不同健康维度的高血压合并糖尿病老年患者社区医养结合服务需求  

Medical and elderly care integration services demand of elderly patients with hypertension and diabetes mellitus in different health dimensions

作　　者：宋旭辉 梁笑笑 董海颖 祁琳 王新乐 何燕[1,2] SONG Xuhui;LIANG Xiaoxiao;DONG Haiying;QI Lin;WANG Xinle;HE Yan(Department of Social Medicine and Health Management,College of Public Health,Zhengzhou University,Zhengzhou 450001;School of Management,Hainan Medical University,Haikou 571199)

机构地区：[1]郑州大学公共卫生学院社会医学与卫生事业管理教研室,郑州450001 [2]海南医科大学管理学院,海口571199

出　　处：《郑州大学学报（医学版）》2024年第4期577-582,共6页Journal of Zhengzhou University(Medical Sciences)

基　　金：河南省哲学社会科学规划年度项目(2020BSH017);河南省重点研发与推广专项(科技攻关)项目(212102310814);郑州大学教授团队助力企业创新驱动发展专项(JSZLQY2022023)。

摘　　要：目的:探讨社区居家的高血压合并糖尿病老年患者健康相关生命质量与医养结合服务需求的关系。方法:采用多阶段分层整群随机抽样法,于2023年4月至5月抽取广州、苏州、济南、青岛等地区的1443名社区居家老年人,从中选取254例高血压合并糖尿病老年患者为研究对象。应用欧洲五维健康EQ-5D量表调查患者的健康相关生命质量,分析不同健康维度高血压合并糖尿病老年患者医养结合服务需求的差异。结果:社区居家老年患者EQ-5D健康效用值为0.674。254例老年患者中行动能力有困难的占58.3%、日常生活能力有困难的占56.3%、疼痛或不舒服的占53.5%、自我照顾能力有困难的占49.2%、焦虑或抑郁的占27.6%。行动能力有困难者在医学康复、医学护理、急救救护、临床治疗、康复训练、上门服务、助餐、助厕、助浴、助行、助急、心理关怀方面的需求高于无困难者(P<0.05);自我照顾能力有困难者在医学康复、医学护理、急救救护、康复训练、助餐、助厕、助浴、助行、助急、心理关怀方面的需求高于无困难者(P<0.05);日常活动能力有困难者在医学康复、医学护理、急救救护、康复训练、助餐、助厕、助浴、助行、助急、心理关怀、休闲娱乐方面的需求高于无困难者(P<0.05);疼痛或不舒服者在康复训练、上门服务、助厕、助浴、助行、助急方面的需求高于无疼痛或不舒服者(P<0.05)。结论:高血压合并糖尿病老年患者的健康相关生命质量较低,不同健康维度患者社区居家医养结合服务的需求不同。Aim:To investigate the relationship between health-related quality of life and the demand for integrated medical and elderly care services in elderly patients with hypertension and diabetes mellitus at home in community.Methods:A total of 1443 elderly people(≥60 years)living in the community in Guangzhou,Suzhou,Jinan,Qingdao and other regions were selected from April to May 2023 using the multi-stage stratified cluster random sampling method,and 254 patients with hypertension and diabetes mellitus were selected as the research subjects.The European five-dimensional health EQ-5D scale was used to investigate the health-related quality of life,and the differences in the demand for integrated medical and elderly care services in the patients in different health dimensions were analyzed.Results:The EQ-5D health utility value of the patients was 0.674.Among the 5 dimensions of health-related quality of life,58.3%of the 254 elderly patients had difficulties in mobility,56.3%had difficulties in daily living ability,53.5%had pain or discomfort,49.2%had difficulty in self-care ability,and 27.6%had anxiety or depression.The demand of the elderly patients with mobility difficulties in medical rehabilitation,medical nursing,first aid,clinical treatment,rehabilitation training,door-to-door service,meal assistance,toilet assistance,bathing assistance,walking assistance,emergency assistance,and psychological care was higher than those of patients without mobility difficulties(P<0.05).The demand of the elderly patients with difficulties in self-care ability was higher in medical rehabilitation,medical nursing,first aid,rehabilitation training,meal assistance,toilet assistance,bathing assistance,walking assistance,emergency assistance,and psychological care than those of patients without(P<0.05).The demand of the elderly patients with difficulties in daily activities was higher in medical rehabilitation,medical nursing,first aid,rehabilitation training,meal assistance,toilet assistance,bathing assistance,walking assistance,emer

关 键 词：社区居家老年人 高血压合并糖尿病 健康相关生命质量 医养结合服务需求 

分 类 号：R197.7[医药卫生—卫生事业管理]