老年人中长期医疗照护管理模式评价标准的应用价值

随着老年期的来临，个体身体机能逐步退化甚至丧失，老年人中长期医疗照护几乎是每一人的必要需求。传统家庭式照料则面临着家庭核心化、空巢家庭增加、家庭照顾非专业化等因素的挑战。老年人中长期医疗照护工作涉及的护理工作面广，对护士能力要求高，其护理质量的高低关系到危重患者的抢救、

老年人中长期医疗照护实践

随着我国老龄化社会进程的加速,老年人的中长期护理问题成为诸多老年人问题中最棘手的难题之一。目前我国老年人中长期护理的三种主要模式各具特色,但均不能很好地解决老年人中长期护理问题。创建老年关怀病房进行中长期护理模式的探索,以引起社会的关注,为建立和完善养老护理为重点的公共卫生体系提供建议。

医院长期医疗照护护工管理现状与对策

目的探索院内长期医疗照护护工管理的现状，并寻找适宜的解决对策。方法通过采用问卷、访谈方法调查同类医院护工管理现状，结合我院护工管理进行探索与实践。结果患者及家属对护工工作的满意度从原来的76．7％上升到97．4％。结论不断地探索和改进提高医院护工管理的方法，是提高老年慢性病医院优质护理服务的关键。

Quality indicators for the care of older adults with disabilities in longterm care facilities based on Maslow’s hierarchy of needs

Purpose:This study aimed to develop quality indicators for the care of older adults with disabilities in long-term care facilities(LTCFs)based on Maslow’s hierarchy of needs.Methods:The draft of the quality indicators was drawn up based on a literature review and research group discussion.The quality indicators were finalized by two rounds of expert consultation(involving 15 experts)using the Delphi method.The Analytic Hierarchy Process was applied to calculate the indicators’weight.Results:The response rates of the two rounds of consultation were 100%and 93%,and the expert authority coefficients were 0.86 and 0.87.After two rounds of consultation,the expert opinion coordination coefficients of the first-,second-and third-level indicators were 0.42,0.25,and 0.96,respectively(P<0.05),and the variation coefficient was0.25.The final quality indicators for the care of older adults with disabilities in LTCFs included 7 first-level,19 second-level,and 107 third-level indicators.Conclusion:The quality indicators for the care of older adults with disabilities in LTCFs are reliable,scientific,comprehensive,and practical and specify the content of person-centered care needs.This can provide a reference for evaluating and improving care quality in LTCFs.