成都市社区高龄老人居家养老服务现况及其影响因素

doi:10.3969/j.issn.1003-9198.2023.06.005

实用老年医学 ›› 2023, Vol. 37 ›› Issue (6): 555-559.doi: 10.3969/j.issn.1003-9198.2023.06.005

成都市社区高龄老人居家养老服务现况及其影响因素

邓传瑶, 侯利莎, 刘爽, 曹立, 林秀芳, 董碧蓉, 岳冀蓉

610041 四川省成都市,国家老年疾病临床医学研究中心(四川大学华西医院)(邓传瑶,侯利莎,曹立,林秀芳,董碧蓉,岳冀蓉);
100029 北京市,中日友好医院保健部二部(刘爽)

收稿日期:2022-06-30 出版日期:2023-06-20 发布日期:2023-06-28
通讯作者: 岳冀蓉,Email:yuejirong11@hotmail.com
基金资助:
国家重点研发计划重点专项课题(2018YFC2002401,2018YFC2002405);国家老年疾病临床医学研究中心(四川大学华西医院)立项资助课题(Z20192009)

Current situation and influencing factors of home care services for community oldest-old adults in Chengdu

DENG Chuan-yao, HOU Li-sha, LIU Shuang, CAO Li, LIN Xiu-fang, DONG Bi-rong, YUE Ji-rong

National Clinical Research Center for Geriatrics (West China Hospital), Chengdu 610041, China(DENG Chuan-yao, HOU Li-sha, CAO Li, LIN Xiu-fang, DONG Bi-rong, YUE Ji-rong);
Health Department, China-Japan Friendship Hospital, Beijing 100029, China(LIU Shuang)

Received:2022-06-30 Online:2023-06-20 Published:2023-06-28
Contact: YUE Ji-rong, Email: yuejirong11@hotmail.com

摘要/Abstract

摘要： 目的了解成都市社区高龄老人居家养老服务现况及其影响因素。方法选择成都市4个社区年龄≥80岁的居家老人进行入户调查,了解其健康现状及养老服务需求。采用多因素Logistic回归分析社区高龄老人居家养老服务需求的影响因素。结果本研究共调查336名高龄老人,其中男168名,女168名;平均年龄(84.63±3.95)岁;居家养老服务需求以医疗保健类和日常生活照料类服务为主。多因素Logistic回归分析结果显示:年龄、居住情况、日常生活能力、认知功能、慢性病数目、健康状态自评结果是日常生活照料类服务需求的影响因素;居住情况、日常生活能力、多重用药情况、健康状态自评结果是医疗保健类服务需求的影响因素;抑郁状况、健康状态自评结果是精神慰藉类服务需求的影响因素。结论成都市社区高龄老人的居家养老服务需求以医疗保健类和日常生活照料类服务为主。健康状态自评结果对居家养老服务需求的影响较大,社区应对有健康问题的老人建立有针对性的个体管理方案。

关键词: 高龄老人, 社区, 居家养老服务, 影响因素

Abstract: Objective To investigate the current situation and influencing factors of home care services for community oldest-old adults in Chengdu. Methods The elderly aged≥80 years old in four communities in Chengdu were selected to conduct a household survey to investigate their health characteristics and the demands for home care services. Multivariate Logistic regression was used to analyze the influencing factors of the demands for home care services in the community oldest-old adults. Results A total of 336 oldest-old adults were investigated in this study, including 168 male and 168 female; with an average age of 84. 63±3.95 years; The main demands for home care services were medical care and daily life care services.Multivariate Logistic regression analysis showed that age, living condition, activity of daily living, cognitive function, the number of chronic diseases and self-rated health status were the influencing factors of the demands for daily life care services;Living condition, activity of daily living, multiple drug use, and self-rated health status were the influencing factors of the demands for medical care services;While depression and self-rated health status were the influencing factors of the demands for mental comfort services. Conclusions The main demands for home care services for the oldest-old adults in Chengdu community are medical care and daily life care services. The results of self-rated health status have a greater impact on the demands for home care services, and the community should establish targeted individual management programs for the elderly with healthy problems.

Key words: oldest-old adults, community, home care services, influencing factor

中图分类号:

R 473.2

邓传瑶, 侯利莎, 刘爽, 曹立, 林秀芳, 董碧蓉, 岳冀蓉. 成都市社区高龄老人居家养老服务现况及其影响因素[J]. 实用老年医学, 2023, 37(6): 555-559.

DENG Chuan-yao, HOU Li-sha, LIU Shuang, CAO Li, LIN Xiu-fang, DONG Bi-rong, YUE Ji-rong. Current situation and influencing factors of home care services for community oldest-old adults in Chengdu[J]. Practical Geriatrics, 2023, 37(6): 555-559.

