某沿海城市居家老年人生命质量与卫生服务需求分析

发布时间：2018-05-11 21:08

本文选题：老年 + 生命质量　；参考：《大连医科大学》2016年硕士论文

【摘要】：目的:老龄化以来,如何保护老年人的基本健康权益,提供符合老人需要的适宜老年关爱社会服务体系,成为卫生政策制定者的关注重点,本研究通过实证研究,对东北某开放城市的老龄人口的生命质量和相关因素研究,提出改良老年人卫生服务体系的政策建议。方法:通过整群分层随机抽样的办法,抽取城乡60岁以上老年人,通过填写生命质量问卷、个人基本信息等,获得老年人社会、心理和生理方面的信息。采用多元方差分析手段,对影响老年人生命质量的影响因素进行分析,并在此基础上提出具体的养老服务体系重点建设内容。结果:(1)老年人的生命质量与个人社会学特征有关,城乡之间、年龄之间、文化水平之间有显著差别,但是性别间差别无统计学意义;(2)老年人生命质量与其社会生活状态有密切关系,经济来源、子女见面间隔、社会活动等因素是重要的影响因素,提示安排好老年人的社会生活可以有效改善老人的生命质量;(3)老年人生命质量与其切实能够理解的医疗卫生服务沟通、关怀有关,而与其无法真正掌握的技术方面问题无关,提示在实施以姑息治疗为基本临床原则的医疗服务,更应该重视与服务相关的工作内容设计;(4)老年人对于好医生、好技术、服务流程等专业问题虽然有不同的看法,但都不影响其生命质量,提示老人在这些方面并不具备可靠的分析判断能力;相反,医疗服务设计中,有助于提升老人分析判断能力的沟通、交流方面的努力,对老年人生命质量有影响;(5)老龄产业中的医疗卫生服务,应该更多吸纳相关社会科学的技术手段,可以事半功倍地维护老年人的生命质量。结论:(1)影响老年的生命质量的主要因素包括个人社会特征、生理与健康、社会活动与社会支持。(2)提高老年人生命质量,需要在以下几方面进行改善:⑴保证医疗卫生服务的技术内涵,加强老年医养结合服务体系建设。⑵强化设计卫生服务中的社会服务内容,提升老年人在服务中的感知水平。⑶继续加强老年社会保障体系建设,解决养老的资金问题。⑷引导患者合理使用医疗资源。⑸提升患者就诊价值感。
[Abstract]:Objective: since aging, how to protect the basic health rights and interests of the elderly and to provide a suitable social service system for the elderly to care for the elderly has become the focus of attention of health policy makers. The quality of life and related factors of the aged population in an open city in Northeast China were studied, and some policy suggestions were put forward to improve the health service system of the elderly. Methods: by means of cluster stratified random sampling, the elderly aged over 60 years old in urban and rural areas were selected. The social, psychological and physiological information of the elderly was obtained by filling out the quality of life questionnaire and basic personal information. The factors influencing the quality of life of the elderly were analyzed by means of multivariate variance analysis, and on the basis of this, the contents of the key construction of the old-age service system were put forward. Results (1) the quality of life of the elderly was related to their sociological characteristics, and there were significant differences between urban and rural areas, ages and educational levels. However, there is no statistically significant difference between sex and quality of life. (2) the quality of life of the elderly is closely related to their social living conditions. Economic sources, spacing between children and children, social activities and other factors are important factors that affect the quality of life of the elderly. It is suggested that the quality of life of the elderly can be improved effectively by arranging the social life of the elderly. (3) the quality of life of the elderly has something to do with the communication and care of the medical and health services that they can understand, but it has nothing to do with the technical problems that they cannot really master. It is suggested that in carrying out medical services with palliative treatment as the basic clinical principle, more attention should be paid to the design of service related work contents. (4) although the elderly have different views on professional issues such as good doctors, good skills, service flow, etc., However, they do not affect their quality of life, suggesting that the elderly do not have reliable analytical and judgment skills in these areas. On the contrary, the design of medical services contributes to communication and communication efforts to enhance the elderly's ability to analyze and judge. (5) the medical and health services in the aging industry should absorb more technical means of social science, so as to maintain the quality of life of the elderly with half the effort. Conclusion the main factors affecting the quality of life of the elderly include personal social characteristics, physiology and health, social activities and social support. It is necessary to improve the technical connotation of the medical and health service in the following aspects, strengthen the construction of the medical and nursing service system for the elderly and strengthen the content of the social service in the design of the health service. To improve the perceived level of the elderly in the service continued to strengthen the construction of social security system for the elderly to solve the problem of old-age funding .4 guide patients to use medical resources reasonably to enhance the value of patients to see a doctor.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R197.1

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