云南省老年慢性病患者居家护理支持需求的调查研究
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摘要
[目的]对云南省老年慢性病患者居家护理需求及其满足现状进行调查研究,为构建云南省社会养老服务体系提供依据。[方法]采用问卷调查法,对云南省3所综合医院的211例老年慢性病出院患者进行调查研究。[结果]患者对健康评估、治疗护理、生活护理、康复护理、心理护理5个维度42个居家护理服务项目均有需要且满足程度较低,其中对健康评估的需求最高,治疗护理满足程度最低;患者居家护理需求主要从非正式渠道获得满足,而从正式渠道获得的满足较低。[结论]老年慢性病患者居家护理需求多样化,满足程度普遍偏低;专业健康评估需求迫切,居家护理计划急需指导。
Objective To investigate current situation of home care needs and satisfaction in elderly patients with chronic diseases in Yunnan Province so as to provide basis for establishing social pension service system in Yunnan Province. Methods Questionnaire survey was conducted to 211 elderly discharged patients with chronic diseases in three general hospitals in Yunnan Province. Results Five dimensions of health assessment,treatment nursing,life nursing,rehabilitation nursing,psychological nursing and 42 home nursing service items were all needed and less satisfied to the patients,among which the demand for health assessment was the highest,and the satisfaction of treatment nursing was the lowest. The satisfaction of patients' home care needs was mainly from informal channel,but it was lower that was from formal channel. Conclusions Home care needs of elderly patients with chronic diseases are diversification,satisfaction degree is general low. Professional health assessment requirement is impendency,and home care planning is badly in need of guidance.
Objective To investigate current situation of home care needs and satisfaction in elderly patients with chronic diseases in Yunnan Province so as to provide basis for establishing social pension service system in Yunnan Province. Methods Questionnaire survey was conducted to 211 elderly discharged patients with chronic diseases in three general hospitals in Yunnan Province. Results Five dimensions of health assessment,treatment nursing,life nursing,rehabilitation nursing,psychological nursing and 42 home nursing service items were all needed and less satisfied to the patients,among which the demand for health assessment was the highest,and the satisfaction of treatment nursing was the lowest. The satisfaction of patients' home care needs was mainly from informal channel,but it was lower that was from formal channel. Conclusions Home care needs of elderly patients with chronic diseases are diversification,satisfaction degree is general low. Professional health assessment requirement is impendency,and home care planning is badly in need of guidance.
引文
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[2]卫生部统计信息中心.第五次家庭健康询问调查分析报告[EB/OL].(2016-10-26)[2018-08-17]. http://www.nhfpc. gov. cn/ewebeditor/uploadfile/2016/10/20161026163512679. pdf.
[3]卫生部统计信息中心.第四次家庭健康询问调查分析报告[EB/OL].(2016-10-26)[2018-08-17]. http://www.nhfpc. gov. cn/ewebeditor/uploadfile/2016/10/20161026163512679. pdf.
[4] WHO. Noncommunicable Disease[EB/OL].(2018-06-01)[2018-08-17]. http://www. who. int/zh/news-room/fact-sheets/detail/noncommunicable-diseases.
[5]纵蒙蒙,杨辉军,方能圆,等.老年慢性病患者生命质量评价及影响因素研究[J].中国全科医学,2015,(13):1523-1527.
[6]朱信美,翟晓晴,黄敏,等.对老年慢性病患者实施居家护理的效果分析[J].护理管理杂志,2013,(10):726-728.
[7]刘晓娜,张华,赵根明,等.我国慢性病预防与控制发展历程[J].公共卫生与预防医学,2015,(2):79-83.
[8] YANG G KL,ZHAO W. Emergence of Chronic Non-Communicable Diseases in China[J]. Lancet,2008,372:1697-1705.
[9]郑立羽,周燚,欧蓝晰.老年慢性病人社区照护体系的问题及对策研究[J].中国社会工作,2018,(9):4-7,13.
[10]辛涛.我国城市家庭养老现状及问题研究[D].北京:清华大学,2014.
[11]刘云娥,吕伟波,王志红.国外家庭护理服务内容的现状与启示[J].中华护理杂志,2009,(7):645-646.
[12]云南省统计局.十年来云南人口老龄化发展趋势及对策研究[EB/OL].(2012-09-22)[2018-08-17]. http://www. stats. yn. gov. cn/tjsj/jjxx/201209/t20120922_670869.html.
[13]吴园秀,罗铁娇,罗文华.老年慢性病患者实施医养结合的实践与效果[J].现代医院,2014,(3):149-151.
[14]赵欢.社区老年慢性病患者合理用药审查系统的构建与评价[D].天津:天津大学,2012.
[15]李娟.云南省养老模式选择研究[D].昆明:云南师范大学,2006.
[16]严佩升.云南省社会养老服务体系建设现状及思考[J].河南科技,2014,(10):259-260.
[17]龚秀全,钱思寒.城市失能老人长期护理保险制度完善研究———基于上海市K街道高龄老人医疗护理计划的调查[J].公共治理评论,2017,(1):13-14.
[18]国务院关于印发中国老龄事业发展“十二五”规划的通知[J].司法业务文选,2011,(39):17-26.