参考文献

[1] 国家统计局,国务院第七次全国人口普查领导小组办公室.第七次全国人口普查公报(第五号)[EB/OL].(2021-05-11) [2022-03-10].http://www.stats.gov.cn/sj/tjgb/rkpcgb/qgrkpcgb/202302/t20230206_1902005.htm
[2] 成都统计局. 成都市第七次全国人口普查公报(第四号)——人口年龄构成情况[EB/OL]. (2021-5-27) [2022-03-10]. http://cdstats.chengdu.gov.cn/cdstjj/c154795/2021-05/27/content_8213ae71f57548efba702b13066d355b.shtml
[3] 杨颖,郝秋奎,林秀芳, 等.老年人居家养老需求及其影响因素系统评价[J].现代临床医学,2017,43(6):466-470.
[4] 同春芬,汪连杰.“互联网+”时代居家养老服务的转型难点及优化路径[J].广西社会科学,2016(2):160-166.
[5] 青连斌.我国养老服务业发展的现状与展望[J].中共福建省委党校学报,2016(3):75-83.
[6] MANN E, KOLLER M, MANN C, et al. Comprehensive Geriatric Assessment (CGA) in general practice: results from a pilot study in Vorarlberg, Austria[J]. BMC Geriatr, 2004, 4:4.
[7] TKACHEVA O N, RUNIKHINA N K, OSTAPENKO V S, et al. Prevalence of geriatric syndromes among people aged 65 years and older at four community clinics in Moscow[J]. Clin Interv Aging, 2018, 13:251-259.
[8] 穆光宗,朱泓霏.中国式养老:城市社区居家养老研究[J].浙江工商大学学报,2019(3):92-100.
[9] MAHONEY F I, BARTHEL D W. Functional evaluation: the Barthel Index [J]. 1965, 14(1): 61-65.
[10] LAWTON M P, BRODY E M. Assessment of older people: self-maintaining and instrumental activities of daily living[J]. Gerontologist, 1969, 9(3):179-186.
[11] FRIED L P, TANGEN C M, WALSTON J, et al. Frailty in older adults: evidence for a phenotype[J]. J Gerontol A Biol Sci Med Sci, 2001, 56(3):M146-M156.
[12] WILSON M M, THOMAS D R, RUBENSTEIN L Z, et al. Appetite assessment: simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents[J].Am J Clin Nutr, 2005, 82(5):1074-1081.
[13] TARIQ S H, TUMOSA N, CHIBNALL J T, et al. Comparison of the Saint Louis University mental status examination and the mini-mental state examination for detecting dementia and mild neurocognitive disorder--a pilot study [J]. Am J Geriatr Psychiatry, 2006, 14(11):900-910.
[14] ARROLL B, KHIN N, KERSE N. Screening for depression in primary care with two verbally asked questions: cross sectional study[J]. BMJ, 2003, 327(7424):1144-1146.
[15] SIPE J C,KNOBLER R L, BRAHENY S L, et al. A neurologic rating scale (NRS) for use in multiple sclerosis[J]. Neurology, 1984, 34(10):1368-1372.
[16] 国务院办公厅. 社会养老服务体系建设规划(2011-2015年)[EB/OL]. (2011-12-16) [2022-06-28]. http://www.gov.cn/gongbao/content/2012/content_2034729.htm
[17] 成华威.长春市老年人社区居家养老服务需求调查[J].中国农村卫生事业管理,2016,36(6):722-724.
[18] 蔡山彤,敖楹婧.城市老年人居家养老服务需求及影响因素——基于成都的社会调查[J].人口与社会,2016,32(3):23-35.
[19] 张卫红,袁慧琳,靳岩鹏, 等.社区老年人居家养老服务需求及影响因素[J].中国老年学杂志,2016,36(12):3032-3033.
[20] 王琼.城市社区居家养老服务需求及其影响因素——基于全国性的城市老年人口调查数据[J].人口研究,2016,40(1):98-112.
[21] 郑娟,许建强,卓朗,等.健康状况对老年人居家养老服务需求影响[J].中国公共卫生, 2020, 36(4):545-548.
[22] BINDER E F, SCHECHTMAN K B, EHSANI A A, et al. Effects of exercise training on frailty in community-dwelling older adults: results of a randomized, controlled trial[J]. J Am Geriatr Soc, 2002, 50(12):1921-1928.
[23] JACKSON T, CHEN H, IEZZI T, et al. Prevalence and correlates of chronic pain in a random population study of adults in Chongqing, China [J]. Clin J Pain, 2014, 30(4):346-352.

成都市社区高龄老人居家养老服务现况及其影响因素

Current situation and influencing factors of home care services for community oldest-old adults in Chengdu

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