成都老年人生命质量与社区卫生服务需求及利用研究

发布时间：2019-02-12 15:54

【摘要】：随着我国老龄化的加速发展和老年人生活质量的不断提高,老年人社区卫生服务需求的量与质均不断增长,给社区卫生服务中心(站)带来新的挑战。本研究抽取2015年成都市武侯区、青羊区、高新区和金牛区的500名社区老年人为研究对象,旨在通过调查问卷进行抽样调查对成都市社区老年人的生命质量、社区卫生服务需要、需求及利用进行深入研究,分析成都市社区老年人生命质量现状与影响因素,了解成都市社区老年人社区卫生服务利用现状,进一步找出当前社区卫生服务机构在提供老年医疗卫生服务过程中存在的问题,同时了解成都市老年人希望开展的社区卫生服务机构服务项目,供卫生行政部门和社区卫生服务机构管理者决策参考。本研究通过文献检索、专家咨询、问卷调查、统计分析等方法,了解了当前成都市社区老年人一般人口学特征、生命质量及其主要影响因素、医疗卫生服务需要、社区卫生服务需求和利用、目前已提供的老年医疗卫生服务项目及实施现况、影响老年人选择社区卫生服务机构的主要因素等,并对调查了解的内容进行了分析和讨论,得出以下结论与建议：成都市社区老年人慢性病患病率很高,社区卫生服务需求较大。高血压、糖尿病、颈／腰椎病、骨质疏松、慢支炎是危害成都市社区老年人健康的主要慢性非传染性疾病。成都市社区老年人生命质量总体情况良好,人际关系、医药依赖、患慢性病情况、年龄、近2周患病情况、是否锻炼健身是影响被调查成都社区老年人生命质量的主要因素。社区卫生服务的利用情况总体较好,但在单项社区卫生服务项目知晓程度和利用率上差异较大,需求也产生变化。建议加大人力资源投入,增加社区卫生服务机构卫生技术工作人员；提高社区卫生服务中心(站)服务质量；进一步完善社区卫生服务项目的提供,重视健康教育、健康管理和健康促进工作。
[Abstract]:With the rapid development of aging and the continuous improvement of the quality of life of the elderly, the quantity and quality of the elderly community health services are increasing, which brings new challenges to the community health service centers (stations). In this study, 500 elderly people in Wuhou District, Qingyang District, High-tech Zone and Jinniu District of Chengdu City in 2015 were selected as the research objects. The purpose of this study was to conduct a sample survey on the quality of life and community health service needs of the elderly in Chengdu community through a questionnaire survey. In order to understand the utilization of community health services in Chengdu, the present situation of quality of life and influencing factors of the elderly in Chengdu community were analyzed. To further find out the problems existing in the process of providing geriatric health services in the current community health service organizations, and to understand the community health service agency service projects that the elderly in Chengdu wish to carry out, For the health administration department and the community health service organization manager decision-making reference. By means of literature retrieval, expert consultation, questionnaire investigation, statistical analysis and other methods, this study has understood the general demographic characteristics, quality of life and its main influencing factors, medical and health service needs of the elderly in Chengdu community. The demand and utilization of community health services, the items and implementation status of geriatric health services provided at present, the main factors influencing the elderly to choose community health service institutions, etc., and the contents of the investigation and understanding are analyzed and discussed. The conclusions and suggestions are as follows: the prevalence of chronic diseases among the elderly in Chengdu community is very high, and the demand for community health services is great. Hypertension, diabetes, cervical / lumbar spondylosis, osteoporosis and chronic bronchitis are the main chronic non-communicable diseases that endanger the health of the elderly in Chengdu. The overall quality of life of the elderly in Chengdu community is good, interpersonal relationship, medical dependence, chronic disease, age, illness in the past 2 weeks, whether exercise fitness is the main factors affecting the quality of life of the elderly in Chengdu community. The utilization of community health service is good on the whole, but there is a great difference in the degree of knowledge and utilization of individual community health service items, and the demand also changes. It is suggested to increase the input of human resources, increase the health technical staff of community health service institutions, and improve the service quality of community health service centers (stations). Further improve the provision of community health services, pay attention to health education, health management and health promotion.
【学位授予单位】：西南交通大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R592;D669.6

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