中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
24期
2880-2884
,共5页
戴付敏%张希%万琪琳%曹君玲%陈玉荣
戴付敏%張希%萬琪琳%曹君玲%陳玉榮
대부민%장희%만기림%조군령%진옥영
高年资护士%老年人%长期照护%影响因素
高年資護士%老年人%長期照護%影響因素
고년자호사%노년인%장기조호%영향인소
Senior nurses%Aged%Long term care%Influence factor
目的：调查高年资护士从事老年长期照护服务的意愿及影响因素。方法采取分层抽样方法，于2013年1-5月选取河南省15所医院的高年资护士384名，调查一般资料，高年资护士从事老年长期照护服务意愿、临床经历及认知，健康自评，老年人态度量表（ KAOP）评分、老化知识量表（ FAQ）评分、职业认同量表评分。采用二分类Logistic回归分析高年资护士从事老年长期照护服务意愿的影响因素。结果384名高年资护士中126名（32.8%）愿意从事老年长期照护服务。高年资护士KAOP评分（144.4±13.3）分，FAQ评分（10.8±3.5）分，职业认同量表评分（26.7±8.4）分。愿意和不愿意从事老年长期照护服务高年资护士KAOP评分、FAQ评分、职业认同量表评分比较，差异均有统计学意义（ P<0.05）。不同最高学历、健康自评、福利待遇、是否忙于照料家庭、是否有老年病房工作经验、是否接受长期照护相关培训、是否关注老龄化相关内容的高年资护士从事老年长期照护服务意愿不同，差异均有统计学意义（ P<0.05）。二分类Logistic回归分析结果显示，KAOP评分、FAQ评分、健康自评、福利待遇、是否有老年病房工作经验、是否接受长期照护相关培训、是否关注老龄化相关内容与高年资护士从事老年长期照护服务意愿有回归关系（ P<0.05）。结论高龄、空巢、复合慢性病和失能失智老年人是迫切需要长期专业照护服务的群体，该领域也是展示护理专业价值的重要平台。针对不愿从事此项工作的深层次原因进行持续跟踪和多元分析，通过理顺管理、开展培训、提高福利、资源共享等，吸引和鼓励高年资护士加入老年长期照护服务行列，延伸服务领域，减少优质资源的闲置和浪费，弥补医养结合机构专业人员不足，减轻家庭和社会负担。
目的：調查高年資護士從事老年長期照護服務的意願及影響因素。方法採取分層抽樣方法，于2013年1-5月選取河南省15所醫院的高年資護士384名，調查一般資料，高年資護士從事老年長期照護服務意願、臨床經歷及認知，健康自評，老年人態度量錶（ KAOP）評分、老化知識量錶（ FAQ）評分、職業認同量錶評分。採用二分類Logistic迴歸分析高年資護士從事老年長期照護服務意願的影響因素。結果384名高年資護士中126名（32.8%）願意從事老年長期照護服務。高年資護士KAOP評分（144.4±13.3）分，FAQ評分（10.8±3.5）分，職業認同量錶評分（26.7±8.4）分。願意和不願意從事老年長期照護服務高年資護士KAOP評分、FAQ評分、職業認同量錶評分比較，差異均有統計學意義（ P<0.05）。不同最高學歷、健康自評、福利待遇、是否忙于照料傢庭、是否有老年病房工作經驗、是否接受長期照護相關培訓、是否關註老齡化相關內容的高年資護士從事老年長期照護服務意願不同，差異均有統計學意義（ P<0.05）。二分類Logistic迴歸分析結果顯示，KAOP評分、FAQ評分、健康自評、福利待遇、是否有老年病房工作經驗、是否接受長期照護相關培訓、是否關註老齡化相關內容與高年資護士從事老年長期照護服務意願有迴歸關繫（ P<0.05）。結論高齡、空巢、複閤慢性病和失能失智老年人是迫切需要長期專業照護服務的群體，該領域也是展示護理專業價值的重要平檯。針對不願從事此項工作的深層次原因進行持續跟蹤和多元分析，通過理順管理、開展培訓、提高福利、資源共享等，吸引和鼓勵高年資護士加入老年長期照護服務行列，延伸服務領域，減少優質資源的閒置和浪費，瀰補醫養結閤機構專業人員不足，減輕傢庭和社會負擔。
목적：조사고년자호사종사노년장기조호복무적의원급영향인소。방법채취분층추양방법，우2013년1-5월선취하남성15소의원적고년자호사384명，조사일반자료，고년자호사종사노년장기조호복무의원、림상경력급인지，건강자평，노년인태도량표（ KAOP）평분、노화지식량표（ FAQ）평분、직업인동량표평분。채용이분류Logistic회귀분석고년자호사종사노년장기조호복무의원적영향인소。결과384명고년자호사중126명（32.8%）원의종사노년장기조호복무。고년자호사KAOP평분（144.4±13.3）분，FAQ평분（10.8±3.5）분，직업인동량표평분（26.7±8.4）분。원의화불원의종사노년장기조호복무고년자호사KAOP평분、FAQ평분、직업인동량표평분비교，차이균유통계학의의（ P<0.05）。불동최고학력、건강자평、복리대우、시부망우조료가정、시부유노년병방공작경험、시부접수장기조호상관배훈、시부관주노령화상관내용적고년자호사종사노년장기조호복무의원불동，차이균유통계학의의（ P<0.05）。이분류Logistic회귀분석결과현시，KAOP평분、FAQ평분、건강자평、복리대우、시부유노년병방공작경험、시부접수장기조호상관배훈、시부관주노령화상관내용여고년자호사종사노년장기조호복무의원유회귀관계（ P<0.05）。결론고령、공소、복합만성병화실능실지노년인시박절수요장기전업조호복무적군체，해영역야시전시호리전업개치적중요평태。침대불원종사차항공작적심층차원인진행지속근종화다원분석，통과리순관리、개전배훈、제고복리、자원공향등，흡인화고려고년자호사가입노년장기조호복무행렬，연신복무영역，감소우질자원적한치화낭비，미보의양결합궤구전업인원불족，감경가정화사회부담。
