CAJ | 학술논문

目的：了解乡镇老年慢性病患者对社区卫生服务的满意度及需求情况。方法对福建省428例乡镇老年慢性病患者的患病情况及社区卫生服务满意度与需求进行现场问卷调查,并调查64例城市与122例县城老年慢性病患者作为对照组。结果乡镇老年慢性病患者对社区卫生服务总体满意度为40.4%,低于城市患者的62.5%,差异有统计学意义(Z =-3.278,P <0.05),但与县城患者的45.1%比较,差异无统计学意义(Z=-0.246,P>0.05)。乡镇老年患者对社区卫生服务中的就诊便利性、社区医疗设备、医疗环境、医务人员态度、技术水平、健康知识讲座及疾病咨询的满意度均低于城市患者,差异有统计学意义(Z值分别为-4.743,-8.587,-4.945,-3.685,-3.624,-2.766,-2.399；P<0.05)；与县城患者比较,除疾病咨询外,以上情况差异亦有统计学意义( Z 值分别为-4.377,-7.868,-3.120,-2.647,-3.077,-3.886；P<0.05)。乡镇患者通过报刊书籍了解疾病情况者102例(23.8%),通过网络获取疾病知识者11例(2.6%),城市患者分别为40例(62.5%),10例(15.6%),差异有统计学意义(χ2值分别为40.545,20.137；P<0.05)；县城患者以上途径分别为67例(54.9%),18例(14.8%),与乡镇患者比较,差异有统计学意义(χ2值分别为43.101,28.217；P<0.05)。乡镇、城市与县城老年患者均对家庭访视的需求最大,对心理咨询的需求最小。结论乡镇老年患者对社区卫生服务现状满意度低,乡镇医疗体制亟待完善。
목적：료해향진노년만성병환자대사구위생복무적만의도급수구정황。방법대복건성428례향진노년만성병환자적환병정황급사구위생복무만의도여수구진행현장문권조사,병조사64례성시여122례현성노년만성병환자작위대조조。결과향진노년만성병환자대사구위생복무총체만의도위40.4%,저우성시환자적62.5%,차이유통계학의의(Z =-3.278,P <0.05),단여현성환자적45.1%비교,차이무통계학의의(Z=-0.246,P>0.05)。향진노년환자대사구위생복무중적취진편리성、사구의료설비、의료배경、의무인원태도、기술수평、건강지식강좌급질병자순적만의도균저우성시환자,차이유통계학의의(Z치분별위-4.743,-8.587,-4.945,-3.685,-3.624,-2.766,-2.399；P<0.05)；여현성환자비교,제질병자순외,이상정황차이역유통계학의의( Z 치분별위-4.377,-7.868,-3.120,-2.647,-3.077,-3.886；P<0.05)。향진환자통과보간서적료해질병정황자102례(23.8%),통과망락획취질병지식자11례(2.6%),성시환자분별위40례(62.5%),10례(15.6%),차이유통계학의의(χ2치분별위40.545,20.137；P<0.05)；현성환자이상도경분별위67례(54.9%),18례(14.8%),여향진환자비교,차이유통계학의의(χ2치분별위43.101,28.217；P<0.05)。향진、성시여현성노년환자균대가정방시적수구최대,대심리자순적수구최소。결론향진노년환자대사구위생복무현상만의도저,향진의료체제극대완선。
Objective To analyze the satisfaction and the demands for the community healthcare of elderly patients with chronic diseases in the rural area. Methods A total of 428 elderly patients were investigated, and 64 urban elderly patients and 122 elderly patients from towns were included as the control group. Results The overall elderly patients′satisfaction in rural area was 40. 4%, which was significantly lower than that of 62. 5% in the urban area (Z= -3. 278, P<0. 05), but had no significant difference compared with 45. 1% in the town group (Z= -0. 246, P>0. 05). There were significant differences in the advancement of medical equipment, medical environment, the healthcare team′s attitude and technology level, and the healthcare education level between the rural and urban area were statistical significant (Z= -4. 743, -8. 587,-4. 945, -3. 685, -3. 624, -2. 766, -2. 399, respectively;P<0. 05). Except for disease consult, there were significant differences in the above aspects between the rural and county area ( Z= -4. 377, -7. 868,-3. 120, -2. 647, -3. 077, -3. 886, respectively;P<0. 05). For the rural area, 102 patients (23. 8%) acquired medical knowledge by newspapers and books and 11 patients (2. 6%) acquired medical knowledge by internet. Those number of patients in the urban area were 40 cases (62. 5%) and 10 cases (15. 6%). There were significant differences between the rural and urban area (χ2 =40. 545, 20. 137, respectively;P<0. 05). Those number of patients in the county area were 67 cases (54. 9%) and 18 cases (14. 8%). There were significant differences between the rural and county area(χ2 =43. 101, 28. 217, respectively;P <0. 05). Conclusions The satisfaction for the community healthcare of elderly patients in rural area is low, so it should be further improved.