郑州市养老机构老年人关怀需求现状及影响因素研究

发布时间：2018-04-29 00:04

本文选题：养老机构 + 老年人　；参考：《郑州大学》2017年硕士论文

【摘要】：目的了解郑州市养老机构老年人的关怀需求现状并分析其影响因素;进一步挖掘老年人的关怀需求及影响因素,以期为我国养老机构老年人关怀护理标准的制订及养老护理人员规范化培训方案的构建提供有价值参考。方法本研究采用量性研究与质性研究相结合的方法深入探究郑州市养老机构老年人的关怀需求现状并分析其影响因素。共包括两个部分:1.养老机构老年人关怀需求及影响因素的量性研究:随机抽取郑州市20所养老机构,选取其中366名老年人作为研究对象。采用一般资料调查表、简易精神认知状态问卷(Short Portable Mental Status Questionnaire,SPMSQ)、Barthel指数评定量表(Barthel Index Scale,BI)和胡慧秀、王志稳等于2015年研制的养老机构老年人关怀行为评价量表(Elderly Residents-Perceived Caring Behaviors Inventory),调查养老机构老年人的关怀需求现状并分析其影响因素。2.养老机构老年人关怀需求及影响因素的质性研究:目的抽样法,对前期参与调查的14名老年人进行半结构访谈,深入了解养老机构老年人的关怀需求并挖掘出影响因素。结果1.研究对象的关怀需求总得分为(110.99±10.09)分,总均分为(3.96±0.36)分,其中最高分为满足情感需求维度(4.39±0.61)分,最低分为给予信心和希望维度(3.56±0.58)分。2.以研究对象的关怀需求总分为因变量,以单因素方差分析有统计学意义(P0.05)的变量:老年人的文化程度、退休前职业、存活子女数量、入住时间、居住方式、月收入、医保类型、服务满意度、ADL状况为自变量,对无序分类变量设置哑变量,采用逐步多元回归法进行分析,结果显示:退休前职业、居住方式、医保类型、ADL状况、服务满意度、入住时间6个变量进入了回归方程,可以解释总变异的46.5%。3.质性研究结果显示,养老机构老年人有健康服务、宜居环境和社会交往方面的关怀需求,主要影响因素为人员因素和自身因素。结论郑州市养老机构老年人的关怀需求总体水平较高且受多种因素影响,养老机构在开展相关服务时有必要结合老年人的具体情况并综合考虑其影响因素,定期评估老年人的关怀需求,多角度、针对性地为老年人提供安全、专业、个体化的关怀照护,满足其关怀需求,提高其生活质量。
[Abstract]:Objective to understand the present situation of the care needs of the elderly in the aged institutions in Zhengzhou and analyze the influencing factors, and further explore the care needs and influencing factors of the elderly. In order to provide valuable reference for the establishment of care and nursing standard for the elderly and the construction of standardized training program for the aged nursing staff in our country. Methods in this study, quantitative and qualitative studies were used to probe into the present situation of care needs of the elderly in Zhengzhou pension institutions and to analyze its influencing factors. It consists of two parts: one. Quantitative study on the care needs and influencing factors of the elderly in pension institutions: 20 pension institutions in Zhengzhou were randomly selected and 366 of them were selected as research objects. Short Portable Mental Status questionnaire was used to evaluate the Barthel Index scale and Hu Huixiu. Wang Zhi-wen was equal to Elderly Residents-Perceived Caring Behaviors inventory of caring behavior for the elderly developed in 2015. The present situation of care needs of the elderly in pension institutions was investigated and the influencing factors were analyzed. 2. Qualitative study on the care needs and influencing factors of the elderly in pension institutions: objective to conduct semi-structured interviews with 14 older persons who participated in the investigation in the early stage of the investigation, to understand the care needs of the elderly in pension institutions and to find out the influencing factors. Result 1. The total score of care demand was 110.99 卤10.09, and the total score was 3.96 卤0.36). The highest score was 4.39 卤0.61 in the dimension of satisfying emotional needs, and the lowest score was 3.56 卤0.58 in the dimension of giving confidence and hope. Taking the total score of care needs of the subjects as dependent variables, and using univariate ANOVA as a statistical variable: the educational level of the elderly, pre-retirement occupation, number of surviving children, residence time, living style, monthly income, type of medical insurance, etc. The condition of service satisfaction and ADL is independent variable, the dummy variable of disordered classification variable is set up, and the stepwise multivariate regression method is used to analyze the result. The results show that: occupation before retirement, living style, type of medical insurance, ADL status, service satisfaction, etc. The six variables entered the regression equation, which can explain the total variation of 46.5%. 3. The qualitative research results show that the elderly in old-age institutions have health services, livable environment and social interaction care needs, the main factors are personnel factors and their own factors. Conclusion the overall level of care needs of the elderly in the aged institutions in Zhengzhou is relatively high and affected by many factors. It is necessary for the pension institutions to combine the specific conditions of the elderly and consider the influencing factors when carrying out the related services. To evaluate the care needs of the elderly regularly and to provide them with safe, professional and individualized care from many angles and pertinence, to meet their care needs and to improve their quality of life.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

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