Objective To investigate the willingness and influencing factors for senior nurses involving in long term care for the elderly. Methods Stratified sampling was used to select 384 senior nurses from 15 hospitals in Henan province from January to May in 2013. General information,willingness,clinical experience and cognition of senior nurses about involving in long term care and self-rated health were investigated,and the score of Koganˊs attitudes towards old people( KOPA),facts on aging quiz( FAQ)and profession identification scale were utilized in the investigation. Binary Logistic analysis was adopted to an-alyze the influencing factors. Results 126 of the 384 senior nurses(32. 8%)were willing to engage in long term care of the eld-erly. The scores of KOPA,FAQ and profession identification scale were(144. 4 ± 13. 3),(10. 8 ± 3. 5),(26. 7 ± 8. 4),re-spectively. The scores of KOPA,FAQ and profession identification scale between senior nurses who were willing to engage in long term care of the elderly and those who were not showed statistically significant differences(P<0. 05). Senior nurses with differ-ent degree,self-rate health,social benefits,whether being busy taking care of family,having the experience working in geriatric unit,getting training about long term care and whether paying attention to population aging showed statistically significant differ-ences in the willingness of engaging in long term care of the elderly(P<0. 05). Binary Logistic analysis showed that the scores of KOPA and FAQ,self-rate health,social benefits,having the experience working in geriatric unit,getting training about long term care and whether paying attention to population aging were the influencing factors for the willingness to engage in long term care of the elderly(P<0. 05). Conclusion Senior citizens,empty nesters,the elderly with multiple chronic diseases and the disabled old person are the groups in sore need of long term care. The realm is a significant platform for showing the professional value of nursing. The aim is to keep track and conduct multiple analysis directing at the deep reasons of unwillingness to engage in long term care,and to attract senior nurses to join in long term care through straightening management,carrying out training,im-proving benefits and sharing resources in order to extend services and decrease the idleness and waste of high quality human re-source,as well as to make up the shortage of professional staff and relieve the burden both family and society.
