本文已被：浏览 5528次 下载 0次
中文摘要: 目的 了解养老机构中老年人身体功能情况和生存质量，开展养老机构医养结合需求分析，为养老机构内的医养结合机制建立提出建议。方法 抽取设置内设医疗机构的养老院和未设置内设医疗机构的养老院各2家， 分别采用日常生活能力(ADL)评分量表、简明健康调查问卷(SF-12)评估老年人的身体功能状况和生存质量，结合定性调查，了解养老院内医疗服务现状及存在的问题。结果 养老机构中80岁以上老年人占80%以上，生活基本能自理的占比仅为30%左右，老年痴呆及其引发的精神症状管理难度大，需要更为专业的医疗护理服务；患高血压、糖尿病等慢性病和身体功能评分较低的老年人生命质量相对较低。结论 养老机构中入住的老年人年龄高，医疗服务需求旺盛，需要通过提升护理专业化水平和多途径完善医养结合机制，满足高龄老年人养老中的健康服务需求。
Abstract:OBJECTIVE To investigate the physical function and quality of life the elderly in pension institutions, and to put forward suggestions for the establishment of medical care integration mechanism in pension institutions. METHODS The physical function and quality of life of the elderly were assessed by ADL scale and SF-12 questionnaire respectively in two pension institutions with built-in medical section and two pension institutions without built-in medical section. The existing problems of medical services in these pension institutions were investigated by qualitative survey. RESULTS The elderly above 80 years old accounted for more than 80% in pension institutions, and the proportion of basic self-care was only about 30%. The management of Alzheimer’s disease and mental symptoms caused by Alzheimer’s disease were very difficult, and more professional medical and nursing services were needed. The quality of life of the elderly with chronic diseases such as hypertension, diabetes and lower scores of physical function was relatively low. CONCLUSION The elderly living in old-age institutions had a high demand for medical services. It was necessary to improve the professional level of nursing care and improve the mechanism of combining medical care and health in many ways to meet the health service needs of the elderly in old-age care.
keywords: pension institutions elderly people physical function SF-12 combination of medical care and health
文章编号：3201907006 中图分类号：R195.4 文献标志码：
基金项目:
引用文本：