首页|304名失能老人长期照顾需求及影响因素分析

304名失能老人长期照顾需求及影响因素分析

Long-term care needs and influencing factors of 304 disabled elderly in Datong City

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目的 调查304名失能老人长期照顾需求,分析其影响因素,为制定失能老人个性化照顾方案提供指导.方法 收集2020年1月-2024年3月大同市第五人民医院肿瘤放疗科收治的304名失能老人的病历资料,采用问卷调查法调查其长期照顾需求,并分析其影响因素.结果 (1)304名失能老人的长期照护需求量表总分为(122.34±8.83)分,处于中等水平;(2)婚姻状况为丧偶/离异、慢性病数量≥7种、入住疗养机构时间≥4年、居住方式为独居、失能程度为重度失能及亲属探望频率<2次/月失能老人的长期照护需求得分较婚姻状况为已婚、慢性病数量1~3种或4~6种、入住疗养机构时间<1年或1~3年、居住方式为与其他失能老人同住或与配偶同住、失能程度为轻度或中度失能及亲属探望频率≥2次/月的失能老人均更高(P<0.05);(3)居住方式为独居、慢性病数量≥7种及失能程度为重度失能是影响失能老人长期照护需求得分的相关因素(t=6.082、5.821、4.563,均P<0.001).结论 304名失能老人的长期照护需求处于中等水平,且其受居住方式、慢性病数量及失能程度的影响,为满足其长期照护需求,建议为其制定失能老人个性化照顾方案,以提升其生活质量.
Objective To investigate the long-term care needs of 304 disabled elderly in Datong City,to analyze its in-fluencing factors,and to provide guidance for the formulation of individualized care programs for disabled elderly.Meth-ods Medical records of 304 disabled elderly people admitted to the Oncology Radiotherapy Department of the Fifth Peo-ple's Hospital of Datong City from January 2020 to March 2024 were collected.A questionnaire survey was used to inves-tigate their long-term care needs and analyze the influencing factors.Results(1)The score of the long-term care need scale of 304 disabled elderly people in Datong City,the total score of the scale was(122.34±8.83)points,which was in the middle level;(2)The score of the long-term care needs of the disabled elderly with marital status of widowhood/di-vorce,number of chronic diseases ≥7,duration of stay in nursing institutions ≥4 years,residence mode of living alone,degree of disability as severe disability and frequency of family visits<2 times/month was higher than that of the disabled elderly with marital status of married,number of 1-3 chronic diseases or 4-6 kinds,duration of stay in nursing institu-tions<1 year or 1-3 years,residence mode of living with other disabled elderly or with their spouse,with mild or moder-ate disability and the frequency of family visits ≥2 times/month(P<0.05);(3)Living style alone,number of chronic diseases ≥7 and severe disability were the relevant factors affecting the score of long-term care needs of disabled elderly(t=6.082,5.821,4.563,P<0.05).Conclusion In Datong City,the long-term care needs of 304 disabled elderly people are at a medium level,which is affected by the living style,the number of chronic diseases,and the degree of dis-ability.In order to meet their long-term care needs,it is suggested to develop a personalized care plan for disabled elderly people to improve their quality of life.

Disabled elderly peopleLong-term care needsInvestigateInfluencing factors

赵艳华、陈海丽、闫高慧、段爱旭

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山西大同大学护理学院,山西大同 037009

大同市第五人民医院肿瘤放疗科,山西大同 037054

失能老人 长期照顾需求 影响因素

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(12)