本文選題：養(yǎng)老機(jī)構(gòu) + 老年人��； 參考：《山東大學(xué)》2017年碩士論文

【摘要】：研究目的:1.通過(guò)客觀(guān)、全面的評(píng)估養(yǎng)老機(jī)構(gòu)老年人的生理、精神心理、社會(huì)功能與活動(dòng)能力來(lái)反映老年人的照護(hù)需求現(xiàn)狀。2.采用照護(hù)時(shí)間評(píng)估指標(biāo)調(diào)查養(yǎng)老機(jī)構(gòu)的服務(wù)供給現(xiàn)狀。3.分析老年人照護(hù)需求與機(jī)構(gòu)服務(wù)供給的關(guān)系,揭示機(jī)構(gòu)老年人需求的供給狀況。研究方法:本研究是一項(xiàng)橫斷面研究,使用方便抽樣法從濟(jì)南市五個(gè)區(qū)選取371位養(yǎng)老機(jī)構(gòu)老年人進(jìn)行問(wèn)卷調(diào)查。根據(jù)課題組前期構(gòu)建的養(yǎng)老機(jī)構(gòu)老年人照護(hù)需求評(píng)估體系,篩查每個(gè)評(píng)估指標(biāo)所對(duì)應(yīng)的發(fā)展成熟、適用于老年人的評(píng)估工具,構(gòu)成本研究的養(yǎng)老機(jī)構(gòu)老年人照護(hù)需求評(píng)估表,用于客觀(guān)、全面的評(píng)估機(jī)構(gòu)老年人的需求現(xiàn)狀。使用養(yǎng)老機(jī)構(gòu)老年人照護(hù)時(shí)間評(píng)估問(wèn)卷調(diào)查老年人每天都會(huì)接受哪些照護(hù),并由老年人估計(jì)各項(xiàng)照護(hù)活動(dòng)所用時(shí)間,用于反映養(yǎng)老機(jī)構(gòu)的服務(wù)供給現(xiàn)狀。采用SPSS21.0軟件對(duì)數(shù)據(jù)進(jìn)行分析,使用描述性分析法描述機(jī)構(gòu)老年人的一般人口學(xué)資料、照護(hù)需求現(xiàn)狀以及機(jī)構(gòu)的服務(wù)供給現(xiàn)狀,使用多元線(xiàn)性回歸、Logistic回歸方法分析機(jī)構(gòu)老年人需求與機(jī)構(gòu)服務(wù)供給的關(guān)系。研究結(jié)果:1.養(yǎng)老機(jī)構(gòu)中65.2%的老年人社會(huì)網(wǎng)絡(luò)不足,62%的老年人有認(rèn)知障礙,53.9%的老年人存在一種及以上的工具性日常活動(dòng)障礙,45.6%的老年人有睡眠障礙,42.6%的老年人營(yíng)養(yǎng)不良,42%的老年人有便秘癥狀,27.5%的老年人感覺(jué)到孤獨(dú),21%的老年人有一種及以上的行為癥狀,6.7%的老年人有中度及以上的視力障礙,5.7%的老年人有中、重度聽(tīng)力困難。2.養(yǎng)老機(jī)構(gòu)在日常生活照護(hù)上每天為老年人提供的照護(hù)時(shí)間為3-205.64分鐘,而80.3%的老年人表示從來(lái)沒(méi)有接受到相應(yīng)的專(zhuān)業(yè)照護(hù),83%的老年人沒(méi)有接受到精神慰藉,50.1%的老年人從來(lái)沒(méi)有接受到監(jiān)護(hù)服務(wù)。3.不同日�；顒�(dòng)能力、運(yùn)動(dòng)功能與有無(wú)工具性日常活動(dòng)障礙的老年人接受到的日常生活照護(hù)時(shí)間有統(tǒng)計(jì)學(xué)差異(P0.05),而有無(wú)視、聽(tīng)力損傷及認(rèn)知障礙的老年人接受到的日常生活照護(hù)時(shí)間并沒(méi)有統(tǒng)計(jì)學(xué)差異(P0.05);有無(wú)壓瘡、壓瘡風(fēng)險(xiǎn)、便秘、大便失禁、尿失禁、睡眠障礙、視力障礙、聽(tīng)力障礙的老年人接受到的專(zhuān)業(yè)照護(hù)時(shí)間沒(méi)有統(tǒng)計(jì)學(xué)差異(P0.05);有無(wú)認(rèn)知障礙、抑郁、焦慮、孤獨(dú)、行為問(wèn)題、社會(huì)支持不足的老年人接受到的精神慰藉時(shí)間沒(méi)有統(tǒng)計(jì)學(xué)差異(P0.05);有無(wú)抑郁情緒老年人接受到的監(jiān)護(hù)時(shí)間有統(tǒng)計(jì)學(xué)差異(P0.05),而有無(wú)視力障礙、吞咽障礙、認(rèn)知障礙、焦慮情緒、行為問(wèn)題、營(yíng)養(yǎng)不良及不同運(yùn)動(dòng)功能的老年人接受到的監(jiān)護(hù)時(shí)間沒(méi)有統(tǒng)計(jì)學(xué)差異(P0.05)。研究結(jié)論:1.養(yǎng)老機(jī)構(gòu)老年人在生理、精神心理、社會(huì)功能及活動(dòng)能力上存在不同程度的功能障礙,在日常生活、專(zhuān)業(yè)照護(hù)、精神慰藉、監(jiān)護(hù)服務(wù)、飲食方面上有不同的照護(hù)需求。2.養(yǎng)老機(jī)構(gòu)的服務(wù)供給情況不容樂(lè)觀(guān),仍以日常生活照料服務(wù)為主。3.養(yǎng)老機(jī)構(gòu)老年人的日常生活照護(hù)需求得到了較大程度的供給,專(zhuān)業(yè)照護(hù)、精神慰藉、監(jiān)護(hù)服務(wù)需求上的供給卻嚴(yán)重不足,甚至存在空白。
[Abstract]:Objective: 1. through objective, comprehensive assessment of the physiological, mental, psychological, social function and activity ability of the elderly in the pension institution to reflect the status quo of the care needs of the elderly.2..3. analysis of the service supply status of old-age care institutions by the time evaluation index of care and the relationship between the care demand of the elderly and the supply of institutional services. The research method: This study is a cross-sectional study, using a convenient sampling method to select 371 elderly people from five districts in Ji'nan to carry out a questionnaire survey. According to the early construction of the elderly care needs assessment system, the development maturity of each evaluation index is screened. The assessment tool suitable for the elderly constitutes an assessment form for the elderly care needs in this study, which is used to objectively and comprehensively