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上海养老机构老年人中医护理技术接受度现状及其影响因素

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目的 探讨养老机构老年人对中医护理技术接受度的现状并分析其影响因素.方法 选择 2021 年 6 月至 2022 年6月上海市17家养老机构的457 名老年人为调查对象,自设问卷开展横断面调查.采用SPSS 23.0 统计软件进行数据分析.根据数据类型,分别采用t检验Mann-Whitney U检验或χ2 检验进行组间比较.采用二元logistic回归分析养老机构老年人中医护理技术接受度的影响因素.结果 回收有效问卷432份,养老机构老年人中医护理技术总体接受度为 68.29%(295/432).二元logistic回归分析结果显示,高中及以上(OR=2.298,95%CI 1.040~5.079,P=0.040)、自觉健康状况较好(OR=0.055,95%CI 0.005~0.631,P=0.020)、患病数(1~2 种:OR=5.397,95%CI 2.077~14.020,P=0.001;3~4 种:OR=6.437,95%CI 2.305~17.971,P<0.001;>4种:OR=5.168,95%CI 1.040~25.686,P=0.045)、对中医护理技术较了解(OR= 5.435,95%CI 1.278~23.108,P=0.022)、对中医护理技术疗效的认可度(一般:OR=2.273,95%CI 1.184-4.362,P=0.014;较好:OR=10.146,95%CI 4.837~21.283,P<0.001)、对中医护理技术收费的看法(一般:OR=5.294,95%CI 2.540~11.036,P<0.001;较低:OR=6.720,95%CI 3.057~14.771,P<0.001)、认为中医护理技术安全性较高(OR=11.321,95%CI 5.189~24.697,P<0.001)是养老机构老年人对中医护理技术接受度的影响因素.结论 养老机构老年人中医护理技术接受度处于较低水平,受多种因素影响,应采取不同的个性化干预措施,提高老年人对中医护理技术的接受度,推动中医护理技术在养老机构中的应用.
Acceptance of traditional Chinese medicine nursing technology among the elderly in Shanghai nursing institutions and its influencing factors
Objective To investigate the acceptance of Traditional Chinese medicine nursing technology(TCMNT)among the elderly in Shanghai nursing institutions and analyze its influencing factors.Methods A total of 457 elderly people in 17 nursing institutions in Shanghai from June 2021 to June 2022 were selected as the study subjects.A self-developed questionnaire was used to conduct a cross-sectional survey.SPSS statistics 23.0 was used for data analysis.According to the data type,t test,Mann-Whitney U test or χ2test was used for inter-group comparison.Binary logistic regression was performed to analyze the influencing factors of the acceptance of TCMNT in the elderly in nursing institutions.Results In total,432 valid responses were collected.The overall accepta-bility of TCMNT was 68.29%(295/432).Binary logistic regression analysis showed that education of high school or above(OR= 2.298,95%CI 1.040-5.079;P=0.040),perceived good health(OR=0.055,95%CI 0.005-0.631;P=0.020),the number of diseases(1-2 kinds:OR=5.397,95%CI 2.077-14.020,P=0.001;3-4 kinds:OR=6.437,95%CI 2.305-17.971,P<0.001;>4 kinds:OR=5.168,95%CI 1.040-25.686,P=0.045),better understanding of TCMNT(OR=5.435,95%CI 1.278-23.108,P= 0.022),belief in the curative effect of TCMNT(general:OR=2.273,95%CI 1.184-4.362,P=0.014;better:OR=10.146,95%CI 4.837-21.283,P<0.001),views on the charge of TCMNT(general:OR=5.294,95%CI 2.540-11.036,P<0.001;lower:OR= 6.720,95%CI 3.057-14.771,P<0.001),and belief in the greater safety of TCMNT(OR = 11.321,95%CI 5.189-24.697,P<0.001)were the factors influencing the acceptance of TCMNT among the elderly in nursing institutions.Conclusion The acceptance of TCMNT in the elderly in nursing institutions is at a low level,which is affected by many factors.Different personalized interventions should be employed to improve it and to promote the application of TCMNT in the nursing institutions.

agedelderly nursing institutiontraditional Chinese medicine nursing technology

赵洋、李心钰、冯建光、周洁、耿朝辉

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上海中医药大学护理学院,上海 201203

老年人 养老机构 中医护理技术

上海中医药大学护理学院学科能力提升项目

2021HLXK10

2024

中华老年多器官疾病杂志
中国人民解放军总医院老年心血管病研究所

中华老年多器官疾病杂志

CSTPCD
影响因子:0.728
ISSN:1671-5403
年,卷(期):2024.23(2)
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