CAJ | 학술논문

[目的] 为上海市老年护理服务的体系建设出谋划策. [方法] 在中国知网数据库的"医药卫生科技类"期刊中,检索2010年1月至2014年12月发表的有关老年护理立法、老年护理机构设施设置、老年护理人才培养及老年护理服务体系建设方面的文章,最终纳入28篇符合标准的文献进行分析. [结果] 我国尚未就"老年护理"制定具有系统性和针对性的法律法规;目前上海市老年护理机构的设施设备配置,基本满足住院老人基本医疗服务的需求,但老年护理和养老床位的配置不均;对老年护理人员分级认定和晋级培训缺乏规范性、系统性、连贯性和针对性,也缺乏监督机制;上海探索提出并逐步发展完善"9073"的养老服务格局. [结论] 我国还需健全和完善系统性、针对性的老年护理服务法制化的整体框架;老年护理机构的设施设置应兼顾科学性和人性化,在床位问题上,要分清"老年护理"和"养老"概念和标准;重视老年护理职业化教育和培训,国外的模式值得借鉴;老年护理服务体系建设需要动员全社会的力量共同努力.
[목적] 위상해시노년호리복무적체계건설출모화책. [방법] 재중국지망수거고적"의약위생과기류"기간중,검색2010년1월지2014년12월발표적유관노년호리입법、노년호리궤구설시설치、노년호리인재배양급노년호리복무체계건설방면적문장,최종납입28편부합표준적문헌진행분석. [결과] 아국상미취"노년호리"제정구유계통성화침대성적법율법규;목전상해시노년호리궤구적설시설비배치,기본만족주원노인기본의료복무적수구,단노년호리화양로상위적배치불균;대노년호리인원분급인정화진급배훈결핍규범성、계통성、련관성화침대성,야결핍감독궤제;상해탐색제출병축보발전완선"9073"적양로복무격국. [결론] 아국환수건전화완선계통성、침대성적노년호리복무법제화적정체광가;노년호리궤구적설시설치응겸고과학성화인성화,재상위문제상,요분청"노년호리"화"양로"개념화표준;중시노년호리직업화교육화배훈,국외적모식치득차감;노년호리복무체계건설수요동원전사회적역량공동노력.
[ Objective] To investigate the service system of geriatric nursing in Shanghai, and make suggestions for its development. [ Methods] Ultimately 28 articles were included by searching publications in relation to aged care legislation, establishment of geriatric nursing institution, aged care personnel training, construction of aged care service system etc.in "Med & Tech" of CNKI from January 2010 to December 2014. [ Results] China has not yet formulated systematic and specific laws and regulations on geriatric nursing.Although facilities and equipment configuration for geriatric nursing care in Shanghai can meet the basic needs of the hospitalized elderly in basic medical services, the current allocation is uneven in aged care and pension beds, and grading affirmation and promotion training among aged care personnel are lacking in standardization, systematicness, consistency and specification.In view of this situation, Shanghai municipal government proposed to explore and develop the"9073" pension service pattern. [ Conclusion ] By comparing current situation of geriatric nursing between Shanghai and developed countries, it is held that the whole framework for aged care legal system needs to complete and perfect its systematicness and specification.The configuration for aged care institutions should be concerned with both science and humanity.On the question of pension beds, the concept and standard of"nursing for the aged" and "providing for the aged" should be differentiated.We must attach great importance to aged care professional education and training.Overseas mode in this regard is worthy of our reference.The construction of the aged care service system needs to mobilize the whole society to work on jointly.