社区老年人医养康护一体化服务需求及影响因素研究  

Research on the status and influencing factors of the integrated service needs of medicine, pension, rehabilitation and care of the community elderly

作　　者：许文丽[1] 刘化侠[1] 杨朝霞[2] 王祖麟[1] 王彩英[1] 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)

机构地区：[1]泰山医学院护理学院,泰安271000 [2]泰山医学院附属医院护理部,泰安271000

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).

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.

关 键 词：老年人 医养康护 医养结合 社区 需求评估 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理] D669.6[医药卫生—公共卫生与预防医学]