Effectiveness of Extended Care in Preventing Falls in Disabled Elderly and Its Impact on Quality of Life

Objective:To analyze the value of extended care interventions for disabled elderly in preventing falls and optimizing quality of life.Methods:A sample of 60 cases of disabled elderly in a tertiary hospital from May 2022 to May 2023 was selected and grouped by the random number table method.The observation group received extended care,while the control group adopted routine care.The differences in complication rate,fall rate,36-Item Short Form Health Survey(SF-36)score,health knowledge awareness score,and nursing satisfaction were compared.Results:The complication rate and fall rate of the disabled elderly in the observation group were lower than those in the control group,P<0.05;the SF-36 score,health knowledge score,and nursing satisfaction of the observation group were higher than those of the control group,P<0.05.Conclusion:Extended care for the disabled elderly can reduce the risk of falls and complications related to disability,as well as optimize their cognition and improve their quality of life,which is efficient and feasible.

Investigation and Countermeasures on the Health-Promoting Lifestyle of the Disabled Elderly in a Rural Area

Objective： To investigate the level of health-promoting lifestyle in the disabled elderly in a rural area and to provide useful countermeasures for health care workers and the government to improve the elderly＇ s lifestyle behaviors. Methods： A total of 446 disabled elderly people were recruited and examined using the General Questionnaire and Health-Promoting Lifestyle Profile II. Results： The mean score of the health-promoting lifestyle was 109.73（ SD = 16.80）, in which 90.6 percent of the disabled elderly demonstrated unhealthy lifestyle behaviors. The average score for each of the subscales includedthe following： interpersonal relations, stress management, nutrition, self-actualization, health responsibility, and sports activity. Conclusions： The health-promoting lifestyle of the disabled elderly needs to be improved; health care workers and the government should pay more attention to the countermeasures that can improve the lifestyle behaviors and promote the health of the disabled elderly.

Path Exploration for Long-term Care of Rural Disabled Elderly: A Case Study of G Town in South Shaanxi

Field survey of G Town in South Shaanxi indicates that current situations and existing problems of rural disabled elderly. According to these situations and problems,this paper analyzes difficulties in long-term care of rural disabled elderly. From the perspective of welfare pluralism,it comes up with development paths for long-term care of rural disabled elderly with joint participation of government,communities,non-profit organizations on the basis of the family endowment.

失能失智老人医疗服务需求满足及其影响因素

目的 调查失能失智老人医疗服务需求满足情况,分析其影响因素,为进一步完善失能失智老人医疗服务提供决策依据。方法 按分层整群抽样方法,在上海市杨浦和奉贤两区抽取60岁及以上失能失智老人402名,采用自制问卷调查。运用单因素分析比较不同状况下失能失智老人医疗服务需求满足情况,运用多因素分析失能失智老人医疗服务需求满足的影响因素。结果 失能失智老人医疗服务需求满足程度偏低,为41.0%。老年人日常生活是否能自理、是否有高血压病、是否需要慢性疾病日常配药和治疗、是否需要老年综合征治疗服务、是否有长期便秘、家人没空送老年人上医院、日常配药便利程度、选择在何处接受药物注射、选择在何处接受食物或尿液插管服务以及社区医生治疗水平不高等是影响失能失智老人医疗服务需求满足的主要因素。结论 失能失智老人医疗服务需求满足度不高,受多因素影响。应进一步加强失能失智老人慢性疾病、老年综合征治疗服务,积极推动多病共治的整合式医疗服务。加强社区和养老机构医疗服务设施建设,方便失能失智老人慢性疾病日常管理和医疗护理服务,不断提高失能失智老人医疗服务需求满足程度。