杭州某社区老年人健康状况及居家养老服务需求调查  

A survey on the health conditions of the elderly of Hangzhou and their needs of home-based care service

作　　者：王花玲[1] 陈雪萍[1] 刘炳炳[1] 郭莎莎[1] 刘会[1] 

机构地区：[1]杭州师范大学钱江学院,浙江杭州310012

出　　处：《健康研究》2017年第1期22-24,共3页Health Research

基　　金：2014年浙江省教育厅一般科研项目(Y201431666)

摘　　要：目的了解社区老年人居家养老服务需求,为制定上门服务和日间照料服务项目提供依据。方法应用自设问卷的方法,对杭州市某社区603名老年人进行入户调查,内容涉及一般情况、健康状况、上门服务及日间照料服务需求。结果社区老年人中有477人患有一种及以上慢性病(占79.1%),其中患病率较高的分别为高血压(56.22%)、骨关节病(21.06%)、冠心病(15.75%)、糖尿病(14.59%);104(17.2%)人日常生活能力存在不同程度功能下降,42(7%)人明显功能障碍。上门服务的三大类项目家政类服务、生活照料类服务、医疗保健类服务需求最高的分别是,居室清洁卫生(35.8%)、送餐(27.9%)、上门测血压(36.8%)。日间照料服务项目中,需求较高的分别是日间生活照料服务(占75.3%)、健身活动(占61.9)、提供膳食服务(占60.4%)。不同自理程度老人的服务需求有明显差异,(P<0.05)。结论杭州某社区老年人的健康状况与服务需求基本相符,在服务形式上,日间照料服务比上门服务需求更高。Objective To obtain scientific understanding of the status quo of the home-based healthcare service needed by the elderly of Hangzhou city so as to provide useful intelligence for the relevant service sectors to develop more desirable homebased healthcare service and day shift nursing service. Method A self-designed questionnaire was employed to survey 603 elderly people with a focus on the general personal information of the elderly,their current health conditions,home visiting service available to them and their needs of home-based health care. Findings 477（ 79. 1%） of the subjects surveyed were found to suffer one or more chronic diseases,with those having hypertension accounting for 56. 22%,those having osteoarthrosis accounting for 21. 06%,those suffering coronary heart disease accounting for 15. 75%）,and those having diabetes accounting for 14. 59%. The ADL of 104（ 17. 2%） people was found to have declined and the ADL of 42（ 7%）people was found to dysfunction considerably. Housekeeping,meal delivery,blood pressure measurement on home visit topped the list of homecare,which accounted for 35. 8%,27. 9% and 36. 8% respectively. Of the day time care service needs,day care services account for 75. 3%,fitness keeping activities 61. 9%,and meal delivery 60. 4%. People of different ADL have different service demand（ P〈 0. 05）. Conclusion The needs of healthcare service by the elderly correspond to their physical conditions. The need of day time care service is higher than home visiting service.

关 键 词：老年人 健康状况 居家养老服务 需求 

分 类 号：R473.2[医药卫生—护理学]