摘要
目的 调查南宁市老年人对社区医疗护理服务的需求情况,并分析其需求情况的影响因素。方法 以安德森模型为理论框架,通过文献回顾、头脑风暴法及专家会议法编制社区医疗护理服务需求问卷。采用分层抽样法的方法抽取南宁市3个社区的288名老年人,通过问卷调查了解其对不同社区医疗护理服务的需求。采用多重线性回归模型分析老年人对社区医疗护理服务需求情况的影响因素。结果 在7个维度的社区医疗护理服务需求中,南宁市老年人的健康促进服务、一般护理服务和基本医疗服务维度得分率较高(分别为84.6%、80.4%、76.4%),康复服务维度得分率最低(56.2%)。居住地、居住情况、文化程度、主要经济来源、月收入、医疗费用支付情况、慢性病病程和患病数量是南宁市老年人对社区医疗护理服务需求情况的影响因素(P<0.05)。结论 南宁市老年人对社区医疗护理服务的需求侧重于健康促进服务、一般护理服务和基本医疗服务,其需求受居住地、居住情况、文化程度、主要经济来源、月收入水平、医疗费用支付情况、慢性病病程和患病数量等因素的影响。
Objective To investigate the conditions of demand for community health care services in the Nanning elderly,and to analyze the influencing factors for their demand conditions.Methods Demand questionnaire of community health care services was developed by literature review,brainstorm method,and expert-meeting method based on taking the Anderson model as the theoretical framework.A total of 288 elderly from 3 communities in Nanning were selected by using the stratified sampling method,and their demands for different community health care services were understood through questionnaire investigation.The multivariate linear regression model was used to analyze the influencing factors for conditions of demand for community health care services in the elderly.Results In 7 dimensions of demands for community health care services,the scoring rates of dimensions of health promotion services,general nursing services,and of basic medical services for the elderly in Nanning were relatively high(84.6%,80.4%,and 76.4%,respectively),and the scoring rate of rehabilitation services dimension was the lowest(56.2%).Residence,living condition,educational level,main economic source,monthly income,medical expenses payment,course and number of chronic diseases were the influencing factors for conditions of demand for community health care services in the Nanning elderly(P<0.05).Conclusion Demand for community health care services in the Nanning elderly focuses on health promotion services,general nursing services,basic medical services,and their demands are affected by factors concerning residence,living condition,educational level,main economic source,monthly income,medical expenses payment,course and number of chronic diseases,etc.
作者
罗理尹
杨连招
高慧
陈玲
黄巧荣
覃帆
张燎芝
LUO Liyin;YANG Lianzhao;GAO Hui;CHEN Ling;HUANG Qiaorong;QIN Fan;ZHANG Liaozhi(Nursing School,Guangxi University of Chinese Medicine,Nanning 530200,Guangxi,China)
出处
《广西医学》
CAS
2023年第22期2735-2743,共9页
Guangxi Medical Journal
基金
广西哲学社会科学研究课题(20FGL024)。
关键词
社区医疗护理
服务需求
老年人
影响因素
安德森模型
南宁市
Community health care services
Demand conditions
The elderly
Influencing factors
The Anderson model
Nanning
