乌鲁木齐养老机构现况及入住老年人生活质量和社会支持研究

发布时间：2018-06-24 19:09

本文选题：养老机构 + 现况　；参考：《新疆医科大学》2015年硕士论文

【摘要】：目的：1.了解乌鲁木齐市养老机构现况。2.了解乌鲁木齐市养老机构入住老年人生活质量及社会支持现况。3.探讨影响乌鲁木齐市养老机构老年人生活质量及社会支持的因素。4.分析乌鲁木齐市养老机构老年人生活质量与社会支持相关性,以期为乌鲁木齐市养老事业发展以及养老机构老年人健康管理提供理论依据。方法：1.运用自编《乌鲁木齐市养老机构现况调查表》对乌鲁木齐登记在册且正常营业的29家养老机构进行问卷调查,了解其基本现况。2.从29家养老机构中分层随机抽取18家养老机构(4家公办,14家民办),整群抽取符合纳入标准的入住老年人,对其进行问卷调查,问卷包括SF-36简明健康调查问卷及社会支持评定量表。结果：1。养老机构现况：乌鲁木齐登记在册且正常营业的29家养老机构分布在除达坂城区以外的六区一县内,共有床位4019张,其中有21家中小型养老机构,1家大型养老机构,7家特大型养老机构；生活设施配置以衣服被褥的清洗及消毒用具为主,占86.20%；医疗护理设施以血压计、体重计等简单的健康管理器材为主,分别占86.21%和72.41%,缺少康复治疗设施；健身娱乐设施以老年阅览室、棋牌室为主,分别占37.93%和34.48%,缺少室内健身器械；提供服务方面,日常生活服务以清洗房间床单、被罩、枕巾等为主,占100%,医疗护理服务以生命体征监测为主,占86.21%,精神心理服务只有对个别老年人的心理疏导,占100%,休闲娱乐服务以定期举办老年人文艺汇演为主,占44.83%；机构收费方面,除国家拨款资助的部分老年人可免费入住外,其余老年人收费在800-3000元/月不等；养老机构工作人员组成：29家养老机构共有管理人员107位,医生52位,护理人员282位,其他人员167位,其中医生学历以大专为主,占77.42%,医疗护理人员学历以中专为主,占47.81%;收住老人方面,29家养老机构共收住老年人2822位,入住率为70.22%。2.乌鲁木齐市养老机构老年人生活质量总分为102.40(89.10,118.20)分,生活质量得分在养老机构性质、年龄、民族、受教育年限、婚姻状况、慢性病、平均月收入以及接受医疗护理服务方面的差异具有统计学意义,P0.05。3.乌鲁木齐市养老机构老年人社会支持总分为31.00(21.00,39.00)分,社会支持得分在受教育年限、婚姻状况、曾经就业情况、平均月收入、生养子女状况、入住时间以及接受精神心理服务方面的差异具有统计学意义,P0.05。4.乌鲁木齐市养老机构老年人生活质量得分与社会支持得分相关系数为0.441,P0.05。结论：1.乌鲁木齐市养老机构普遍存在如下问题：养老机构形式单一且分布不均,少数民族养老机构稀少；养老床位紧缺,机构设施配置不完备；养老机构服务内容单一化,服务供给能力较弱；养老机构医疗水平较低,老年人健康管理无保障；专业型医护人员紧缺,专业层次低,培训不到位。2。乌鲁木齐市养老机构入住老年人生活质量处于中等水平,影响因素为养老机构性质、年龄、民族、受教育年限、婚姻状况、慢性病、平均月收入以及接受医疗护理服务。3.乌鲁木齐市养老机构入住老年人社会支持处于中等水平,影响因素为受教育年限、婚姻状况、曾经就业情况、平均月收入、生养子女状况、入住时间以及接受精神心理服务。4.乌鲁木齐市养老机构老年人生活质量与社会支持密切相关。综上,提示养老机构和社会各界重视机构养老发展,并以各方面影响因素为切入点采取适当措施,以提高老年人生活质量与社会支持,改善养老机构老年人晚年生活水平。
[Abstract]:Objective: 1. to understand the status of Urumqi pension institutions in Urumqi to understand the quality of life and social support of the elderly in Urumqi, the factors affecting the quality of life and social support of the elderly in Urumqi pension institutions: the.4. analysis of the relationship between the quality of life of the elderly in Urumqi and the social support In order to provide the theoretical basis for the development of Urumqi endowment and the health management of the elderly in the pension institution. Methods: 1. the questionnaire survey of the current status of the Urumqi pension institution was used to investigate the 29 old-age institutions registered in Urumqi and normal business, to understand the basic status of.2. from 29 pension institutions. 18 old-age institutions (4 public and 14 private) were selected by stratified random sampling, and a questionnaire survey was carried out for the elderly in accordance with the inclusion criteria. The questionnaire included the SF-36 concise health questionnaire and the social support rating scale. Results: 1. the status of the elderly pension institutions: Urumqi registered and normal operating 29 pension institutions. In the six districts and one county except damaka District, there were 4019 beds, of which there were 21 small and medium-sized pension institutions, 1 large old-age institutions and 7 special large pension institutions; the living facilities were mainly equipped with clothes and bedclothes cleaning and disinfection appliances, accounting for 86.20%; medical care set up simple health management equipment such as blood pressure meter, weight meter and so on. Mainly, 86.21% and 72.41% respectively, the lack of rehabilitation facilities, fitness and entertainment facilities in the elderly reading rooms, chess and card rooms, accounting for 37.93% and 34.48%, the lack of indoor