首页|失能老人整合照护及运动干预研究进展

失能老人整合照护及运动干预研究进展

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我国老龄化程度的不断加深,失能老人在老年人口中所占的比例也越来越大.据第四次中国城乡老年人生活状况抽样调查结果显示,我国失能老人群约4000万,预计到2050年,该数量将达到7000万,日益增长的失能老年人口数量其背后的照护需求巨大.当前失能老人的照护形式包括居家、社区和机构照护三种,受基层医疗发展建设限制和传统文化等多种因素的影响,居家照护仍是我国失能老人的主流照护形式.但家庭因小型化、少子化等趋势其照护功能不断弱化,并逐渐走向"因病致贫、因病返贫"的困境;社区和机构也在同期因收费、服务等原因表现出了较多弊端,庞大的失能老年群体因长期照护需求未满足所带来的社会问题对我国的医疗、养老和社会保障体系带来了一定冲击.当前迫切需要转变失能老人照护理念,通过整合照护以节约照护成本和社区医疗资源,通过运动干预以增强失能老人内在驱动,从而从根本上解决这一问题.本文将从国内外失能老人的整合照护、运动干预现状及世界卫生组织老年人整合照护(ICOPE)指南研究现状做文献梳理,以期为国内失能老人日益严峻的照护困境提供理论参考,为国家解决失能老人照护问题提供相关依据,同时吸引更多的学者关注和投入到此领域的研究中来,为相关领域取得进一步的突破和进展奠定基础.
Research progress of integrated care and exercise intervention for disabled elderly
As the degree of aging in China continues to deepen,the proportion of disabled elderly people in the elderly population is also growing.According to the results of the fourth sample survey on the living conditions of urban and rural elderly people in China,the number of disabled elderly people in China is about 40 million,and it is expected that the number will reach 70 million by 2050,and the demand for care behind the growing number of disabled elderly people is huge.Currently,the forms of care for the disabled elderly include home,community and institutional care.Due to the constraints of primary medical development and traditional culture,home care is still the mainstream form of care for the disabled elderly in China.However,the family due to miniaturization,childlessness and other trends of its care function continues to weaken,and gradually towards the"poverty due to illness,due to poverty"predicament;community and institutional also during the same period due to charges,services and other reasons have shown more shortcomings,a large number of disabled elderly groups due to the long-term care needs of the unsatisfied social problems brought about by the country's medical care,The social problems caused by the unmet long-term care needs of a large group of disabled elderly people have brought about a certain impact on China's medical,pension and social security systems.At present,there is an urgent need to change the concept of care for the disabled elderly,to save the cost of care and community medical resources through the integration of care,and to enhance the intrinsic drive of the disabled elderly through exercise intervention,so as to solve this problem fundamentally.In this paper,we will review the current situation of integrated care and exercise intervention for the elderly with disabilities at home and abroad,and the current research status of the World Health Organization's Integrated Care and Elderly Program(ICOPE)guidelines,with the aim of providing theoretical references for the increasingly severe care dilemmas of the elderly with disabilities in China,and providing the basis for the national solution to the problem of the elderly with disabilities,and at the same time,attracting more scholars to pay attention to and devote themselves to the study of the field,and laying the groundwork for further breakthroughs and advances in the related fields.At the same time,it attracts more scholars to pay attention to and devote themselves to the research in this field,and lays the foundation for further breakthroughs and progress in related fields.

Disabled elderlyIntegrated careExercise interventionICOPEResearch progress

柏乐潇、李颖、熊琼艳、阮徐婷、冉凌云

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昆明医科大学护理学院(云南省昆明市,650500)

失能老人 整合照护 运动干预 ICOPE 研究进展

云南省哲学社会科学规划重点项目

ZD2022115

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(5)
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