CAJ | 학술논문

以南京市晨光医院康复护理中心为例，调查研究医生、护士、护工的基本情况、稳定性及入住者满意度，探索二级医院实施医养结合养老模式的可行性。采用深入访谈法、随机抽样调查法，对南京市晨光医院康复护理中心的医护人员、护工及入住者进行问卷调查，对所得数据采用SPSS20.0进行描述性统计分析和t检验。入住者多为高龄老人且患有多种疾病，对医养结合养老模式的总体满意度为95.0％，其中对收费、医生的服务及技术的满意度均高于总体满意度（P﹤0.05），医护人员稳定性较好，是医养结合模式得以有效推行的基础和保障；对伙食、护工的满意度低于总体满意度（P﹤0.05），护工的稳定性相对较差。医养结合养老模式在二级医院开展具有可行性。政府应着重加强老年健康人才培养及护工队伍建设，确保医养结合养老模式的健康、稳定、快速发展。
이남경시신광의원강복호리중심위례，조사연구의생、호사、호공적기본정황、은정성급입주자만의도，탐색이급의원실시의양결합양로모식적가행성。채용심입방담법、수궤추양조사법，대남경시신광의원강복호리중심적의호인원、호공급입주자진행문권조사，대소득수거채용SPSS20.0진행묘술성통계분석화t검험。입주자다위고령노인차환유다충질병，대의양결합양로모식적총체만의도위95.0％，기중대수비、의생적복무급기술적만의도균고우총체만의도（P﹤0.05），의호인원은정성교호，시의양결합모식득이유효추행적기출화보장；대화식、호공적만의도저우총체만의도（P﹤0.05），호공적은정성상대교차。의양결합양로모식재이급의원개전구유가행성。정부응착중가강노년건강인재배양급호공대오건설，학보의양결합양로모식적건강、은정、쾌속발전。
Objective: To explore the feasibility of the combination of medical care and pension in secondary-level hospitals based on cases of rehabilitation care center of Chenguang hospital in Nanjing. Methods: The survey was performed through deep takings and answering questionnaires among staff including doctors, nurses and nursing assistants from rehabilitation care center of Chenguang Hospital. Moreover, a descriptive analysis and t test of software SPSS20.0 were applied to cope with database. Results: 95.0% of the elderly patients who suffered from multiple diseases thought the rehabilitation care center to be very satisfactory or satisfactory, especially the charge, professional skills and service of doctors (compared to the overall satisfaction, P﹤ 0.05). Satisfaction degrees for food and nursing were lower than the overall satisfaction (P﹤0.05). The stability of nursing was relatively lower. This kind of medical model should be promoted in the foundation of fixed staff. Conclusion: Developing treat-care institutions in secondary-level hospitals is feasible. The government should focus on talent team construction to ensure a healthy, stable and wonderful progress of the medical care-pension model.