基于结构方程模型的居家失智老人照护风险预警体系实证研究  

Research on the Early Warning System of Care Risk for Homebound Elders with Dementia Based on Structural Equation Model

作　　者：董晓欣[1] 孙统达[1] 赵凌波[1] DONG Xiao-xin;SUN Tong-da;ZHAO Ling-bo(Ningbo College of Health Sciences,Ningbo,Zhejiang,315100,China)

机构地区：[1]宁波卫生职业技术学院,浙江宁波315100

出　　处：《中国卫生经济》2022年第7期50-53,共4页Chinese Health Economics

基　　金：浙江省自然科学基金资助项目(LQ20H260006)。

摘　　要：目的:构建居家失智老人照护风险预警体系,有利于预测关键风险因素,强化针对性风险管理,预防控制风险事件发生,进而降低医疗照护费用支出等直接和间接经济损失。方法:对浙江省宁波市1045位居家照护失智老人开展调查,运用SPSS25.0统计软件和AMOS17.0软件进行数据分析和结构方程模型构建。结果:居家失智老人照护风险预警体系包含失智老人因素、家庭支持和居住环境3个维度的15个预警指标。结构方程模型的拟合优度指标GFI=0.934,调整后拟合优度指标GFI=0.903,比较适配度指标GFI=0.967,渐进残差均方和平方根GFI=0.065。结论:基于实证调查构建的居家失智老人照护风险评估预警体系可为照护风险管理提供重要科学依据。Objective:To build early warning system of care risk for homebound elders with dementia,and to predict key risk factors in advance,reduce the occurrence of risk events,and then reduce direct and indirect economic losses such as medical expenses.Methods:A survey was carried out on 1045 homebound elders with dementia in Ningbo,Zhejiang.SPSS 25.0 Software and AMOS17.0 Software were used for data analysis and structural equation model construction.Results:The early warning system of care risk for homebound elders with dementia included 15 early warning indicators in three dimensions,including factors of the elders with dementia,family support and living environment.For the structural equation model,the GFI was 0.934,AGFI was 0.903,CFI was0.967,and RMSE GFI was 0.065.Conclusion:Based on empirical investigation,the early warning system of care risk for homebound elders with dementia could provide important reference for care risk management.

关 键 词：失智老人 照护风险 预警体系 结构方程模型 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R195