养老机构自理和半自理老年人护理服务框架及人员资质研究

Nursing service frame and minimum staffing qualification for independent living and assisted living elders in long-term care facilities

目的:构建适合我国的养老机构自理和半自理老年人护理服务内容体系。方法:采用德尔菲法,通过对18名专家的两轮咨询,确定养老机构自理和半自理老年人护理服务框架及服务人员最低资质。结果:两轮咨询问卷的有效回收率分别为75%和100%,专家咨询的权威系数为0.874,判断系数为0.881,熟悉程度为0.867,专家意见协调性好;形成的养老机构护理服务内容体系包括3个服务业态,即独立生活区、辅助生活区和长期护理区;其中独立生活区包括2项一级指标、5项二级指标、18项三级指标,辅助生活区包括2项一级指标、13项二级指标、45项三级指标。结论:养老机构护理服务内容体系经检验,结果真实、科学、可靠,可为养老机构规范护理服务、配置护理人员等奠定基础。

Objective： To construct nursing service frame for independent living and assisted living aged people in long-term care facilities. Methods： Delphi technique was used to construct index system of nursing service frame and minimum staffing qualification in long-term care facilities through a two-round expert consultation among 18 experts. Results： The effective response rates of two rounds＇ questionnaires were 75% and 100%, respectively. The experts＇ authority, determination, and familiar coefficient were 0.874, 0.881, and 0.867. The compatibility of experts＇ opinion was statistically significant（P0.01）. After two rounds of consultation, the index system of nursing service frame in long-term care facilities was developed, including 3 types of service situation, namely independent living unit, assisted living unit and skilled nursing unit. In independent living unit, there were 2 first level items, 5 second level items and 18 third level items. In assisted living unit, there were 2 first level items, 13 second level items and 45 third level items. Conclusion： The index system of nursing service frame and minimum staffing qualification in long-term care facilities are reliable and scientific, which can provide a basis for standardization of nursing service and nurse staffing allocation in long-term care facilities.