中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2013年
6期
369-374
,共6页
李星明%李一帆%马源%邹孟烜%匡祥宇
李星明%李一帆%馬源%鄒孟烜%劻祥宇
리성명%리일범%마원%추맹훤%광상우
老年人%护理%卫生服务需求
老年人%護理%衛生服務需求
노년인%호리%위생복무수구
Aged%Nursing care%Health services needs and demand
目的 了解北京农村地区老年人长期护理现状和未来选择意愿及相关因素,为政府完善有关老年人长期关爱和照顾政策提供参考.方法 2012年12月至2013年1月,采用现况调查的方法,以北京农村地区1022名60岁以上老年人为调查对象,问卷调查其人口学信息、健康状况、长期护理现状和未来长期护理模式的选择意愿;采用x2检验和多元非条件Logistic回归,分析调查对象未来选择不同长期护理模式的相关因素.结果 调查显示有6.00％(59/1016)的老人目前需要长期护理,有82.86％(841/1013)的老人今后会选择家庭长期护理模式,有7.68％(78/1013)的老年人选择社区长期护理模式.单因素分析发现,影响老年人选择家庭长期护理的因素有文化程度、职业、月人均收入、居住情况、同住子女数量、医疗保险、养老保险、慢性病患病情况、听力、味觉和触觉自我评价(x2=33.03、136.17、99.32、88.83、58.07、147.71、108.11、9.85、33.78、30.45、22.22,P＜0.05).多因素分析发现影响老年人选择家庭长期护理的相关因素是职业、月人均收入、与配偶居住情况、参加新农合以及对视力状况的自我评价,OR值(95％CI)分别为:2.48 (1.21～5.10),0.82(0.71～0.95),1.64(1.08～2.49),4.78(2.93～7.82),0.72(0.59～0.89).结论 以家庭为基础的综合性长期护理和健康管理体系建设,是北京市农村老年人未来重要的选择和需求方向.
目的 瞭解北京農村地區老年人長期護理現狀和未來選擇意願及相關因素,為政府完善有關老年人長期關愛和照顧政策提供參攷.方法 2012年12月至2013年1月,採用現況調查的方法,以北京農村地區1022名60歲以上老年人為調查對象,問捲調查其人口學信息、健康狀況、長期護理現狀和未來長期護理模式的選擇意願;採用x2檢驗和多元非條件Logistic迴歸,分析調查對象未來選擇不同長期護理模式的相關因素.結果 調查顯示有6.00％(59/1016)的老人目前需要長期護理,有82.86％(841/1013)的老人今後會選擇傢庭長期護理模式,有7.68％(78/1013)的老年人選擇社區長期護理模式.單因素分析髮現,影響老年人選擇傢庭長期護理的因素有文化程度、職業、月人均收入、居住情況、同住子女數量、醫療保險、養老保險、慢性病患病情況、聽力、味覺和觸覺自我評價(x2=33.03、136.17、99.32、88.83、58.07、147.71、108.11、9.85、33.78、30.45、22.22,P＜0.05).多因素分析髮現影響老年人選擇傢庭長期護理的相關因素是職業、月人均收入、與配偶居住情況、參加新農閤以及對視力狀況的自我評價,OR值(95％CI)分彆為:2.48 (1.21～5.10),0.82(0.71～0.95),1.64(1.08～2.49),4.78(2.93～7.82),0.72(0.59～0.89).結論 以傢庭為基礎的綜閤性長期護理和健康管理體繫建設,是北京市農村老年人未來重要的選擇和需求方嚮.
목적 료해북경농촌지구노년인장기호리현상화미래선택의원급상관인소,위정부완선유관노년인장기관애화조고정책제공삼고.방법 2012년12월지2013년1월,채용현황조사적방법,이북경농촌지구1022명60세이상노년인위조사대상,문권조사기인구학신식、건강상황、장기호리현상화미래장기호리모식적선택의원;채용x2검험화다원비조건Logistic회귀,분석조사대상미래선택불동장기호리모식적상관인소.결과 조사현시유6.00％(59/1016)적노인목전수요장기호리,유82.86％(841/1013)적노인금후회선택가정장기호리모식,유7.68％(78/1013)적노년인선택사구장기호리모식.단인소분석발현,영향노년인선택가정장기호리적인소유문화정도、직업、월인균수입、거주정황、동주자녀수량、의료보험、양로보험、만성병환병정황、은력、미각화촉각자아평개(x2=33.03、136.17、99.32、88.83、58.07、147.71、108.11、9.85、33.78、30.45、22.22,P＜0.05).다인소분석발현영향노년인선택가정장기호리적상관인소시직업、월인균수입、여배우거주정황、삼가신농합이급대시력상황적자아평개,OR치(95％CI)분별위:2.48 (1.21～5.10),0.82(0.71～0.95),1.64(1.08～2.49),4.78(2.93～7.82),0.72(0.59～0.89).결론 이가정위기출적종합성장기호리화건강관리체계건설,시북경시농촌노년인미래중요적선택화수구방향.
Objective To understand current status and influencing factors of long-term care for elderly people who lived in rural areas of Beijing.Methods A total of 1022 elderly people (age＞60 years old) were enrolled in this cross-sectional study during December,2012 and January,2013.Demographic information,health status and needs of and intent to long-term care were learned through a questionaire survey.Chi-square test and muhiple non-conditional logistic regression analysis were used to identify the factors that were related to the respondents' selection.Results Nearly 6.6％ (61/1016) participants showed needs for long-term care.82.3％ (841/1013) respondents preferred household-based long-term care,while 7.53％ (77/1013) preferred community-based long-term care.In single factor analysis,education level,occupation,household income,living conditions,number of children living together,medical insurance,pension insurance,chronic diseases and self-report hearing ability,taste and touch were related with longterm care needs (x2values were 33.03,136.17,99.32,88.83,58.07,147.71,108.11,9.85,33.78,30.45 and 22.22,respectively; all P＜0.05).Multivariate analysis showed that occupation,income per capita,spouses living conditions,new corporative medical systems and self-report visual status were correlated with household-based long-term care (odds ratio (OR) were 2.48 (95％ confidence interval (CI) 1.21-5.10),0.82(0.71-0.95),1.64 (1.08-2.49),4.78 (2.93-7.82) and 0.72 (0.59-0.89),respectively).Conclusion Householdbased long-term care and health management system may be needed and chosen by the elderly living in rural areas of Beijing.
