本文選題：老年 + 骨折�。� 參考：《延邊大學(xué)》2017年碩士論文

【摘要】：目的:分析延邊地區(qū)老年骨折患者的居家護(hù)理需求、生活自理能力及社會(huì)支持的現(xiàn)狀及關(guān)系,探討延邊地區(qū)老年骨折患者居家護(hù)理需求的影響因素,為完善居家護(hù)理服務(wù)提供理論依據(jù)。方法:本研究屬于非實(shí)驗(yàn)性研究中的相關(guān)性研究。采用便利抽樣方法,選取延邊朝鮮族自治州下屬的延吉市、敦化市、安圖縣、琿春市等6家二級(jí)以上的綜合性醫(yī)院的老年骨折患者進(jìn)行問(wèn)卷調(diào)查。本次共發(fā)放問(wèn)卷660份,回收有效問(wèn)卷654份,有效回收率99.1%。研究工具包括社會(huì)人口學(xué)調(diào)查表、骨折居家護(hù)理需求預(yù)測(cè)量表、生活自理能力量表、社會(huì)支持評(píng)定量表。應(yīng)用SPSS17.0統(tǒng)計(jì)軟件對(duì)收集的資料進(jìn)性統(tǒng)計(jì)分析,采用百分率、均數(shù)、標(biāo)準(zhǔn)差、獨(dú)立樣本t檢驗(yàn)、單因素方差分析、Spearman相關(guān)分析、多元線性回歸分析等統(tǒng)計(jì)學(xué)方法。結(jié)果:(1)延邊地區(qū)老年骨折患者居家護(hù)理總需求平均得分為(14.99±9.28)分,需求率為91.7%,需求較高。在年齡、性別、民族、婚姻狀況、文化程度、曾從事職業(yè)、家庭人均月收入、居住情況、居家照顧者、骨折部位、疾病知識(shí)了解程度等方面差異具有統(tǒng)計(jì)學(xué)意義(p0.05)。(2)研究對(duì)象的生活自理能力:完全依賴者76人(11.6%);重度依賴者183人(28%);中度依賴者183人(28%);輕度依賴者170人(26%);獨(dú)立自理者42人(6.4%)。在性別、年齡、婚姻狀況、文化程度、居住情況、骨折部位等方面差異有統(tǒng)計(jì)學(xué)意義(p0.05)。(3)老年骨折患者社會(huì)支持總得分為(36.63±7.28)分,為中等社會(huì)支持水平。在性別、年齡、婚姻狀況、文化程度、家庭人均月收入、醫(yī)療支付方式、居住情況、居家照顧者、骨折部位等方面差異有統(tǒng)計(jì)學(xué)意義(p0.05)。(4)延邊地區(qū)老年骨折患者居家護(hù)理需求、生活自理能力及社會(huì)支持之間具有相關(guān)性。研究對(duì)象居家護(hù)理需求與生活自理能力呈負(fù)相關(guān)(r=-0.376,p0.01)、.居家護(hù)理需求與社會(huì)支持呈負(fù)相關(guān)(r=-0.104,p0.01)、生活自理能力與社會(huì)支持呈正相關(guān)(r=0.132,p0.01)。(5)對(duì)各影響因素采用多元線性回歸分析得出自理能力、家庭人均月收入、婚姻狀況、文化程度為居家護(hù)理需求的主要影響因素。結(jié)論:延邊地區(qū)老年骨折患者居家護(hù)理需求的總體需求較高為91.7%,需求較高;居家護(hù)理需求、生活自理能力、社會(huì)支持三者之間具有相關(guān)性;其中生活自理能力、家庭人均月收入、婚姻狀況、文化程度四個(gè)方面是延邊地區(qū)老年骨折患者居家護(hù)理需求的主要影響因素。
[Abstract]:Objective: to analyze the status quo and relationship of home nursing needs, living ability and social support of senile fracture patients in Yanbian area, and to explore the influencing factors of home nursing needs of senile fracture patients in Yanbian area. To provide theoretical basis for improving home nursing service. Methods: this study is a non-experimental study. With the convenient sampling method, the elderly fracture patients in Yanji, Dunhua, Antu, Hunchun and other general hospitals of Yanbian Korean Autonomous Prefecture were investigated by questionnaire. A total of 660 questionnaires were sent out, 654 valid questionnaires were collected, and the effective recovery rate was 99.1%. The research tools include social demography questionnaire, family nursing demand prediction scale, self-care ability scale, and social support rating scale. The statistical methods of percentage, mean, standard deviation, independent sample t test, single factor variance analysis and multivariate linear regression analysis were used in the statistical analysis of the data collected by SPSS17.0 statistical software. Results the average score of home nursing demand of senile fracture patients in Yanbian was 14.99 鹵9.28, the demand rate was 91.7, and the demand was high. In age, sex, nationality, marital status, education, previous occupation, monthly income per family, living conditions, home caregivers, fracture site, There were significant differences in understanding degree of disease knowledge between two groups (P < 0.05).) the self-care ability of the subjects was as follows: totally dependent 76 persons, heavy dependence 183, moderate dependence 183, mild dependence 170, and independent self-care 42, 6.40.The subjects' ability to take care of themselves was as follows: totally 76 patients were totally dependent; 183 were highly dependent; 183 were moderately dependent; 170 were mildly dependent; and 42 were independent. There were significant differences in sex, age, marital status, education level, living condition, fracture site and so on. The total score of social support for elderly patients with fracture was 36.63 鹵7.28, which was the middle level of social support. There were significant differences in sex, age, marital status, education level, family average monthly income, medical payment method, living condition, family carer, fracture site, etc.) the home nursing needs of senile fracture patients in Yanbian area were significant. There is a correlation between self-care and social support. There was a negative correlation between home nursing demand and self-care ability. There was a negative correlation between home nursing demand and social support. There was a positive correlation between self-care ability and social support. The multiple linear regression analysis was used to obtain self-care ability, monthly income per family and marital status. Education level was the main influencing factor of home nursing demand. Conclusion: the total demand for home nursing care of senile fracture patients in Yanbian area is 91.7, and the demand is higher, the demand for home nursing care, living self-care ability and social support are related, among them, the ability of living self-care, and so on. Family average monthly income, marital status and education level were the main influencing factors of nursing needs of elderly fracture patients in Yanbian area.
【學(xué)位授予單位】：延邊大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.2
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本文編號(hào)：1966898