供方视角下居家老年痴呆患者基层医疗卫生服务现状的质性研究  

A qualitative research of the status-quo of service in primary health care for dementia who stay in home in the supply-side perspective

作　　者：张瑞 李媛 宁佩 卢艳艳[2] 李雪 王祥杰 孟庆慧[1] Zhang Rui;Li Yuan;Ning Pei;Lu Yanyan;Li Xue;Wang Xiangjie;Meng Qinghui(School of Nursing,Weifang Medical University,Weifang 261053,China;Nursing Department,Linyi Hospital of Traditional Chinese Medicine,Shandong Province,Linyi 276000,China)

机构地区：[1]潍坊医学院护理学院,261053 [2]山东省临沂市中医医院护理部,276000

出　　处：《中国实用护理杂志》2020年第8期625-629,共5页Chinese Journal of Practical Nursing

基　　金：潍坊医学院博士启动基金(2017BSQD58)。

摘　　要：目的 了解供方视角下潍坊市居家老年痴呆患者基层医疗卫生服务现状,为完善居家老年痴呆患者基层医疗服务及社区照护提供建议。方法 采用立意取样法于2019年2—5月对26名基层医务工作者进行半结构式深度访谈,对访谈资料采用内容分析法进行归纳提炼。结果 提炼出4个主题,主题一:对老年痴呆认知不足;主题二:对居家老年痴呆患者医疗支持不足;主题三:痴呆基层医疗需各方支持;主题四:服务供方存在问题与建议。结论 居家老年痴呆患者基层医疗卫生服务较少,需要通过各种手段加深基层医务工作者对老年痴呆的认识,增加居家老年痴呆患者基层医疗服务项目。Objective To understand the status quo of primary medical and health services for home aged dementia patients in Weifang from the perspective of medical service providers.And to provide suggestions for improving the primary medical services and community care for home aged dementia patients.Methods A semi-structured in-depth interview was conducted with 26 primary medical and health care workers in the primary medical and health services of home patients with senile dementia,and the interview data were summarized and extracted by content analysis method.Results Four themes were extracted according to the primary medical and health services for home aged dementia patients.Theme 1:less chance to contact with dementia patients,and the understanding of the disease is biased.Theme 2:limited medical services and no targeted services.Theme 3:receive less relevant training and need professional technical support.Theme 4:there is no system of medical support,and an effective model needs to be established.Conclusion There are few primary medical and health services for home patients with senile dementia,and there are regional differences.It is necessary to increase the understanding of home patients with senile dementia by various means and increase the primary medical services for home patients.

关 键 词：老年痴呆 基层医疗机构 社区卫生服务 质性研究 

分 类 号：R74[医药卫生—神经病学与精神病学]