CAJ | 학술논문

目的：探讨南京市社区老年人健康管理需求。方法采取随机整群抽样方法，对部分社区1354名老年人进行问卷调查，了解人口学资料、患病情况、社区卫生利用情况、老年人健康教育参与情况，借鉴澳大利亚皇家全科医学学会的满意度调查工具（ RACGP），了解老年人对社区的满意度情况。共回收有效问卷1222份，有效率为90．3％。结果南京社区老年人就诊时选择社区卫生服务中心的占43．5％，对本社区的卫生服务中心知晓率为95．9％；对服务态度的满意度最高，为100％，对能否选择医生的满意度最低，为70％；参加过慢性病防治讲座的占57．4％，而42．6％的老年人从未参加过；社区进行家庭服务的占29．0％，开设家庭病床的占7．4％。结论必须完善健康管理组织体系，注意老年人健康需求特点，建立一套切实可行的社区老年人健康管理模式，改善老年人健康状况、提高生命质量。
목적：탐토남경시사구노년인건강관리수구。방법채취수궤정군추양방법，대부분사구1354명노년인진행문권조사，료해인구학자료、환병정황、사구위생이용정황、노년인건강교육삼여정황，차감오대리아황가전과의학학회적만의도조사공구（ RACGP），료해노년인대사구적만의도정황。공회수유효문권1222빈，유효솔위90．3％。결과남경사구노년인취진시선택사구위생복무중심적점43．5％，대본사구적위생복무중심지효솔위95．9％；대복무태도적만의도최고，위100％，대능부선택의생적만의도최저，위70％；삼가과만성병방치강좌적점57．4％，이42．6％적노년인종미삼가과；사구진행가정복무적점29．0％，개설가정병상적점7．4％。결론필수완선건강관리조직체계，주의노년인건강수구특점，건립일투절실가행적사구노년인건강관리모식，개선노년인건강상황、제고생명질량。
Objective To analyze the demands for health management of the elderly in Nanjing community , promote the develop-ment of community health management of the elderly .Methods 1 222 inhabitants who fill in the information completely from the all 1 354 investigated people in the area were investigated .The questionnaire was localized RACGP tool of Australia .Results The elderly in Nanjing community choosing community health service centers accounted for 43 .5%,and knowing the community health service centers 95 .9%.The satisfaction rate of service attitude reached up to 100%, and the satisfaction rate of choosing the doctor was the lowest to 70%.The rate of attending lectures of Chronic Disease Prevention was 57.4%, 42.6%of the elderly hadn't attended the lectures.The family services of the community accounted for 29.0%,and creation of the family bed 7.4%.Conclusions It is necessary to improve the organization system of health management , respect the features of demands for health management of the elderly , establish a viable mode of health management of the elderly in community , improve the health and quality of life of the elderly .