社区老年慢性病人群安宁疗护需求现状及影响因素分析  

The status quo and influencing factors of palliative care needs of the community elderly with chronic diseases

作　　者：张坤 彭云云 刘莉[1] 谷灿[1] ZHANG Kun;PENG Yunyun;LIU Li;GU Can(Xiang Ya Nursing School,Central South University,Changsha,410013,China)

机构地区：[1]中南大学湘雅护理学院,长沙市410013

出　　处：《中国护理管理》2023年第9期1306-1311,共6页Chinese Nursing Management

基　　金：国家自然科学基金(81703084);湖南省自然科学基金(2022JJ30774)。

摘　　要：目的:调查社区老年慢性病人群安宁疗护需求现状并分析其影响因素,为提升社区老年护理服务质量提供参考。方法:本研究为横断面研究设计,采用便利抽样法,于2022年2月—3月在湖南省长沙市4个社区选取302例老年慢性病患者作为研究对象,使用一般资料调查表和中文版安宁疗护需求筛查工具进行调查,采用Logistic回归分析影响因素。结果:17.9%的老年慢性病群体具有安宁疗护需求;Logistic回归方程结果显示,患慢性病时间越长(OR=1.461,95%CI:1.017~2.099)、自理能力越差(OR=3.265,95%CI:1.189~8.964)以及自评健康状况越差(OR=3.622,95%CI:1.871~7.009)是安宁疗护需求的独立危险因素。结论:社区老年慢性病人群安宁疗护需求现状处于中等偏下水平,其主要影响因素为慢性病病程、自理能力以及自评健康状况。初级卫生保健人员可对社区老年慢性病群体进行安宁疗护需求筛查,并对其提供及时、有针对性的安宁疗护服务,提高老年慢性病群体的生活质量。Objective:To investigate the current status and influencing factors of palliative care needs among the elderly with chronic diseases in community settings.Methods:This cross-sectional study enrolled a total of 302 elderly patients with chronic diseases by convenience sampling from February 2022 to March 2022 in Changsha.The general data questionnaire and the Chinese version of palliative care screening tool were used for investigation.Logistic regression were used to analyze the influencing factors.Results:The results showed that 17.9%of the participants were in need of palliative care.According to logistic regression analysis,longer illness duration(OR=1.461,95%CI:1.017-2.099),lower self-care ability(OR=3.265,95%CI:1.189-8.964),and poorer self-rated health(OR=3.622,95%CI:1.871-7.009)were independent risk factors for palliative care needs.Conclusion:The palliative care needs of the elderly with chronic diseases is lower than the middle level,and the main influencing factors are their illness duration,self-care ability and self-rated health.Primary health workers can screen the unmet palliative care needs for the elderly with chronic diseases in the community,and provide timely palliative care services to improve their life quality.

关 键 词：安宁疗护 老年人 慢性疾病 影响因素 

分 类 号：R473.2[医药卫生—护理学] R197[医药卫生—临床医学]