太原市居家患者护理需求的调查分析

Investigation and analysis of nursing demand in patients with home care in Taiyuan city

目的：了解太原市居家患者的护理需求及相关意愿,为居家护理的进一步开展提供依据。方法自行设计调查问卷,采用便利抽样法对太原市10个社区的500名居家患者进行居家护理需求调查。结果有居家护理需求的患者为390例（78.0%）,其中居家护理服务需求排序前3项为：疾病预防知识指导208例（53.3%）,测血压205例（52.6%）,定期体检、建立健康档案202例（51.8%）。需要居家护理服务由医院护士提供的有226例（57.9%）,患病种类不同的研究对象对服务提供者的选择差异有统计学意义（χ^2=6.786,P〈0.05）。需要居家护理服务按服务项目类别收费的有221例（56.7%）,希望通过医保报销的234例（60.0%）。结论居家护理服务是未来护理发展的方向,应响应政策号召,以需求为导向,建立居家护理服务体系,满足人民群众多元化的需求。

Objective To study the willingness to home care needs of patients, in order to provide a basis for the further development of home care. Methods The self-designed questionnaire was used in the study. By using the convenience sampling method,500 patients with home care in 10 communities in Taiyuan city were surveyed. Results A total of 390 cases （78. 0%） had the demand of home care. The top 3 demands were that 208 cases （ 53. 3%） needed the disease prevention knowledge instruction, 205 cases （ 52. 6%） needed the measurement of blood pressure, and 202 cases （51. 8%） needed to set up the health records and the regular physical examination. 226 patients （ 57. 9%） required the home care services provided by hospital nurses. There was significant difference in the choices of home care providers in patients with different disease （χ^2 =6. 786,P〈0. 05）. 221 cases （56. 7%） hoped that the cost of home care could be charged according to the service items. 234 cases （60. 0%）hoped that the home care costs could be covered by the health insurance. Conclusions Home care service is the development direction of future nursing. It should be responded to an appeal by the policy and become demand-oriented. We should set up home care service system, to meet people′s diversified needs.