山东省某农村“空巢老人”卫生保障现状调查及护理伦理分析

Healthcare Survey and Ethical Analysis on the Nursing of "Empty Nest Elderly" in a Village in Shandong Province

目的了解农村"空巢老人"卫生保障现状、护理伦理情况及相关影响因素,为进一步提高老年人生活护理质量、改善其护理伦理现状提供依据。方法采用随机访谈及自行编制的调查问卷,对山东省某市某城郊结合型新农村120名"空巢老人"的卫生保障状况及护理伦理现状进行调查分析。结果 92.2%的"空巢老人"患有不同程度的慢性疾病;72.4%的"空巢老人"缺乏具有针对性的康复保健类知识宣教;多数"空巢老人"对现有就医情况基本满意,但"新农合"报销比例较低。部分护理人员责任心不强,缺乏人文关怀。结论护理人员应增加家庭访视次数,强化服务理念、提升护理质量;开展具有针对性的健康知识宣教,加强老年护理工作中的人文关怀;切实维护老年患者利益,有计划地提高"新农合"报销比例。

Objective ：T0 investigate me status of heahhcare, nursing and related influencing factors of ＂empty nest elderly＂ in villages, to provide references for improving their nursing quality of life and the nursing ethics. Method ：Using randomized interview and self- administered questionnaire in 120 ＂empty nest elderly＂ in a subur ban new type village in Shandong province to investigate the healthcare condition and nursing ethics. Result ：92. 2% of the elderly had different degrees of chronic diseases ; 72.4% of them lacked of targeted rehabilitation care and education ; most of them had basic satisfaction for the current heahhcare, but they thought the new rural coop- erative medical system had a low reimbursement ratio. Some nursing staff had a weak sense of responsibility and hu- manistic care. Conclusion ： Nursing staff should increase family visit frequency, strengthen the service concept, im- prove nursing quality; we should carry out health knowledge propaganda and education accordingly, strengthen the old age nursing work with humanistic care; safeguard the interests of elderly patients, improve the reimbursement ratio of the new rural cooperative medical system in a planned way.