【摘要】：醫(yī)養(yǎng)結(jié)合養(yǎng)老模式,是傳統(tǒng)養(yǎng)老模式的延伸和升級(jí),就是重審養(yǎng)老服務(wù)的特殊性,更加注重老年人的健康,將老年人的健康醫(yī)療服務(wù)放在養(yǎng)老的首位,以區(qū)別傳統(tǒng)的單純?yōu)槔夏耆颂峁┗旧罘⻊?wù)的養(yǎng)老服務(wù)。它不但包括傳統(tǒng)的生活照料服務(wù),更突出的是包括醫(yī)療康復(fù)保健服務(wù),是集醫(yī)療、健康咨詢、健康檢查、疾病診療和護(hù)理、大病康復(fù)以及臨終關(guān)懷為一體的養(yǎng)老服務(wù)模式。本研究調(diào)查地點(diǎn)為一家醫(yī)養(yǎng)結(jié)合定點(diǎn)養(yǎng)老機(jī)構(gòu)和一家普通養(yǎng)老機(jī)構(gòu),調(diào)查對(duì)象為以60歲為下限的正常老年人,共調(diào)查老年人260人,實(shí)際完成調(diào)查233人,應(yīng)答率為89.6%,其中失能老人106人,實(shí)際完成調(diào)查89人,應(yīng)答率為84%,自理老人154人,實(shí)際完成調(diào)查144人,應(yīng)答率為93.5%。本研究從老年人的生活質(zhì)量的視角出發(fā),采用ADL量表對(duì)老年人的自理程度進(jìn)行評(píng)估,采用WHOQOL-BREF量表對(duì)老年人的生活質(zhì)量進(jìn)行測(cè)量,通過對(duì)比分析對(duì)不同自理程度的老年人的生理、心理、社會(huì)關(guān)系及環(huán)境領(lǐng)域的生活質(zhì)量進(jìn)行分析,結(jié)果顯示醫(yī)養(yǎng)結(jié)合定點(diǎn)養(yǎng)老院對(duì)老年人生理領(lǐng)域的生活質(zhì)量并沒有顯著影響,醫(yī)養(yǎng)結(jié)合定點(diǎn)養(yǎng)老院中的老年人整體的生活質(zhì)量高于普通養(yǎng)老院中的老年人,主要體現(xiàn)在失能老人環(huán)境領(lǐng)域的生活質(zhì)量和自理老人心理領(lǐng)域、社會(huì)關(guān)系領(lǐng)域、環(huán)境領(lǐng)域的生活質(zhì)量比普通養(yǎng)老院中的老年人生活質(zhì)量高。通過對(duì)老年人生活質(zhì)量的研究發(fā)現(xiàn)醫(yī)養(yǎng)結(jié)合定點(diǎn)養(yǎng)老院雖然對(duì)老年人生理領(lǐng)域的生活質(zhì)量并沒有顯著影響,但是醫(yī)養(yǎng)結(jié)合定點(diǎn)養(yǎng)老院中的老年人整體的生活質(zhì)量高于普通養(yǎng)老院中的老年人,主要體現(xiàn)在失能老人環(huán)境領(lǐng)域的生活質(zhì)量和自理老人心理領(lǐng)域、社會(huì)關(guān)系領(lǐng)域、環(huán)境領(lǐng)域的生活質(zhì)量比普通養(yǎng)老院中的老年人生活質(zhì)量高,因此我們認(rèn)為醫(yī)養(yǎng)結(jié)合養(yǎng)老模式在養(yǎng)老院中值得進(jìn)一步推廣。
[Abstract]:The mode of combining medical care with old-age care is the extension and upgrading of the traditional old-age mode, that is, to reexamine the particularity of the old-age service, pay more attention to the health of the elderly, and put the health medical service of the elderly in the first place of providing for the aged. In order to distinguish the traditional simply for the elderly to provide basic living services for the elderly pension services. It not only includes the traditional life care service, but also includes the medical rehabilitation health care service, which is a pension service mode which integrates medical treatment, health consultation, health examination, disease diagnosis, treatment and nursing, rehabilitation of serious illness and hospice care. In this study, a medical care combined with designated pension institution and an ordinary old-age institution were investigated. The subjects were the normal elderly with the age of 60 as the lower limit. A total of 260 elderly people were investigated, and the actual survey was completed. The response rate was 89.6%. Among them, 106 were disabled, 89 were actually surveyed, the response rate was 84%, the self-care elderly were 154, and 144 were actually completed, the response rate was 93.5%. In this study, from the perspective of quality of life of the elderly, ADL scale was used to evaluate the degree of self-care of the elderly, and WHOQOL-BREF scale was used to measure the quality of life of the elderly. Through comparative analysis of physical, psychological, social relations and quality of life in the field of environment of the elderly with different degrees of self-care, the results showed that the combination of medical and nursing care with designated nursing homes had no significant effect on the quality of life of the elderly in the physiological field. The overall quality of life of the elderly in the designated nursing home is higher than that in the ordinary nursing home, which is mainly reflected in the quality of life of the disabled elderly in the field of environment, the psychological field of self-care of the elderly, and the field of social relations. The quality of life in the field of environment is higher than that in ordinary nursing homes. Through the study of the quality of life of the elderly, it is found that the combination of medical and nursing care with designated nursing homes has no significant effect on the quality of life of the elderly in the physiological field. However, the overall quality of life of the elderly in the designated nursing home is higher than that in the ordinary nursing home, which is mainly reflected in the quality of life of the disabled elderly in the field of environment, the psychological field of self-care of the elderly, and the field of social relations. The quality of life in the field of environment is higher than that in ordinary nursing homes, so we think that the model of combining medical care with old-age care is worth further popularizing in nursing homes.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：D669.6;R197.1

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