全科医学临床与教育2024,Vol.22Issue(7) :585-587.DOI:10.13558/j.cnki.issn1672-3686.2024.007.003

老年患者对中期照护的需求及认知度的研究

Investigation of intermediate care cognition and care needs in elderly patients

冯亚南 叶丽 李开军 季思媛
全科医学临床与教育2024,Vol.22Issue(7) :585-587.DOI:10.13558/j.cnki.issn1672-3686.2024.007.003

老年患者对中期照护的需求及认知度的研究

Investigation of intermediate care cognition and care needs in elderly patients

冯亚南 1叶丽 2李开军 2季思媛2
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作者信息

  • 1. 310000 浙江杭州,浙江中医药大学;丽水市中心医院全科医学科
  • 2. 丽水市中心医院全科医学科
  • 折叠

摘要

目的 分析老年患者对中期照护的认知度及急性期后的照护需求,为中期照护的开展提供参考.方法 收集全科医学科住院的年龄≥60 岁的老年患者,出院当天应用日常生活活动能力量表中的Barthel指数对患者进行综合评估.同时对评估需要中期照护的老年患者发放调查问卷,分析老年患者对中期照护的需求情况及认知度.结果 884 例老年患者中,无需照护442 例(50.00%)、中期照护280 例(31.67%)、长期照护162 例(18.33%).中期照护需求比例在70~79 岁组中最高,不同年龄层中期照护需求比例比较,差异有统计学意义(χ2=386.81,P<0.05).老年患者对用药指导、精神心理治疗、营养治疗方面的照护需求较大.71.79%(201/280)的患者对中期照护完全不了解,了解的仅占4.29%(12/280).结论 中期照护需求比例在70~79 岁年龄组最高,大多数老年患者对中期照护的了解甚少.因此,在我国建立健全中期照护的模式十分必要.

Abstract

Objective To analyze the awareness of intermediate care for elderly patients and their care needs after acute stage,so as to provide reference for the development of intermediate care.Methods Elderly patients aged 60 years and older who were admitted to the department of general practice were included in the study.On the day of dis-charge,they were evaluated by Barthel index with activities of daily living.At the same time,questionnaires were distribut-ed to elderly patients who needed intermediate care,thus to analyze the needs and awareness of intermediate care of el-derly patients.Results Among 884 elderly patients,442(50.00%)did not require care,280(31.67%)need intermedi-ate care,and 162(18.33%)need long-term care.The proportion of intermediate care needs is highest in the patients with 70-79 years old,and the difference in the proportion of intermediate care needs among different age is statistically significant(χ2=386.81,P<0.05).Elderly patients have a great need for medication guidance,psychological therapy and nutritional treatment.About 71.79%(201/280)of patients had no knowledge of intermediate care,while only 4.29%(12/280)of patients are aware of it.Conclusion The proportion of intermediate care needs is the highest in the age group of 70-79 years old,and most elderly patients have little understanding of intermediate care.Therefore,it is neces-sary to establish and improve the model of intermediate care in China.

关键词

中期照护/需求评估/认知度

Key words

intermediate care/needs assessment/cognition degree

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基金项目

浙江省医药卫生科技计划项目(2023KY1357)

出版年

2024
全科医学临床与教育
浙江大学

全科医学临床与教育

影响因子:0.63
ISSN:1672-3686
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