社区慢病老年人健康状况及预立医疗照护计划准备度影响因素研究  

Readiness for advance care planning and health status of community-dwelling older patients with chronic diseases:the influencing factors

作　　者：李亚霖 王梓瑜 杜鑫 薛云珍[1] 张钰苒 Li Yalin;Wang Ziyu;Du Xin;Xue Yunzhen;Zhang Yuran(School of Humanities and Social Sciences,Shanxi Medical University,Taiyuan 030000,China)

机构地区：[1]山西医科大学人文社会科学学院,山西太原030000

出　　处：《护理学杂志》2024年第11期109-113,共5页Journal of Nursing Science

基　　金：山西省科技战略专项(202104031402111)。

摘　　要：目的了解社区慢病老年人健康状况及预立医疗照护计划(ACP)准备度现状,分析影响因素,为针对性干预提供参考。方法方便抽取太原市、晋中市196例社区慢病老年人,采用一般资料调查问卷、ACP准备度量表、欧洲五维健康量表进行调查分析。结果社区慢病老年人自评健康状况总分为75(66,85)分,ACP准备度总分为(75.21±13.87)分。多元线性回归分析显示,行动能力维度、医疗付费方式、家庭月均收入、子女数量、患病年限、常住地、婚姻状况和住院经历是老年慢病患者ACP准备度的影响因素(均P<0.05)。结论社区慢病老年人的健康状况和ACP准备程度均处于中等偏上水平,ACP准备度受多种因素影响,医护人员应采取针对性措施干预,以进一步改善其健康状况和提高ACP准备度。Objective To investigate the levels of health status and readiness for advance care planning(ACP)in community-dwelling older patients with chronic diseases,to analyze the influencing factors,and to provide reference for targeted intervention.Methods A convenience sample of 196 community-dwelling older patients with chronic diseases from Taiyuan and Jinzhong were surveyed using a general information questionnaire,the ACP Readiness scale,and the EuroQol five-dimensional questionnaire(EQ-5D).Results The median(P 25,P 75)EQ-5D score was 75(66,85)and the total ACP readiness score was 75.21±13.87.Multiple linear regression analysis showed that mobility,medical insurance payment ways,average monthly household income,number of children,years of illness,usual residence,marital status,and hospitalization experience were the factors influencing the readiness for ACP(all P<0.05).Conclusion The health status and ACP readiness of community-dwelling older patients with chronic diseases are at moderately high levels,and ACP readiness is affected by a variety of factors.Healthcare professionals should take targeted mea-sures to improve their health status and ACP readiness.

关 键 词：老年人 慢性病 社区 健康状况 预立医疗照护计划 准备度 影响因素 慢病护理 

分 类 号：R473.2[医药卫生—护理学]