CAJ | 학술논문

目的：调查绍兴市社区老年护理现状及不同群体对社区老年护理体系的评价，为构建适合健康老龄化的新型社区护理模式提供依据。方法采用文献查阅、专家论证的方法编制社区老年人健康状况及社区护理需求调查表，采用分层抽样的方法对社区老年群体、社区卫生服务中心和医院护理人员进行现场调查。结果老年群体健康状况中患病率较高的是70～79岁组、80～89岁组；慢性病患病率从高到低为高血压、高脂血症、糖尿病、慢性肺部疾病、冠心病、脑血管病、恶性肿瘤；接受社区护理服务的情况。测量血压占82.46％，定期体检占68.47％，配药占58.58％，健康讲座占46.82％，注射／输液占34.33％；在对老年群体潜在的护理需求调查中，定期体检占69.78％，慢性病护理占56.34％，生活方式指导占43.28％，家庭访视占38.06％，居家护理占36.19％，调查对象认为最合理的老年护理模式为“疾病护理－健康管理－日常照护”一体化连续管理的模式。结论社区护理资源利用度较低，连续性社区护理模式符合老年群体的健康需求，有利于发挥社区护理在个体、群体和社会健康老龄化层面的促进作用。
목적：조사소흥시사구노년호리현상급불동군체대사구노년호리체계적평개，위구건괄합건강노령화적신형사구호리모식제공의거。방법채용문헌사열、전가론증적방법편제사구노년인건강상황급사구호리수구조사표，채용분층추양적방법대사구노년군체、사구위생복무중심화의원호리인원진행현장조사。결과노년군체건강상황중환병솔교고적시70～79세조、80～89세조；만성병환병솔종고도저위고혈압、고지혈증、당뇨병、만성폐부질병、관심병、뇌혈관병、악성종류；접수사구호리복무적정황。측량혈압점82.46％，정기체검점68.47％，배약점58.58％，건강강좌점46.82％，주사／수액점34.33％；재대노년군체잠재적호리수구조사중，정기체검점69.78％，만성병호리점56.34％，생활방식지도점43.28％，가정방시점38.06％，거가호리점36.19％，조사대상인위최합리적노년호리모식위“질병호리－건강관리－일상조호”일체화련속관리적모식。결론사구호리자원이용도교저，련속성사구호리모식부합노년군체적건강수구，유리우발휘사구호리재개체、군체화사회건강노령화층면적촉진작용。
Objective To investigate the current situation of community nursing for the elderly of Shaoxing cit-y, and the evaluation of different groups of community nursing system, to provide references for construction of nursing mode of the health aging.Methods The methods of literature review and expert argumentation were used to produce a questionnaire of elders'health condition and care needs.Stratified sampling method was used to do on-site survey for the elderly, community medical service center and nursing staffs.Results The age between 70~79 and 80~89 had a high prevalence of disease about the elderly health status, and the prevalence rate of chronic diseases from high to low were hypertension, hyperlipidemia, diabetes, chronic lung disease, coronary heart disease, cerebrovascular disease and tumor.The elderly accepted community nursing service's situation:for the measurement of blood pressure was 82.46%;the regular physical examination was 68.47%;dispensing was 58.58%;health lecture 46.82%;injection/infusion was 34.33%; in the investigation of the elderly's community nursing demands, the regular physical examination was 69.78%;nursing care of chronic disease was 56.34%; lifestyle guide was 43.28%; home visit was 38.06%, home care was 36.19%;in the investigation of the demand for the aged, in according to the mode of the elderly nursing, the most reasonable model was integration continuous management model of "disease care, health management, Daily care".Conclusions The community care resource's utilization degree is low, and the continuity of community nursing model could meet the demand of the health of the elders, and could accelerate the community nursing service in elderly individuals, groups and social healthy aging.