傣藏侗族重度失能老人的慢病和生活状况及养老需求研究

A Study of the Chronic Diseases and Living Conditions and Needs Among 3 Ethnic Minority Groups in China

为了了解傣藏侗重度失能老人的慢性病罹患和生活状况及养老需求,采用以生命历程的研究范式与方法,对32位慢病导致重度失能的民族老人进行深度访谈。同时,以问卷调查老年人的健康状况、生活现状、照护情况以及养老需求。结果显示,绝大多数民族重度失能老人均同时患有多种慢病。民族老人都老有所养,但只停留在基本生活照料的层面。民族地区家庭仍然发挥着重要的养老功能,尊老养老的文化仍在传承;老人对养老的要求低。在此基础上得出结论,老人对支持社区和居家养老服务及健康指导的需求巨大。因此,应大力加强少数民族农村地区慢性病三级预防。

To learn about the chronic diseases and living conditions of Dai Tibetan Dong and the elderly.Methods:the study paradigm and method of life course were used to conduct in-depth interviews with the elderly people with severe disability caused by 32 slow diseases.At the same time,questionnaires were used to investigate the health of the elderly,living actuality,care and the need for the aged.Results:all people with severe disability suffered from one or more chronic diseases.Old people are old enough to be kept,but only on the basic life care level.The family of ethnic areas still plays an important pension function,and the culture of respecting the old-age pension is still being passed on.Old people have a low demand for old-age care,but healthy demand is huge.Recommendations:the minority rural areas urgently need to strengthen the tertiary prevention of chronic disease.