中山市农村老年人对社区护理需求和就医意向分析

Study on the Community Care Needs and Health-seeking Orientation of the Rural Old Residents in Zhongshan City

目的:探讨广东省中山市农村老年人对社区的护理需求和就医意向情况,为制定科学的农村老年人社区护理策略提供科学依据。方法:采用系统抽样方法,在广东省中山市3个镇对4800名60岁及以上的农村老年人进行问卷调查。结果:社区护理需求方面:中山市农村老年人对健康教育类和辅助监测类护理需求较高,其中健康咨询(42.9%)、营养和饮食指导(40.0%)、服药指导(34.6%)、血糖监测(34.6%)和血压监测(37.0%)的需求最大;就医意向方面:有64.7%的居民表示患病时首选社区卫生服务机构就医,首选社区卫生机构就诊的最主要原因是距离近就诊方便(占50.2%),而不愿意首诊在社区的最主要原因是认为社区卫生机构人员素质不高(5.3%)。结论:中山农村老年人对社区护理的需求较高,但对基层医疗机构的就医意向有待提高,应加强社区护理的建设,满足居民的护理需求,提高农村老年人的健康管理水平。

Objective：To explore the community care needs and health-seeking orientation of the rural old residents in Zhongshan City,and provided scientific basis for community nursing strategy for the old residents.Method：4800 rural old residents aged 60 and above were selected by systematic sampling method and made questionnaire investigations at 3 townships in Zhongshan city.Result：Most of rural old residents need community nursing,they need community nursing such as health counseling（42.9%）,nutritional direction（40.0%）,patient compliance instruction（34.6%）,blood sugar monitoring（34.6%）and blood pressure monitoring（37.0%）.64.7% of rural old residents selected community health service institutions for treatment when they were sick. The main reason that they selected community health service institutions for treatment was medical convenience（50.2%）,and the main reason that they did not select community health service institutions for treatment was the low quality of medical personnel in community health service institutions（5.3%）. Conclusion：The community care needs of the rural old residents in Zhongshan city is high,and health-seeking orientation for community health service institutions should be improved. Community should build community nursing service net on the base of rural old residents s requirements and improved the health management for rural old residents.