老年人社区护理服务满意度调查  

Survey of satisfaction degree of elderly people towards community nursing service

作　　者：刘小花[1] 何朝珠[2] 余超[2] 李菁[2] 刘昱昕[2] 孙亚杰[2] 洪燕[2] 邹德凤[3] 

机构地区：[1]赣南医学院护理学院,赣州341000 [2]南昌大学护理学院,南昌330006 [3]南昌大学第四附属医院护理部,南昌330003

出　　处：《上海交通大学学报（医学版）》2014年第12期1819-1823,共5页Journal of Shanghai Jiao tong University:Medical Science

基　　金：江西省卫生厅科技计划项目(20123178)~~

摘　　要：目的调查南昌市老年人对社区护理服务的满意状况,为卫生行政部门制定合理的规划提供依据。方法采用分层随机简单抽样方法,以自制老年人对社区护理服务满意度调查表,对南昌市800名社区卫生服务中心已建档案老年人进行问卷调查。结果获得有效问卷758份,有效率94.8%。老年人对社区护理服务满意度较高者分别为定期健康体检（89.9%）、建档信息动态管理（89.1%）、就诊复诊指导（89.0%）;较低者分别为合理使用保健用品指导（54.6%）、免疫接种护理指导（56.3%）、家庭病床服务（61.4%）。多元逐步logistic回归分析显示,影响社区护理服务满意度的正向因素为：居住在红谷滩新区、已婚、初中文化、个人平均月收入2 001~3 000元、步行至社区卫生服务中心用时〈15 min、完全没有情绪低落;负向因素为：未婚/丧偶、个人平均月收入〈1 000元、全自费、户籍、慢性病、视力下降、总是有情绪低落。结论老年人对社区护理服务总体满意率较高,但部分服务项目满意度不高。政府应从相关影响因素入手,采取各种措施,提高老年人对社区护理服务的满意度。Objective To investigate the satisfaction degree of the elderly towards the community nursing service in Nanchang and to provide evidences for the reasonable planning of the health administrative department.Methods The stratified simple random sampling method was adopted and the questionnaire of satisfaction degree of the elderly towards the community nursing service was used to investigate 800 old people who were recorded in the community health service center.Results A total of 758 valid questionnaires were returned and the valid rate was 94.8%.Items with high satisfaction rates were regular health examination（89.9%）,dynamic management of record information（89.1%）,and guidance of diagnosis and subsequent visit（89.0%）.Items with low satisfaction rates were guidance of rational use of healthy products（54.6%）,guidance of immunization（56.3%）,and home sickbed services（61.4%）.The stepwise logistic regression analysis revealed that positive influencing factors of the satisfaction degree of the community nursing service were living in Honggutan new district,married,graduation from middle school,average salary of 2 001-3 000 Yuan,walking time less than 15 min from home to the community health service center,and absence of depression;while negative influencing factors were unmarried/widowed,average salary less than 1000 Yuan,totally at own expense,household registration,chronic disease,vision loss,and persistent depression.Conclusion The overall satisfaction rate of the elderly towards the community nursing service is high,but satisfaction rates of some services are low.Various measures should be taken to improve the satisfaction rate of the elderly towards the community nursing service based on relevant negative influencing factors.

关 键 词：老年人 社区护理 满意度 调查 

分 类 号：R473.2[医药卫生—护理学]