主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2018, Vol. 18 ›› Issue (11): 1485-1491.doi: 10.3969/j.issn.1672-1756.2018.11.011

• • 上一篇    

杭州市居家老年人家庭型医养护一体化服务需求及影响因素研究

刘金玲;沈勤;陈国伶;徐捷   

  1. 杭州市妇产科医院LDR病区,310008(刘金玲,徐捷);浙江中医药大学护理学院(沈勤);杭州市下城区天水武林街道社区卫生服务中心(陈国伶)
  • 发布日期:2019-01-07
  • 基金资助:
    浙江省医药卫生科技计划项目(2018KY546)

The service requirements and related factors of the Integration of Medical Care, Elderly care and Nursing Care Model in community elderly in Hangzhou

  • Published:2019-01-07

摘要: 目的:了解杭州市居家老年人家庭型医养护一体化服务需求并分析影响因素,为杭州市家庭型医养护一体化服务项目的制定提供参考依据。方法:采用便利抽样的方式,选取杭州市主城区5个社区共210位老年人为研究对象,以自行编制的家庭型医养护一体化服务需求及影响因素调查问卷对居家老年人进行调查。结果:杭州市居家老年人家庭型医养护一体化服务需求均分前三位的依次为健康教育需求(4.65±0.30)、健康管理需求(4.50±0.50)、全科诊疗需求(4.24±0.29);年龄、患病数量及人均月收入是杭州市居家老年人家庭型医养护一体化服务需求的影响因素(P<0.01)。结论:积极开展健康教育与健康促进工作,切实推进分级诊疗服务,创新发展中医药健康服务是提供符合居家老年人需求的医养护一体化服务的重要内容和关键举措。

关键词: 居家养老;医养结合;分级诊疗;中医药健康服务;社区保健护理

Abstract: Objective: To analyze the service requirements and related factors of the integration of medical care, elderly care and nursing care among community elderly in Hangzhou, and aim to provide reference for the establishment of the integration of medical care, elderly care and nursing care service model in Hangzhou. Methods: A convenienced sample of 210 elders from 5 communities of Hangzhou were selected and investigated by a self-designed questionnaire about the service requirements and influencing factors of the integration of medical care, elderly care and nursing care. Results: The service requirements of health education (4.65±0.30), health management (4.50±0.50) and general medical needs (4.24±0.29) were on the top three of the integration of medical care, elderly care and nursing care model in the community elderly in Hangzhou. The related factors of the service requirements included the age, the types of illness and per capita monthly income (P<0.01). Conclusion: Health education and health promotion, and promoting the hierarchical treatment, developing health service in Chinese medicine s were the key measures to provide the integration of medical care, elderly care and nursing care model that meets the needs of the aged in home.

Key words: community home-care; Medical-Nursing Combination; hierarchical treatment; traditional Chinese medicine health services; community health nursing