成都市社区老年慢性病患者自理能力及关爱需求调查  

Activities of Daily Living and Demand for Care of the Elderly with Chronic Conditions in Chengdu

作　　者：李芸[1] 吴琳娜[2] 李俊梅[1] 

机构地区：[1]四川大学华西医院全科医学科,成都610041 [2]四川大学华西医院老年科,成都610041

出　　处：《四川大学学报（医学版）》2012年第2期218-221,共4页Journal of Sichuan University(Medical Sciences)

摘　　要：目的了解区老年慢性病患者的自理能力、关爱感知和关爱需求,为构建老年慢性病患者关爱模式提供依据。方法采用方便选点、随机抽样和问卷调查的方法,对成都市4个社区180例老年慢性病患者的自理能力及关爱感知和需求进行了调查分析。结果 180例老年慢性病患者中有77.78%患2种及以上慢性病;97.22%能坚持规律服药治疗,70.00%进行了治疗效果的自我监测,疾病控制率为61.11%;54.44%生活完全自理,37.78%生活部分自理,7.78%生活完全依靠他人照顾;年龄、患病数量影响生活自理能力(P<0.005);98.89%能感受到关爱,1.11%感知缺乏关爱;感知到的关爱主要来源于家庭成员,其次是亲戚朋友和邻居及单位同事;经济收入、生活自理能力、患病数量影响对不同关爱的需求(P<0.05)。结论老年慢性病患者生活自理能力下降,对护理关爱需求增加,应建立一种以保健专业人员为指导、多维度的关爱模式,促进他们的健康。Objective To evaluate the activities of daily living and demand for care of the elderly with chronic conditions in Chengdu in order to develop appropriate care models.Methods Convenient sampling strategy was adopted to recruit participants in four communities in Chengdu. A total of 180 elderly respondents with chronic conditions completed a questionnaire survey,which evaluated the activities of daily living and demand for care of the respondents.Results More than 77% respondents suffered from two or more chronic conditions.Over 97% respondents followed medical advices of doctors in drug therapy,with 70% monitoring the effectiveness of the drug therapy by themselves.The chronic conditions of 61% of respondents were well controlled.More than 54% were able to perform activities of daily living;38% needed assistance;and 8% were completely dependent on others.Age and numbers of conditions influenced the activities of daily living（P0.005）.Over 98% respondents were aware of their care needs and 1% identified unmet needs.Care for elderly came mainly from families,followed by relatives,friends,neighbors and workmates.Demands for care depended on financial capacity,degree of independence and numbers of conditions.Demands for nursing care increased with numbers of conditions（P0.05）.Conclusion The ability of elderly performing activities of daily living decreases with age and chronic conditions.A multi-dimensional care model involving professional carers needs to be developed in responding to the increasing needs of aged care.

关 键 词：老年 慢性患者 自理能力 关爱需求 社区护理 

分 类 号：R473.5[医药卫生—护理学]