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老年糖尿病患者安宁疗护接受度调查

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目的 调查和分析某社区卫生服务中心老年糖尿病患者安宁疗护的接受度及影响因素.方法 采取整群分层随机抽样的方法,通过访谈式问卷调查抽取航头镇老年糖尿病患者630例,经核查最终得到有效问卷598份.了解其一般基本情况及安宁疗护的知识、接受情况并分析影响因素.结果 在598例老年糖尿病患者调查对象中,接受安宁疗护者288例(48.2%),不接受安宁疗护者310例(51.8%).单因素分析结果显示:性别、婚姻状况、宗教信仰、医疗费用、糖尿病病程、合并其他疾病、家庭医生签约、心理状态、家人关系、了解安宁疗护、临终规划、接受过安宁疗护服务对老年糖尿病患者安宁疗护接受度有影响(P<0.05).多因素logistic回归结果显示:宗教信仰、家庭医生签约、了解安宁疗护的更易接受安宁疗护,有临终规划的不易接受安宁疗护.结论 航头镇老年糖尿病患者安宁疗护知识匮乏接受度相对较差,需要加大宣传与管理.
Survey on hospice care acceptance in elderly patients with diabetes
Objective To investigate and analyze the acceptance and influencing factors of hospice care in elderly patients with diabetes mellitus in a community health service center.Methods A total of 630 elderly diabetic patients in Hangtou Town were selected through an interview-based questionnaire survey and 598 valid questionnaires were finally ob-tained.Their general basic situation and the knowledge and acceptance of hospice care were understood and the influencing factors were analyzed.Results Among the 598 elderly diabetic patients,288(48.2%)received hospice care and 310(51.8%)did not receive hospice care.Univariate analysis showed that gender,marital status,religious belief,medical expens-es,duration of diabetes mellitus,comorbidities with other diseases,family doctor contract,psychological state,family rela-tionship,understanding of hospice care,end-of-life planning,and hospice care services had an impact on the acceptance of hospice care in elderly patients with diabetes mellitus(P<0.05).The results of multivariate logistic regression showed that those with religious beliefs,family doctor contracts,and knowledge of hospice care were more likely to receive hospice care,while those with end-of-life planning were less likely to receive hospice care.Conclusion The knowledge of hospice care for elderly diabetic patients in Hangtou Town is lacking and the acceptance is relatively poor,so it is necessary to increase publicity and management.

Elderly peopleDiabetes mellitusHospice careInfluencing factor

李燕敏、孙冲冲、唐佳丽

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上海市浦东新区航头鹤沙社区卫生服务中心,上海 201317

老年人 糖尿病 安宁疗护 影响因素

2024

中国校医
江苏省预防医学会 中华预防医学会

中国校医

影响因子:0.378
ISSN:1001-7062
年,卷(期):2024.38(4)
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