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社区失能老年人长期照护需求现状及影响因素分析

The current situation of long-term care needs of the disabled elderly in the community and its influencing factors

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【作者】 朱娜贾晶晶丛连华桂园园刘微刘红敏

【Author】 ZHU Na;JIA Jingjing;CONG Lianhua;GUI Yuanyuan;LIU Wei;LIU Hongmin;School of Nursing,Qiqihar Medical College;Department of Neurology,The Second Affiliated Hospital of Qiqihar Medical College;

【通讯作者】 刘红敏;

【机构】 齐齐哈尔医学院护理学院齐齐哈尔医学院附属第二医院神经内科病区

【摘要】 目的 调查社区失能老人长期照护需求现状,并探讨其影响因素.方法 2024年9月-2025年2月,采用便利抽样法选取齐齐哈尔市3个社区的223例失能老年人作为研究对象.使用一般资料调查表、Barthel指数评定量表、社会支持评定量表、自我感受负担量表、长期照护需求问卷对其进行调查.结果 社区失能老人长期照护需求得分为(94.48±8.49)分.多元线性回归分析结果显示,年龄、慢性病数量、Barthel指数、自我感受负担水平、社会支持水平是社区失能老人长期照护需求的独立影响因素(R~2=0.661,调整后R~2=0.636,F=26.882,P<0.001).结论 社区失能老人长期照护需求处于中等水平,社区工作人员应重点关注高龄、患多种慢性病、处于中重度依赖状态、自我感受负担较重、社会支持水平较低的失能老人群体.

【Abstract】 Objective To explore the status quo of long-term care needs of the disabled elderly in the community,and its influencing factors.Methods Between September 2024 and February 2025,a total of 223 disabled elderly people were selected from 3 communities in Qiqihar city as research objects by convenience sampling method.They were surveyed using a general data questionnaire,Barthel index,the social support rating scale,self-perceived burden scale and long-term care needs questionnaire.Results The score of needs for long-term care of the disabled elderly in community was(94.48±8.49)points.The multiple linear regression results showed that age,number of chronic diseases,Barthel index,self-perceived burden and social support were independent influencing factors for long-term care demand of the research objects(R~2=0.661,adjusted R~2=0.636,F=26.882,P<0.001).Conclusion The demand for long-term care of the disabled elderly people in the community is of a medium level.Community workers should attach special importance to the disabled elderly people with multiple chronic diseases,or in a state of moderate to severe dependence,or of a heavy self-perceived burden or a low level of social support.

【基金】 2024年齐齐哈尔市哲学社会科学研究规划项目(编号:QZSX2024YB60)
  • 【文献出处】 中国临床护理 ,Chinese Clinical Nursing , 编辑部邮箱 ,2025年07期
  • 【分类号】R473.2
  • 【下载频次】145
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