老年慢性病患者对长期照护者的需求及影响因素

发布时间：2018-05-02 02:51

本文选题：老年慢性病 + 长期照护　；参考：《中国老年学杂志》2016年15期

【摘要】：目的探讨老年慢性病患者对长期照护(LTC)者的需求及其影响因素。方法按照家庭、养老机构、医院分层便利抽取老年慢性病患者516例,采用老年慢性病患者对LTC者的选择意愿问卷、日常生活能力(ADL)量表、老年抑郁量表(GDS)、社会支持评定量表(SSRS)进行调查。结果选择家人进行长期照顾的为44.2%,选择养老护理员的为35.0%。年龄、婚姻、居住情况、医疗保障、平均月收入及ADL程度对LTC者的选择差异显著(P0.05),对LTC者不同需求意愿的老年慢性病患者在客观支持、主观支持维度得分及问卷总分均存在显著差异(P0.01)。结论对于已婚、与子女或老伴同住、年轻的老年人、ADL功能好、社会支持高、平均月收入≤1 000元的老年慢性病患者可选择居家照护,加强对家庭照顾者的培训。年龄长、ADL功能下降的老年慢性病患者可选择机构或社区LTC,重视培育专业化的LTC服务人才队伍。培育和发展LTC志愿者,发挥社会服务组织及社团的积极作用。
[Abstract]:Objective to explore the demand and influencing factors of long-term care LTC in elderly patients with chronic diseases. Methods 516 elderly patients with chronic diseases were selected according to their families, pension institutions and hospitals. The questionnaire of the elderly chronic patients' choice intention to the patients with chronic diseases and the activity of daily living (ADL) scale were used. The elderly Depression scale (GDS) and Social support rating scale (SSRS) were investigated. Results the long-term care of family members was 44.2 and that of old-age care staff was 35.0. Age, marriage, living condition, medical security, average monthly income and degree of ADL were significantly different in the choice of patients with LTC (P 0.05). The elderly patients with chronic diseases with different needs and aspirations of LTC were supported objectively. The scores of subjective support dimensions and the total scores of questionnaires were significantly different (P < 0.01). Conclusion for the elderly patients who are married, live with their children or partners, have good ADL function, have high social support and average monthly income of less than 1,000 yuan, they can choose to take care at home and strengthen the training of family caregivers. The elderly patients with chronic disease can choose the institution or community LTCs and attach importance to the cultivation of specialized LTC service personnel. Cultivate and develop LTC volunteers and play an active role in social service organizations and associations.
【作者单位】：蚌埠医学院;
【基金】：安徽省人文社科重点项目(SK2014AB0,SK2015A409) 国家级大学生创新创业训练项目(201210367007)
【分类号】：R473.2

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