老年慢性病家庭照顾者支持性服务需求及影响因素分析

Analysis on supporting service needs and influencing factors of elderly chronic family caregivers

[目的]探讨老年慢性病家庭照顾者支持性服务需求现状及主要影响因素,为相关机构和部门开展针对性的照顾者支持性服务提供依据。[方法]采用方便抽样法,利用自制的老年慢性病家庭照顾者支持性服务需求问卷对云南省2个医疗机构的320名家庭照顾者进行问卷调查,分析照顾者需求及其影响因素。[结果]家庭照顾者支持性服务需求得分为(93.82±16.13)分;各维度得分为:专业医疗支持性服务需求(42.66±5.52)分、社区支持性服务需求(23.53±7.61)分、个人情感需求(14.19±4.52)分及政策需求(13.4±2.99)分;条目中需求最高的3项为:老年人用药相关信息、社区传递相关医疗政策及专业的电话求助;需求最低的3项为:社区为老年人提供托管、送餐及陪伴服务。多元线性回归分析结果显示:老年患者的日常生活能力、与照顾者关系、照顾者健康状态、照顾时间及照顾者年龄是影响老年慢性病家庭照顾者支持性服务需求的主要因素。[结论]老年慢性病家庭照顾者支持性服务需求迫切,其中专业医疗支持性服务需求最高,影响该人群照顾需求的因素较多。

ObjectiveTo explore the status quo and major influencing factors of supportive services needs for elderly chronic diseases family caregiversso as to provide basis for related organization and department to develop targeted supportive services for caregivers.Methods It used convenient sampling method,self-made questionnaire to survey 320 elderly chronic diseases family caregivers from two medical institutions in Yunnan province,analyzed the needs and influencing factors of the caregivers.Results The score of supportive services needs of family caregivers was(93.82±16.13).The score of each dimensionality was that professional medical support services demand was(42.66±5.52),community support services demand was(23.53±7.61),personal feelings demand was(14.19±4.52)and policy demand was(13.4±2.99).The highest three demands of the items were that the elderly medication related medical information,community policy and professional telephone for help.The lowest three demands of the items were thatthe community provides collocation for the elderly,food delivery and escort services.The results of multiple linear regression analysis showed that ADL of elderly patients,relationship with caregivers,health status of caregivers,time of care and age of caregivers were main factors which influenced the needs of supportive services for elderly chronic family caregivers.Conclusions It is impendency for the demand of supportive services needs for elderly chronic diseases family caregivers,among which the demand of professional medical supportive services is the highest.There are many factors of influencing care demand for this group.n urgent need for supportive services,professional medical supportive services have the highest demand.