长春市社区老年人卫生服务需求与健康状况相关性研究

摘要

Objective:To study community health service demand and health status of elderly of communities in Changchun City,and study the correlation between the two of above,to provide a reference for the community workers to improve the quality of community health services for the elderly and elderly health in Changchun communities.Methods:General demographic information questionnaire,health service demand questionnaire and health questionnaire were used to survey 280 elderly people in communities in Changchun City.Results:The average score of community elderly's health services demand was (2.15± 1.76),and each service demand order from high to low was health services(50.7％),nursing care(31.1％),family wards (28.6％),personal care (25.0％),compassionate hiring (19.6％),doctor visit a patient (14.3％),visit a systemic evaluation(10.7％),continuous monitoring (5.4％) and therapeutic training (4.3％).Health status average score (51.56±17.58) was in the medium level.Health service demand and health status have significantly negative correlation(r=0.356,P＜0.01).Conclusion:The community health care workers should provide medical and nursing services specifically based on the elderly's health service demands,improve the community health service satisfaction,and promote the community elderly's physical and mental health.%目的:了解长春市社区老年人卫生服务需求与健康状况,研究二者相关性,为提高社区卫生服务质量及促进老年人健康提供参考依据.方法:采用一般人口学资料调查表、卫生服务需求调查表、健康状况调查表对长春市280名社区老年人进行问卷调查.结果:长春市社区老年人卫生服务需求平均得分为(2.15±1.76),各项服务需求度由高到低依次为:医疗服务(50.7％)、护理性照顾(31.1％)、家庭病房(28.6％)、个人照顾(25.0％)、照顾性雇佣(19.6％)、医生出诊(14.3％)、系统性评估(10.7％)、持续性监护(5.4％)和治疗性训练(4.3％).健康状况平均得分为(51.56±17.58),处于中等水平.卫生服务需求与健康状况呈显著负相关(r=-0.356,P＜0.01).结论:社区医护工作者应根据老年人的卫生服务需求,有针对性地提供医疗和护理服务,提高社区卫生服务满意度,促进社区老年人身心健康.