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

Abstract

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

CLC Number:

R 473.2

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.

References

[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.

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

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