青岛市医养结合养老模式对老年人生活质量的影响研究
发布时间：2019-06-02 02:50
【摘要】：医养结合养老模式,是传统养老模式的延伸和升级,就是重审养老服务的特殊性,更加注重老年人的健康,将老年人的健康医疗服务放在养老的首位,以区别传统的单纯为老年人提供基本生活服务的养老服务。它不但包括传统的生活照料服务,更突出的是包括医疗康复保健服务,是集医疗、健康咨询、健康检查、疾病诊疗和护理、大病康复以及临终关怀为一体的养老服务模式。本研究调查地点为一家医养结合定点养老机构和一家普通养老机构,调查对象为以60岁为下限的正常老年人,共调查老年人260人,实际完成调查233人,应答率为89.6%,其中失能老人106人,实际完成调查89人,应答率为84%,自理老人154人,实际完成调查144人,应答率为93.5%。本研究从老年人的生活质量的视角出发,采用ADL量表对老年人的自理程度进行评估,采用WHOQOL-BREF量表对老年人的生活质量进行测量,通过对比分析对不同自理程度的老年人的生理、心理、社会关系及环境领域的生活质量进行分析,结果显示医养结合定点养老院对老年人生理领域的生活质量并没有显著影响,医养结合定点养老院中的老年人整体的生活质量高于普通养老院中的老年人,主要体现在失能老人环境领域的生活质量和自理老人心理领域、社会关系领域、环境领域的生活质量比普通养老院中的老年人生活质量高。通过对老年人生活质量的研究发现医养结合定点养老院虽然对老年人生理领域的生活质量并没有显著影响,但是医养结合定点养老院中的老年人整体的生活质量高于普通养老院中的老年人,主要体现在失能老人环境领域的生活质量和自理老人心理领域、社会关系领域、环境领域的生活质量比普通养老院中的老年人生活质量高,因此我们认为医养结合养老模式在养老院中值得进一步推广。
[Abstract]:The mode of combining medical care with old-age care is the extension and upgrading of the traditional old-age mode, that is, to reexamine the particularity of the old-age service, pay more attention to the health of the elderly, and put the health medical service of the elderly in the first place of providing for the aged. In order to distinguish the traditional simply for the elderly to provide basic living services for the elderly pension services. It not only includes the traditional life care service, but also includes the medical rehabilitation health care service, which is a pension service mode which integrates medical treatment, health consultation, health examination, disease diagnosis, treatment and nursing, rehabilitation of serious illness and hospice care. In this study, a medical care combined with designated pension institution and an ordinary old-age institution were investigated. The subjects were the normal elderly with the age of 60 as the lower limit. A total of 260 elderly people were investigated, and the actual survey was completed. The response rate was 89.6%. Among them, 106 were disabled, 89 were actually surveyed, the response rate was 84%, the self-care elderly were 154, and 144 were actually completed, the response rate was 93.5%. In this study, from the perspective of quality of life of the elderly, ADL scale was used to evaluate the degree of self-care of the elderly, and WHOQOL-BREF scale was used to measure the quality of life of the elderly. Through comparative analysis of physical, psychological, social relations and quality of life in the field of environment of the elderly with different degrees of self-care, the results showed that the combination of medical and nursing care with designated nursing homes had no significant effect on the quality of life of the elderly in the physiological field. The overall quality of life of the elderly in the designated nursing home is higher than that in the ordinary nursing home, which is mainly reflected in the quality of life of the disabled elderly in the field of environment, the psychological field of self-care of the elderly, and the field of social relations. The quality of life in the field of environment is higher than that in ordinary nursing homes. Through the study of the quality of life of the elderly, it is found that the combination of medical and nursing care with designated nursing homes has no significant effect on the quality of life of the elderly in the physiological field. However, the overall quality of life of the elderly in the designated nursing home is higher than that in the ordinary nursing home, which is mainly reflected in the quality of life of the disabled elderly in the field of environment, the psychological field of self-care of the elderly, and the field of social relations. The quality of life in the field of environment is higher than that in ordinary nursing homes, so we think that the model of combining medical care with old-age care is worth further popularizing in nursing homes.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：D669.6;R197.1
