老年慢性病患者社会支持网的建立及效果分析  

Establishment of social support network of chronic disease elderly and effect analysis

作　　者：阎红[1] 刘书文[2,3] 蒋运兰 陈茜[5] 刘丽娟[6] YAN Hong;LIU Shuwen;JIANG Yunlan;CHEN Qian;LIU Lijuan(Teaching and Researching Section of Internal Medicine and Pediatrics,College of Nursing, Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan 611137,China;Journal of Chinese Health Management,Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan 610041,China;Nursing Department,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan 610000,China;Geriatric Medical Center,West China Hospital of Sichuan University,Chengdu,Sichuan 610041,China;Department of Gynaecology and Obstetrics,Chengdu Municipal Women and Children Central Hospital,Chengdu,Sichuan 610091,China)

机构地区：[1]成都中医药大学护理学院内儿护理教研室,成都611137 [2]成都中医药大学 [3]中国卫生事业管理杂志社,成都610041 [4]成都中医药大学附属医院护理部,成都610000 [5]四川大学华西医院老年医学中心,成都610041 [6]四川省成都市妇女儿童中心医院妇产科,610091

出　　处：《重庆医学》2018年第9期1233-1236,共4页Chongqing medicine

基　　金：四川省教育厅资助科研项目(16SA0030);四川省卫生和计划生育委员会科研课题(17PJ361);成都医学院四川应用心理学研究

摘　　要：目的分析成都市老年慢性病患者的社会支持网,为系统构建和完善城市社区慢性病老人养老体系提供参考。方法自行设计调查问卷,采取方便抽样法对成都市234例老年慢性病患者进行调查。结果调查对象中1种、2种、3种及以上慢性病患病率分别为56.84%、27.78%、15.38%。老年慢性病患者经济、照料和精神支持需求分别为66.70%、50.00%和78.20%,文化程度、固定月收入、月均疾病费用、患慢性病种数及患慢性病时间影响社会支持需求。经济、照料、精神支持程度得分分别为(3.72±1.37)、(3.90±1.19)、(3.64±1.08)分,文化程度、婚姻状况、固定收入、患病时间、疾病费用影响社会支持程度。经济和照料支持主要来自配偶和子女;精神支持除来自家庭内,部分来自家庭外。结论构建完善的社区、家庭等多种途径的社会支持网,有利于提高老年慢性病患者的生活质量。Objective To analyze the Chengdu municipal social support network of chronic disease elderly to provide reference for systematically building and perfecting the pension system of urban community chronic disease elderly.Methods The self-designed questionnaire and convenience sampling method were adopted to perform the investigation on 234 aged patients with chronic disease from Chengdu City.Results The prevalence rates of one,two,three or more chronic diseases were 56.84%,27.78%and 15.38%respectively.The demands for economic,care and spiritual support in the elderly patients with chronic disease were 66.70%,50.00%and 78.20%respectively.The education degree,fixed monthly income,monthly average cost of disease,number and time of suffering from chronic diseases affected the demands for social support.The economic,care and social support degrees were(3.72±1.37),(3.90±1.19)and(3.64±1.08)point respectively.Level of education,marital status,fixed income,duration of illness,and cost of illness affected the social support degree.The economic and care support mainly came from the spouses and children,but the spiritual support not only came from the inside family,but also the part came from the outside family.Conclusion Constructing a perfect social support network with multiple approaches of community and family is conducive to improve the quality of life in chronic disease elderly.

关 键 词：老年慢性病患者 社会支持网 效果分析 

分 类 号：R473.2[医药卫生—护理学]