住院失能老年人宿命观现状及影响因素分析  

Analysis of the current situation and influencing factors of the fatalism of disabled elderly people in the hospital

作　　者：张琦玉 聂臣聪[2] 杜金磊 王远霞 Zhang Qiyu;Nie Chencong;Du Jinlei;Wang Yuanxia(School of Nursing,North Sichuan Medical College,Nanchong 637000,China;Department of Nursing,Zigong No.4 People′s Hospital,Zigong 643000,China)

机构地区：[1]川北医学院护理学院,南充637000 [2]自贡市第四人民医院护理部,自贡643000

出　　处：《中国实用护理杂志》2024年第28期2220-2226,共7页Chinese Journal of Practical Nursing

基　　金：自贡市科技局项目(2023YKY10);自贡市医学大数据与人工智能研究院协同创新类项目(2023-YGY-1-05、2022ZCYGY30)。

摘　　要：目的调查住院失能老年人宿命观现状并分析其影响因素,为后期制订针对性干预方案提供依据。方法于2023年12月2—29日采用便利抽样法,对四川省7所三级综合医院的住院失能老年人使用一般资料调查表、日常生活活动能力量表和宿命观量表进行横断面调查,并对其影响因素展开多元线性回归分析。结果共发放280份问卷,有效回收问卷269份,有效回收率为96.07%(269/280)。269例住院失能老年人中,男136例,女133例,年龄60~69岁61例,70~79岁103例,≥80岁105例。住院失能老年人宿命观得分为(48.87±10.02)分,其中先定维度得分为(18.73±4.17)分,运气维度得分为(12.75±3.42)分,悲观维度得分为(17.39±4.72)分。多元线性回归分析显示,亲友探望频率、文化程度为宿命观发生的保护因素(t=-3.02、-2.81,均P<0.05),自评经济压力为宿命观发生的危险因素(t=4.35,P<0.01)。结论住院失能老年人宿命观情况居中等水平,医护人员可以从影响因素着手,制订相关干预措施,提高患者的宿命观水平。ObjectiveTo investigate the current situation of the fatalism of the disabled elderly in hospital,and to analyze the influencing factors,so as to provide a basis for the later development of targeted intervention programs.MethodsThis was a cross-sectional survey study.From December 2 to 29,2023,the convenience sampling method was used to investigate the disabled elderly hospitalized in 7 tertiary general hospitals in Sichuan Province by the general information questionnaire,the Activity of Daily Living scale and the Fatalism Scale.And its influencing factors were conducted by the multivariate linear regression.ResultsA total of 280 questionnaires were distributed in this survey,and 269 questionnaires were effectively recovered,with an effective recovery rate of 96.07%(269/280).There were 136 males and 133 females,aged 60-69 years old with 61 cases,70-79 years old with 103 cases,≥80 years old with 105 cases.The score of the fatalism in hospitalized disabled elderly was(48.87±10.02)points,of which the pre-determined dimension score was(18.73±4.17)points,the luck dimension score was(12.75±3.42)points,and the pessimistic dimension score was(17.39±4.72)points.Multivariate linear regression showed that the frequency of visits to relatives and friends and the level of education were protective factors for the occurrence of fatalism(t=-3.02,-2.81,both P<0.05),and economic pressure was a risk factor for the occurrence of fatalism(t=4.35,P<0.01).ConclusionsThe fatalistic view of the disabled elderly in the hospital is at a medium level.Medical staff can start from the influencing factors,formulate relevant intervention measures,and improve the level of the patient's fatalism.

关 键 词：老年人 失能 宿命观 影响因素 

分 类 号：R473[医药卫生—护理学]