CAJ | 학술논문

目的：了解上海市长宁区老年人长期照护需求。方法：运用日常生活能力（ADL）量表和长期照护需求调研问卷对长宁区所管辖的3个居委会的所有60岁及以上的老年人进行问卷调查，共得到有效问卷1665份。结果：在长期照护服务需求的研究中，27.57%老年人需要生活帮助服务，15.56%的老年人需要心理护理服务，25.47%的老年人需要慢性病护理服务，23.00%的老年人需要康复护理，18.50%的老年人需要长期卧床护理服务，19.40%的老年人选择其他医疗专业护理服务。在需要长期照护服务的老年人中，有20%~55%的老年人因经济无力承担而得不到相关的服务。随着年龄和自理能力的下降，老年人对长期护理需求的6个方面的需求都有所增加（OR>1），患有慢性病的老年人对长期护理需求更大；独居老人相对于与子女同住的老人对心理护理、慢性病护理、康复护理的需求更大（OR<1），学历较低的老人对长期照护服务需求相对较高。结论：政府应加大对高龄、独居、低收入的老年人的保障，建立完善的长期护理保障制度。
목적：료해상해시장저구노년인장기조호수구。방법：운용일상생활능력（ADL）량표화장기조호수구조연문권대장저구소관할적3개거위회적소유60세급이상적노년인진행문권조사，공득도유효문권1665빈。결과：재장기조호복무수구적연구중，27.57%노년인수요생활방조복무，15.56%적노년인수요심리호리복무，25.47%적노년인수요만성병호리복무，23.00%적노년인수요강복호리，18.50%적노년인수요장기와상호리복무，19.40%적노년인선택기타의료전업호리복무。재수요장기조호복무적노년인중，유20%~55%적노년인인경제무력승담이득불도상관적복무。수착년령화자리능력적하강，노년인대장기호리수구적6개방면적수구도유소증가（OR>1），환유만성병적노년인대장기호리수구경대；독거노인상대우여자녀동주적노인대심리호리、만성병호리、강복호리적수구경대（OR<1），학력교저적노인대장기조호복무수구상대교고。결론：정부응가대대고령、독거、저수입적노년인적보장，건립완선적장기호리보장제도。
Objective:To understand the demand for long-term care among elderly people in Changning District in Shanghai.Methods:Activities of daily living(ADL) scale and questionnaire of demand for long-term care were conducted among all elderly people of 60 years old and above from three neighborhood committees. A total of 1 665 effective questionnaire were gotten.Results:Among all the interviewees,27.57% of elderly people demanded help for daily life,15.56% called for mental nursing,25.47% hoped they could get nursing for chronic diseases,23.00% demanded rehabilitation nursing,18.50% wanted nursing for long-term care,and 19.40% chose other medical nursing care. Among elderly people who needed long-term care,20%-55% did not receive long-term care since they could not afford it. With increase of age and decrease of self-care ability,the elderly demand more long-term care(OR>1). Elderly people with chronic diseases had more demand for long-term care. Compared with elderly people who lived with their sons or daughters,the elderly people who lived alone called for more in mental nursing,chronic diseases nursing and rehabilitation nursing(OR<1). Elderly people with low level of education,low monthly income from endowment insurance and low monthly household expenditure had more demand in long-term care.Conclusion:The government should improve the security of long-term care for elderly people who are oldest-old,living alone and having low income. Meanwhile,the government is suggested to establish perfect long-term care system.