采用二元Logistic回归分析医养结合型养老机构老年人发生生活空间受限的影响因素。结果共有231名医养结合型养老机构老年人完成研究。医养结合型养老机构入驻老年人生活空间得分为(24.9±15.7)分,其受限的发生率为24.7%(57/231);单因素分析结果显示,不同入驻养老机构类型、不同入驻养老机构费用来源、1年内有跌倒史、不同入驻养老机构时长的老年人生活空间受限发生率比较,差异有统计学意义(均P<0.05);二分类Logistic分析结果显示,入驻养老机构的费用来源于子女与其他补贴、有跌倒史、入驻养老机构>4年为生活空间受限发生的独立危险因素(均P<0.05)。结论医养结合型养老机构老年人生活空间得分较低,受限的发生率较高,应重点关注入驻养老机构的费用来源于子女与其他补贴、有跌倒史及入驻养老机构时间较久的老年人,可根据其原因制定针对性的干预措施,有效避免或延缓老年人生活空间受限的发生,提高其生活质量。
Objective To investigate the living spaces limitation of the elderly in nursing homes and the affecting factors to the living space so as to provide the theoretical guidance for making the effective interventional measures.Methods Between July and October,2021,convenience sampling method was used to enroll 240 elderly residents aged over 65 years from 3 nursing homes as the research subjects.Life-space assessment in institutionalised settings(LSA-IS)and the Chi-square test were employed to analyse the living spaces and the influence factors,respectively.Results Among the 240 enrolled elderly nursing home residents,231 completed the study.It was found that the score of living space for the elderly in the nursing homes is at(24.9±15.7)and the rate of living space limitation was 24.7%(57/231).The single factor analysis showed that there were statistically significant differences in the rate of living space limitation across the types of nursing homes,financial resources of a nursing home,falling history within one year,and length of stay(all P<0.05).The binary logistic analysis showed that the financial resources from the children and subsidies,falling history within one year,and over 4 years of stay were the independent risk factors for the limitation of living space(all P<0.05).Conclusions The score of living space for the elderly in nursing homes is low,and the occurrence rate of living space limitation is high.Hence importance should be extended to the elderly residents who have the financial resources from the children and subsidies,a history of falls,and a long-term stay at a nursing home.Corresponding intervention measures should be made to prevent or delay the occurrence of living space limitation so as to improve the quality of life of the elderly nursing homes residents.
作者
闫亭
于卫华
郑俊俊
李少奇
Yan Ting;Yu Weihua;Zheng Junjun;Li Shaoqi(The Third Hospital,Anhui Medical University,Hefei,230000;School of Nursing,Anhui Medical University,Hefei,230000;Yuncheng Maternal and Child Health Care Hospital,Yuncheng,044000,China)
出处
《现代临床护理》
2022年第10期27-32,共6页
Modern Clinical Nursing
基金
合肥市老年护理研究中心及安徽医科大学护理学院科研培育资助项目,项目编号合卫科教{2017}65号、hlqm2021022。
关键词
医养结合型养老机构
老年人
生活空间受限
横断面研究
medical and nursing care institutions
elderly people
life space limitationn
cross-sectional study
