【摘要】 目的:分析嘉兴市长期护理保险受益老年人的社会支持状况及影响因素，为完善其社会支持网络提供参考。方法:2023年7-8月，在嘉兴市南湖区、海宁市及嘉善县随机抽取长期护理保险受益老年人，使用一般资料调查表、老年抑郁自评量表、巴氏量表及社会支持评定量表对长期护理保险受益老年人进行调查。采用描述性分析、单因素分析、多重线性回归进行统计分析。结果:获得有效样本871个，嘉兴市长期护理保险受益老年人社会支持总分为(25.72±7.05),处于中等水平；客观支持得分为(6.16±1.98),主观支持得分为(12.90±4.25),支持利用度得分为(5.58±2.26)。性别、年龄、子女个数、与子女见面频率、个人月收入、总家庭月收入及失能情况对长期护理保险受益老年人社会支持得分的影响差异有统计学差异(P<0.05)。多重线性回归结果显示婚姻状况、经济水平、抑郁症状及照护类型是长期护理保险受益老年人社会支持状况的影响因素。结论:嘉兴市长期护理保险受益老年人社会支持总体处于中等水平，需重点关注非在婚、经济水平较低、有抑郁症状及机构照护的老年人的社会支持状况，通过加强居家社区护理引导、逐步将精神慰藉与心理疏导服务纳入长期护理保险服务范围、加强家庭照护技能培训等措施，从多角度重视社会支持对失能老年人身心健康的积极作用。更多还原

【Abstract】 Objective: To analyze the social support status and its influencing factors among elderly beneficiaries of long-term care insurance(LTCI) in Jiaxing city, so as to provide references for improving the social support network for them. Methods: From July to August 2023, elderly beneficiaries of LTCI were randomly selected from the Nanhu district, Haining city, and Jiashan county in Jiaxing city. A general information survey, the geriatric depression self-rating scale, the Barthel index, and the social support rating scale were used to survey the elderly beneficiaries. Descriptive analysis, univariate analysis, and multiple linear regression were performed for statistical analysis. Results: A total of 871 valid samples were obtained. The overall social support score of LTCI beneficiaries in Jiaxing city was(25.72±7.05), indicating a moderate level of social support. The scores for objective support, subjective support, and utilization of support were(6.16±1.98),(12.90±4.25) and(5.58±2.26), respectively. Factors such as gender, age, number of children, frequency of contact with children, personal monthly income, household monthly income, and disability level were significantly associated with social support scores among elderly beneficiaries of LTCI(P<0.05). The multiple linear regression revealed that marital status, economic level, depression status, and type of care were key influencing factors of social support among LTCI beneficiaries. Conclusion: The overall social support level among elderly LTCI beneficiaries in Jiaxing city is moderate. Special attention should be paid to the social support level of older adults who are not married, have a lower economic level, exhibit depressive symptoms, or reside in institutional care. To address these disparities, multilevel interventions are recommended: strengthening home-and community-based care guidance, progressively integrating spiritual consolation and psychological counseling services into the LTCI coverage, and enhancing family caregiver skills training. These measures emphasize the multidimensional importance of social support in promoting the physical and mental well-being of functionally impaired elderly populations.更多还原