唐山市高龄失能老人精神照顾需求的现况研究

发布时间：2018-01-04 16:04

本文关键词：唐山市高龄失能老人精神照顾需求的现况研究　出处：《现代预防医学》2017年20期 　论文类型：期刊论文

【摘要】：目的了解唐山市高龄失能老年人的精神照顾需求,探讨家庭、社会支持对其精神照顾需求的影响。方法选取唐山市10个社区卫生服务中心辖区32个社区中75岁及以上的老年人,应用WHO推荐的日常生活能力(ADL)量表进行失能筛查,基于孤独感视角来推测其精神照顾需求。结果 77.9%的高龄失能老年人处于中等及以上孤独感水平。多分类有序Logistic回归分析显示,无配偶(OR=1.224,95%CI:1.003~1.495)、子女从不采取老人意见(OR=5.164,95%CI:2.721~9.806)、无提供支持帮助的朋友(OR=3.626,95%CI:2.149~6.117)、邻里从不关心(OR=2.829,95%CI:2.000~4.007)是高龄失能老年人精神照顾需求的危险因素;与子女关系和睦(OR=0.094,95%CI:0.065~0.135)、居委会经常提供帮助(OR=0.649,95%CI:0.427~0.989)是高龄失能老年人精神照顾需求的保护因素。结论高龄失能老年人精神照顾需求突出,应构建完善的照顾服务体系,提升整体照顾水平,实现健康积极老龄化。
[Abstract]:Objective to understand the mental care needs of the elderly with disability in Tangshan City and to explore the family. Methods the elderly aged 75 and above were selected from 32 communities in 10 community health service centers in Tangshan. The ADL scale recommended by WHO was used to screen for disability. Results 77.9% of the aged and disabled people were at the level of loneliness or above. Multiple classified and ordered Logistic regression analysis showed that the mental care needs of the elderly were estimated from the perspective of loneliness. Without a spouse, there are 1.224 / 95 CI1: 1.003 / 1.495.The children never take the advice of the old people / their children will never take the advice of the elderly. My friend who did not provide support and help was 3.6269.95 CI: 2.1496.117). (2 829 95% CI: 2 000 / 4.007) is a risk factor for the mental care needs of the elderly and disabled elderly. A harmonious relationship with one's children is a matter of 0.094% and 95% CI: 0.065 / 0.135, and the residents' committees often provide assistance to the people's Republic of China (OR0.649). 95CI: 0.427 / 0.989) is the protective factor of the mental care needs of the elderly disabled elderly. Conclusion the mental care needs of the elderly disabled elderly are outstanding, and a perfect care service system should be established. Improve the overall level of care to achieve a healthy and active aging.
【作者单位】：华北理工大学护理与康复学院;
【基金】：国家社科基金项目(16BRK028)
【分类号】：R473.2
【正文快照】： 中国老龄化形势严峻,与之相伴而生的老年人失能问题也急剧凸显[1]。失能老人的生活照顾需求被各界视为养老问题的重中之重,老年人担心失能后的晚年生活,政府也在思考如何解决失能老人长期照护问题[1],但对其精神照顾需求重视不够。高龄化、失能化日益加剧是我国人口老龄化的显

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