摘要
长期护理服务是长期护理保险制度发挥保障作用的核心要素。失能人员长期护理服务主要由家属提供,家属作为非正式照护者,其心理健康状况会影响照护质量。采用状态—特质焦虑量表(STAI)调查215名长期护理保险居家照护失能人员的非正式照护者,中度焦虑有43例(20.00%),重度焦虑有88例(40.93%),非正式照护者的焦虑程度较高,心理健康状况不容乐观。采用χ2检验和Logistic回归方法分析得出,可支配月收入、自评压力、培训情况及失能人员的服药种类是其焦虑状况的危险因素(P<0.05)。为更好地帮扶失能家庭,需建立部门协同的精准帮扶机制,完善规范化培训机制,强调社区主体作用,提供慢病用药上门服务,引导转变养老模式选择,积极发展养老产业。
Long-term care service is the core element of long-term care insurance system.Long-term care services for disabled persons are mainly provided by family members,whose mental health status affects the quality of care.A total of 215 people with disability in long-term care at home are investigated by the state-trait Anxiety Scale(STAI).There are 43 cases(20.00%)of moderate anxiety and 88 cases(40.93%)of severe anxiety.The anxiety level of informal caregivers is higher and their mental health status not optimistic.Disposable monthly income,self-rated stress,training and medication type are risk factors for anxiety(P<0.05).In order to better help disabled families,it is necessary to establish a precise support mechanism coordinated by departments,improve the standardized training mechanism,emphasize the main role of the community,provide door-to-door services for chronic disease medication,guide the transformation of the choice of pension mode,and actively develop the pension industry.
作者
彭美华
刘小毛
蒋高攀
周贤
张锦慧
袁尘
黄世琪
Peng Meihua;Liu Xiaomao;Jiang Gaopan;Zhou Xian;Zhang Jinhui;Yuan Chen;Huang Shiqi
出处
《保险职业学院学报》
2023年第1期15-22,共8页
Journal of Insurance Professional College
基金
四川省社科规划项目“长期护理保险居家护理服务质量评价指标体系构建及实证研究”(SC19B029)
成都中医药大学2021-2022大学生科研实践创新课题重点项目(ky-2022111)。
关键词
长期护理保险
非正式照护者
焦虑状况
影响因素
long-term care insurance
informal caregivers
anxiety status
risk factors