assess the status quo of the needs of the elderly. Using the SPSS21.0 software to analyze the data and describe the general demographic data of the elderly, the status of the needs and the present status of the service supply, using the multiple linear regression and Logistic regression method to analyze the needs and institutions of the institutional elderly. The results were as follows: 1. the social network of 65.2% of the elderly in the pension institution was insufficient, 62% of the elderly had cognitive impairment, and 53.9% of the elderly had one and more disorders of instrumental daily activity, 45.6% of the elderly had sleep disorders, 42.6% of the elderly were not well nourished, 42% of the elderly had constipation symptoms, and 27.5% of the elderly felt the same. In the sense of loneliness, 21% of the elderly have one and more behavioral symptoms, 6.7% of the elderly have moderate and above visual impairment, 5.7% of the elderly have middle, and severe hearing loss.2. pension institutions for the elderly daily care for the elderly is 3-205.64 clock, and 80.3% of the elderly have never accepted the phase. For the professional care, 83% of the elderly did not receive spiritual comfort, and 50.1% of the elderly had never accepted the different daily activities of the guardianship service.3.. The exercise function and the daily life care time for the elderly people with a tool free daily activity were statistically different (P0.05), with disregard, hearing impairment and cognitive impairment. There was no statistical difference in the day-to-day care time accepted by the elderly people (P0.05); there was no statistical difference between the elderly people who had pressure ulcers, pressure ulcers risk, constipation, urinary incontinence, urinary incontinence, sleep disorder, visual impairment, and hearing impairment (P0.05); there was no cognitive impairment, depression, anxiety, loneliness, and behavioral questions. There was no statistical difference in the time of mental comfort accepted by the elderly with insufficient social support (P0.05); there was a statistical difference between the elderly and the elderly who had no depression (P0.05), but there was no visual impairment, dysphagia, cognitive impairment, anxiety, behavioral problems, malnutrition and different exercise functions of the elderly. There is no statistical difference in monitoring time (P0.05). Conclusion: 1. the elderly in the pension institution have different degrees of dysfunction in physiological, mental, social function and activity ability, and there are different care requirements in daily life, professional care, spiritual comfort, guardianship service, and diet, and the service supply of.2. pension institutions is different. Not optimistic, the daily life care service is still the main.3. old-age care needs for the elderly people's daily life care needs have been greatly supplied, professional care, spiritual comfort, the supply of guardianship service demand is seriously inadequate, even there is a gap.

【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：C913.6;R473

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 唐鈞;;社會(huì)政策視野中的4000萬(wàn)失能老人[J];中國(guó)醫(yī)療保險(xiǎn);2017年03期

2 陳柳柳;鄧仁麗;陳蘇紅;張江輝;段梅杰;;養(yǎng)老機(jī)構(gòu)失能老人護(hù)理服務(wù)需求調(diào)查研究[J];護(hù)理與康復(fù);2016年06期

3 孟娣娟;徐桂華;林丹;張敏;張Y，

本文編號(hào)：1861010