延边地区老年骨折患者居家护理需求及影响因素的研究

发布时间：2018-06-02 02:23

  本文选题：老年 + 骨折　； 参考：《延边大学》2017年硕士论文

【摘要】：目的:分析延边地区老年骨折患者的居家护理需求、生活自理能力及社会支持的现状及关系,探讨延边地区老年骨折患者居家护理需求的影响因素,为完善居家护理服务提供理论依据。方法:本研究属于非实验性研究中的相关性研究。采用便利抽样方法,选取延边朝鲜族自治州下属的延吉市、敦化市、安图县、珲春市等6家二级以上的综合性医院的老年骨折患者进行问卷调查。本次共发放问卷660份,回收有效问卷654份,有效回收率99.1%。研究工具包括社会人口学调查表、骨折居家护理需求预测量表、生活自理能力量表、社会支持评定量表。应用SPSS17.0统计软件对收集的资料进性统计分析,采用百分率、均数、标准差、独立样本t检验、单因素方差分析、Spearman相关分析、多元线性回归分析等统计学方法。结果:(1)延边地区老年骨折患者居家护理总需求平均得分为(14.99±9.28)分,需求率为91.7%,需求较高。在年龄、性别、民族、婚姻状况、文化程度、曾从事职业、家庭人均月收入、居住情况、居家照顾者、骨折部位、疾病知识了解程度等方面差异具有统计学意义(p0.05)。(2)研究对象的生活自理能力:完全依赖者76人(11.6%);重度依赖者183人(28%);中度依赖者183人(28%);轻度依赖者170人(26%);独立自理者42人(6.4%)。在性别、年龄、婚姻状况、文化程度、居住情况、骨折部位等方面差异有统计学意义(p0.05)。(3)老年骨折患者社会支持总得分为(36.63±7.28)分,为中等社会支持水平。在性别、年龄、婚姻状况、文化程度、家庭人均月收入、医疗支付方式、居住情况、居家照顾者、骨折部位等方面差异有统计学意义(p0.05)。(4)延边地区老年骨折患者居家护理需求、生活自理能力及社会支持之间具有相关性。研究对象居家护理需求与生活自理能力呈负相关(r=-0.376,p0.01)、.居家护理需求与社会支持呈负相关(r=-0.104,p0.01)、生活自理能力与社会支持呈正相关(r=0.132,p0.01)。(5)对各影响因素采用多元线性回归分析得出自理能力、家庭人均月收入、婚姻状况、文化程度为居家护理需求的主要影响因素。结论:延边地区老年骨折患者居家护理需求的总体需求较高为91.7%,需求较高;居家护理需求、生活自理能力、社会支持三者之间具有相关性;其中生活自理能力、家庭人均月收入、婚姻状况、文化程度四个方面是延边地区老年骨折患者居家护理需求的主要影响因素。
[Abstract]:Objective: to analyze the status quo and relationship of home nursing needs, living ability and social support of senile fracture patients in Yanbian area, and to explore the influencing factors of home nursing needs of senile fracture patients in Yanbian area. To provide theoretical basis for improving home nursing service. Methods: this study is a non-experimental study. With the convenient sampling method, the elderly fracture patients in Yanji, Dunhua, Antu, Hunchun and other general hospitals of Yanbian Korean Autonomous Prefecture were investigated by questionnaire. A total of 660 questionnaires were sent out, 654 valid questionnaires were collected, and the effective recovery rate was 99.1%. The research tools include social demography questionnaire, family nursing demand prediction scale, self-care ability scale, and social support rating scale. The statistical methods of percentage, mean, standard deviation, independent sample t test, single factor variance analysis and multivariate linear regression analysis were used in the statistical analysis of the data collected by SPSS17.0 statistical software. Results the average score of home nursing demand of senile fracture patients in Yanbian was 14.99 卤9.28, the demand rate was 91.7, and the demand was high. In age, sex, nationality, marital status, education, previous occupation, monthly income per family, living conditions, home caregivers, fracture site, There were significant differences in understanding degree of disease knowledge between two groups (P < 0.05).) the self-care ability of the subjects was as follows: totally dependent 76 persons, heavy dependence 183, moderate dependence 183, mild dependence 170, and independent self-care 42, 6.40.The subjects' ability to take care of themselves was as follows: totally 76 patients were totally dependent; 183 were highly dependent; 183 were moderately dependent; 170 were mildly dependent; and 42 were independent. There were significant differences in sex, age, marital status, education level, living condition, fracture site and so on. The total score of social support for elderly patients with fracture was 36.63 卤7.28, which was the middle level of social support. There were significant differences in sex, age, marital status, education level, family average monthly income, medical payment method, living condition, family carer, fracture site, etc.) the home nursing needs of senile fracture patients in Yanbian area were significant. There is a correlation between self-care and social support. There was a negative correlation between home nursing demand and self-care ability. There was a negative correlation between home nursing demand and social support. There was a positive correlation between self-care ability and social support. The multiple linear regression analysis was used to obtain self-care ability, monthly income per family and marital status. Education level was the main influencing factor of home nursing demand. Conclusion: the total demand for home nursing care of senile fracture patients in Yanbian area is 91.7, and the demand is higher, the demand for home nursing care, living self-care ability and social support are related, among them, the ability of living self-care, and so on. Family average monthly income, marital status and education level were the main influencing factors of nursing needs of elderly fracture patients in Yanbian area.
【学位授予单位】：延边大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.2
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本文编号：1966898