海口市失能老人健康状况与需求影响因素

发布时间：2018-12-26 14:29

【摘要】：目的了解海口市失能老人健康状况,分析其需求影响因素。方法按照随机抽样方法,收集琼山、秀英、龙华、美兰等4个样本区391例失能老人的有效问卷,采用杨茗编制的老年失能评估量表(EDAS)进行评估。结果轻度失能老年人244例(62.40%)、中度失能117例(29.92%)、重度失能23例(5.88%)、极重度失能7例(1.79%)。失能严重程度在年龄、离退休前职业、精神抑郁、居住情况等方面的差异有统计学意义(P均0.05),而在性别、受教育程度、婚姻状况、家庭人均月收入、慢性疾病、吸烟、饮酒、运动锻炼、陪护情况等方面差异无统计学意义(P0.05)。结论需要建立一套符合失能老人的长期中医药防治体系、医疗护理体系和相应的保险制度,以保障年龄较大、独居、空巢、失能和低收入老年人为重点,支持和鼓励养老服务机构发展,增加养老机构的数量及床位数,增强社会机构和社区养老的保障能力,形成提供生活照料、家政服务、康复护理、医疗保健等服务的居家养老服务模式。
[Abstract]:Objective to understand the health status of the disabled elderly in Haikou City and analyze the influencing factors of their demand. Methods according to the method of random sampling, the effective questionnaires of 391 disabled elderly in Qiongshan, Xiuying, Longhua and Meilan were collected and evaluated with Yang Ming's Disability Assessment scale (EDAS). Results there were 244 cases (62.40%) with mild disability, 117 cases (29.92%) with moderate disability, 23 cases (5.88%) with severe disability, and 7 cases (1.79%) with very severe disability. There were significant differences in the severity of disability in age, pre-retirement occupation, mental depression, living conditions (all P 0.05), but in gender, education, marital status, monthly income per family, chronic disease, etc. There was no significant difference in smoking, drinking, exercise and escort (P0.05). Conclusion it is necessary to establish a long-term Chinese medicine prevention and treatment system, medical care system and corresponding insurance system for the disabled elderly, with emphasis on the protection of the older, solitary, empty nest, disabled and low-income elderly people. Support and encourage the development of old-age service institutions, increase the number and number of beds of old-age care institutions, enhance the security capacity of social institutions and communities for the aged, and form the provision of life care, domestic service, rehabilitation care, Health care and other services home pension service model.
【作者单位】：海口市第四人民医院;中安联合投资集团有限公司;北京交通大学经济管理学院;华中科技大学同济医学院医药卫生管理学院;
【基金】：国家自然科学基金项目资助(No.71373091) 湖北省卫生计生科研基金资助(No.WJ2015Z048) 湖北省高校人文社科重点研究基地开放基金资助(No.2015YB001)
【分类号】：R161.7

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