本文编号：2490771
[Abstract]:The mode of combining medical care with old-age care is the extension and upgrading of the traditional old-age mode, that is, to reexamine the particularity of the old-age service, pay more attention to the health of the elderly, and put the health medical service of the elderly in the first place of providing for the aged. In order to distinguish the traditional simply for the elderly to provide basic living services for the elderly pension services. It not only includes the traditional life care service, but also includes the medical rehabilitation health care service, which is a pension service mode which integrates medical treatment, health consultation, health examination, disease diagnosis, treatment and nursing, rehabilitation of serious illness and hospice care. In this study, a medical care combined with designated pension institution and an ordinary old-age institution were investigated. The subjects were the normal elderly with the age of 60 as the lower limit. A total of 260 elderly people were investigated, and the actual survey was completed. The response rate was 89.6%. Among them, 106 were disabled, 89 were actually surveyed, the response rate was 84%, the self-care elderly were 154, and 144 were actually completed, the response rate was 93.5%. In this study, from the perspective of quality of life of the elderly, ADL scale was used to evaluate the degree of self-care of the elderly, and WHOQOL-BREF scale was used to measure the quality of life of the elderly. Through comparative analysis of physical, psychological, social relations and quality of life in the field of environment of the elderly with different degrees of self-care, the results showed that the combination of medical and nursing care with designated nursing homes had no significant effect on the quality of life of the elderly in the physiological field. The overall quality of life of the elderly in the designated nursing home is higher than that in the ordinary nursing home, which is mainly reflected in the quality of life of the disabled elderly in the field of environment, the psychological field of self-care of the elderly, and the field of social relations. The quality of life in the field of environment is higher than that in ordinary nursing homes. Through the study of the quality of life of the elderly, it is found that the combination of medical and nursing care with designated nursing homes has no significant effect on the quality of life of the elderly in the physiological field. However, the overall quality of life of the elderly in the designated nursing home is higher than that in the ordinary nursing home, which is mainly reflected in the quality of life of the disabled elderly in the field of environment, the psychological field of self-care of the elderly, and the field of social relations. The quality of life in the field of environment is higher than that in ordinary nursing homes, so we think that the model of combining medical care with old-age care is worth further popularizing in nursing homes.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：D669.6;R197.1
【参考文献】
相关期刊论文 前10条
1 张旭;;医养结合养老模式研究[J];赤峰学院学报(汉文哲学社会科学版);2014年03期
2 王化波;董文静;;珠海市老年人生活质量研究[J];人口学刊;2012年04期
3 栾文敬;杨帆;串红丽;胡宏伟;;我国老年人心理健康自评及其影响因素研究[J];西北大学学报(哲学社会科学版);2012年03期
4 徐红;肖静;庄勋;蓝绍颖;许熙国;高月霞;;南通市老年人生活质量及其影响因素[J];中国老年学杂志;2012年07期
5 高岩;;机构养老服务的国际比较研究[J];劳动保障世界(理论版);2011年08期
6 樊建花;葛建一;熊威;葛国曙;;探究我国社区首诊制实施困境及解决对策[J];卫生软科学;2011年06期
7 张琳;宁艳花;姚丽;夏莉娟;刘国莲;;银川市老年人生活质量状况及影响因素分析[J];中国公共卫生;2011年02期
8 薛茂云;;江苏省城区老年人日常体力活动水平对体质健康和生活质量的影响[J];中国组织工程研究与临床康复;2010年50期
9 徐波;丛晓娜;唐万琴;陈卫红;曹尚;罗鹏飞;罗丹艺;卫平民;;南京市养老机构老年人生活质量的影响因素[J];中国老年学杂志;2010年08期
10 陈薇;周琼;;关于老年人生活质量研究的综述[J];兰州学刊;2008年01期
相关博士学位论文 前1条
1 刘金华;基于老年生活质量的中国养老模式选择研究[D];西南财经大学;2009年
相关硕士学位论文 前1条
1 丁佳丽;我国失能老人长期照护模式研究[D];重庆大学;2013年
，本文编号：2490771
本文链接：https://www.wllwen.com/shekelunwen/guojiguanxi/2490771.html
