广西壮族自治区老年居家安宁疗护服务利用现状研究  

Utilization of home hospice care services in older adults in the Guangxi Zhuang Autonomous Region

作　　者：董朋鑫 黄惠桥[1] 彭捷 吴海晨 黄萍[1] 柴艺丹 冯小玲 赖丽冲 曹晓莹 黄冬妹 潘琪妮 DONG Pengxin;HUANG Huiqiao;PENG Jie;WU Haichen;HUANG Ping;CHAI Yidan;FENG Xiaoling;LAI Lichong;CAO Xiaoying;HUANG Dongmei;PAN Qini(Nursing Department,The Second Affiliated Hospital of Guangxi Medical University,Nanning,530007,China)

机构地区：[1]广西医科大学第二附属医院护理部,南宁市530007

出　　处：《中国护理管理》2024年第11期1722-1727,共6页Chinese Nursing Management

基　　金：广西哲学社会科学研究课题(22FRK004);广西壮族自治区卫生健康委员会合作课题(2024004);广西医科大学青年科学基金(GXMUYSF202379)。

摘　　要：目的:调查广西壮族自治区老年人居家安宁疗护服务的利用现状,明确优势与不足,为安宁疗护事业的可持续发展提出展望。方法:采用实地调查法,基于安德森模型,调查广西壮族自治区6所医养机构及3个社区的共332名老年患者和居民,评估居家安宁疗护服务利用情况。结果:居家安宁疗护的服务利用率为13.6%,未利用居家安宁疗护服务的主要原因是不知晓此服务(92.3%)。利用居家安宁疗护的45位老年人多为恶性肿瘤患者(75.6%),服务利用内容主要聚焦于症状控制尤其是疼痛管理。结论:居家安宁疗护服务资源供给有限,服务内容单一,服务利用率低,民众对安宁疗护的认知不足。应推动建立“医院-社区-居家”安宁疗护服务模式医联体,培养专业化程度高的多学科团队,加大宣传力度,从而推动安宁疗护服务的发展。Objective:To investigate the current situation of utilization of home hospice care services in older adults in the Guangxi Zhuang Autonomous Region.Methods:A survey was conducted in 332 older adults from six medical and nursing institutions providing hospice services and three communities in the Guangxi Zhuang Autonomous Region.They were asked to answer the self-designed questionnaire.Results:The utilization rate of home hospice services was low at 13.6%,and the main reason for not utilizing home hospice services was lacking of awareness of the services(92.3%).The 45 older adults who utilized home hospice care were mostly patients with malignant tumors(75.6%),and the purpose of utilizing the services was symptom management especially pain control.The quality of palliative care was at an average level.Conclusion:It is recommended to promote the establishment of the"hospital-community-home"hospice service model,cultivate highly specialized multidisciplinary teams,and strengthen the public awareness of hospice care.The implementation of these measures is expected to promote the comprehensive development of hospice services and improve the quality of life and health of the population.

关 键 词：老年人 安宁疗护 居家护理 服务利用 临终护理 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]