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论著·调查与研究 | 更新时间:2024-02-19
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南宁市老年人对社区医疗护理服务的需求情况及其影响因素——基于安德森模型的调查与分析
Conditions of demand for community health care services in the Nanning elderly and their influencing factors: a survey and analysis based on the Anderson model

广西医学 2023第45卷22期 页码:2735-2743

作者机构:罗理尹,在读硕士研究生,护师,研究方向为老年护理。

基金信息:广西哲学社会科学研究课题(20FGL024)

DOI:10.11675/j.issn.0253-4304.2023.22.12

  • 中文简介
  • 英文简介
  • 参考文献

目的 调查南宁市老年人对社区医疗护理服务的需求情况,并分析其需求情况的影响因素。方法 以安德森模型为理论框架,通过文献回顾、头脑风暴法及专家会议法编制社区医疗护理服务需求问卷。采用分层抽样法的方法抽取南宁市3个社区的288名老年人,通过问卷调查了解其对不同社区医疗护理服务的需求。采用多重线性回归模型分析老年人对社区医疗护理服务需求情况的影响因素。结果 在7个维度的社区医疗护理服务需求中,南宁市老年人的健康促进服务、一般护理服务和基本医疗服务维度得分率较高(分别为84.6%、80.4%、76.4%),康复服务维度得分率最低(56.2%)。居住地、居住情况、文化程度、主要经济来源、月收入、医疗费用支付情况、慢性病病程和患病数量是南宁市老年人对社区医疗护理服务需求情况的影响因素(P<0.05)。结论 南宁市老年人对社区医疗护理服务的需求侧重于健康促进服务、一般护理服务和基本医疗服务,其需求受居住地、居住情况、文化程度、主要经济来源、月收入水平、医疗费用支付情况、慢性病病程和患病数量等因素的影响。

ObjectiveTo investigate the conditions of demand for community health care services in the Nanning elderly, and to analyze the influencing factors for their demand conditions. MethodsDemand questionnaire of community health care services was developed by literature review, brainstorm method, and expert-meeting method based on taking the Anderson model as the theoretical framework. A total of 288 elderly from 3 communities in Nanning were selected by using the stratified sampling method, and their demands for different community health care services were understood through questionnaire investigation. The multivariate linear regression model was used to analyze the influencing factors for conditions of demand for community health care services in the elderly. ResultsIn 7 dimensions of demands for community health care services, the scoring rates of dimensions of health promotion services, general nursing services, and of basic medical services for the elderly in Nanning were relatively high (84.6%, 80.4%, and 76.4%, respectively), and the scoring rate of rehabilitation services dimension was the lowest (56.2%). Residence, living condition, educational level, main economic source, monthly income, medical expenses payment, course and number of chronic diseases were the influencing factors for conditions of demand for community health care services in the Nanning elderly (P<0.05). ConclusionDemand for community health care services in the Nanning elderly focuses on health promotion services, general nursing services, basic medical services, and their demands are affected by factors concerning residence, living condition, educational level, main economic source, monthly income, medical expenses payment, course and number of chronic diseases, etc.

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