fitness equipment; providing services, daily life services to clean room sheets, quilts, pillow towels and so on, accounting for 100%, medical care service to vital signs monitoring. Accounting for 86.21%, mental and psychological services are only psychological guidance to individual elderly, accounting for 100%. Leisure and entertainment services are dominated by regular elderly people's literary and art performance, accounting for 44.83%. In terms of institutional fees, some elderly people with the exception of state appropriations are free to stay, and the rest of the elderly are charged at 800-3000 yuan per month. Composition: 29 pension institutions have 107 management staff, 52 doctors, 282 nursing staff and 167 other personnel. Among them, doctors have college education, accounting for 77.42%, medical and nursing staff are mainly secondary school, accounting for 47.81%. 29 elderly care institutions receive 2822 elderly people, and the occupancy rate is 70.22%.2. Urumqi city pension. The total score of the quality of life of the elderly was 102.40 (89.10118.20). The difference in quality of life was statistically significant in the nature of pension institutions, age, nationality, years of education, marital status, chronic diseases, average monthly income and medical care service, and the total score of social support for the elderly in Urumqi pension institutions was P0.05.3. For 31 (21.00,39.00) points, social support scores were statistically significant in terms of years of education, marital status, employment, average monthly income, children's status, occupancy time and mental psychological service. The score of quality of life of the elderly in P0.05.4. Urumqi pension institutions was related to the score of social support. The coefficient is 0.441, P0.05. conclusion: 1. the following problems are common in Urumqi pension institutions: the old-age institutions are single and unevenly distributed, the old-age institutions are scarce, the old-age beds are scarce, the facilities are incomplete, the service content of the old-age institutions is monotonous, the service supply ability is weak, and the medical level of the pension institutions is low. The health management of the elderly is insecure, the professional medical staff is short, the professional level is low, and the training is not in place. The living quality of the elderly in Urumqi city is at the middle level. The factors are the nature of the elderly, the age, the nation, the years of Education, the marital status, the chronic illness, the average monthly income, and the medical care clothes..2. Service.3. Urumqi pension institutions in the elderly social support is at the middle level, the influencing factors are the number of years of education, marital status, employment, the average monthly income, the status of children, the time of stay and the acceptance of mental and psychological service.4., the quality of life of the elderly in the pension institution of Urumqi is closely related to the social support. To sum up, it is suggested that the pension institutions and all walks of life attach importance to the development of the institutions for the aged, and take appropriate measures to improve the quality of life and social support of the elderly and improve the living standard of the elderly in the elderly.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：D669.6

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