城市社区慢性病老年人护理服务需求及影响因素

发布时间：2018-11-20 20:24

【摘要】：目的探讨潍坊市城市社区慢性病老年人对社区护理服务项目的需求情况并分析相关的影响因素。方法采用多阶段随机分层抽样方法,抽取社区老年人进行问卷调查。对数据资料进行描述性统计和多因素Logistic回归分析。结果慢性病老年人需求的护理项目前五位是一般疾病护理、慢性病长期护理、安全用药指导、定期随访、康复护理和指导,而对临终护理的需求最少。其护理服务需求随着年龄的增长、文化程度的提高、患病种类的增多、自理能力的丧失、社会支持的减弱而提高,其中男性比女性对护理服务的需求更强烈。结论慢性病老年人对护理服务项目的需求十分强烈,为保证老年人的大部分健康护理需求在社区层面得到满足,社区卫生服务机构应大力开展有针对性的护理服务项目,实现社区守门效应,提高老年人口生活质量。
[Abstract]:Objective to investigate the demand of community nursing service items for the elderly with chronic diseases in urban communities of Weifang city and to analyze the related factors. Methods A multi-stage random stratified sampling method was used to investigate the elderly in community. The data were analyzed by descriptive statistics and multivariate Logistic regression analysis. Results the top five nursing items for the elderly with chronic diseases were general disease nursing, long-term care of chronic diseases, safe medication guidance, regular follow-up, rehabilitation care and guidance, while the demand for hospice care was the least. The demand for nursing services increased with the increase of age, education level, disease types, loss of self-care ability and weakening of social support, among which the demand for nursing services was stronger in men than in women. Conclusion there is a strong demand for nursing services for the elderly with chronic diseases. In order to ensure that most of the health care needs of the elderly are met at the community level, community health service institutions should vigorously carry out targeted nursing service projects. To realize the gatekeeping effect of community and improve the quality of life of the elderly population.
【作者单位】：潍坊市人民医院肿瘤内科;潍坊医学院公共卫生与管理学院;
【基金】：国家自然科学基金(71373181) 山东省自然科学基金(ZR2014GQ006) 山东省医药卫生科技项目(2015WS0066) 潍坊市社科规划重点研究课题([2015]2号) 潍坊市科技局课题(201301082) 山东省教育厅课题(J16YF50)
【分类号】：R473.2

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