普陀区老年人长期照护服务需求及其影响因素分析

摘要

目的：了解普陀区老年人长期照护服务需求的现状及其影响因素，为制定《普陀区区域卫生规划（2014—2020年）》提供依据。方法：按地理位置、年龄构成在全区分层抽取3600名60岁及以上的老年人，对每个研究对象进行面对面的问卷调查；收集资料后运用logistic回归对影响普陀区老年人长期照护服务需求的因素进行相关分析。结果：慢性病护理服务和生活帮助服务在普陀区老年人长期照护需求中排前两位，日常生活活动能力得分和是否患慢性病对长期照护服务需求的5个方面都有影响，性别、婚姻状况等因素对老年人长期照护服务需求的影响不明显。讨论：普陀区老年人长期照护服务需求的层次在提高。政策制定者应更加关注无医保老年人的照护需求。%Objective:To investigate the long-term care needs of the elderly and their influencing factors in Putuo District,and to put forward suggestions for decision making ofRegional Health Planning 2014-2020 of Putuo District. Methods:The elderly in Putuo District who were 60 years old and above were stratified according to their geographic position and age;questionnaire survey were conducted in 3 600 samples selected. Then,logistic regression was carried out to identify the influencing factors of long-term care needs.Results:Chronic disease nursing services and life supporting services were the first and second long-term care needs;activities of daily living scores and chronic disease condition affected the needs in all five aspects;gender and marriage were of little effect.Conclusion:The elderly in Putuo District are seeking long-term care needs of higher levels. It is suggested that the decision makers pay more attention to the elderly without medical insurance coverage.