经济落后地区半自理老人对长期照护需求的质性研究.docxVIP

经济落后地区半自理老人对长期照护需 求的质性研究 程书栋王莹张会君卢春化娄燕伟毕婷 锦州医科大学护理学院锦州医科大学附属第一医院 泌尿外科 摘要： 目的探讨经济落后地区半自理老人对长期照护的需求。方法 采用质性研究中现 象学研究方法，以半结构深入访谈法对17名半自理老人进行访谈，将访谈获取 的资料采用Colaizzi的资料分析法，提炼主题。结果 通过分析得出半自理老人 对长期照护需求的5个主题:社会参与程度低;康乐保健和医疗卫生服务不及时； 护理服务瓶颈大;老年文化服务严重滞后;政府和志愿者服务支持力度小。结论 经济落后地区半自理老人对长期照护需求程度高，形势比较严峻，需要提供有 效的长期照护服务。 关键词： 老年人;长期照护;半自理;需求;质性研究; 作者简介：程书栋(1990),男，安徽安庆人，在读硕士研究生，主要研究方向 为老年护理、临床护理。 作者简介：张会君(1964),女，吉林辉南人，教授，博士研究生，主要研究方 向为老年慢性病护理、临床护理和护理教育。 收稿日期：2017-03-23 基金：全国高等医学教育学会资助项目，项目编号:GJHLZ160018 Qualita/tive Research on Long—term Care Demands of Elderly People with Semi-self Care in Economically Undeveloped Regions CHENG Shudong WANG Ying ZHANGHuiJun LU Chunhua LOU Yanwei BI Ting Nursing College in Jinzhou Medical University; The First Aff订iated Hospital of Jinzhou Medical University; Abstract： Objective To explore the demands of long-term care for elderly people with semi-self care in economically undeveloped regions. Methods With the qualitative phenomenological research, 17 elderly people with semi-self care were intcrvicwcd by semi-structured interviews, and themes were refined by making Colaizzi s data analysis. Results The analyzed 5 themes of the demands for long-term care for the elderly were the low level of social participation, not timely recreation hea1th care and medical and heal th services, great di fficulty of making breakthrough in nursing service, backward cultural services for the elderly, and less support from government and volunteer services. Conclusion There is the serious situation that the elderly people with semi-self care in economically undeveloped regions have a high demand for long-term care services. They need more Iong-term effective care services. Keyword： elderly people; long-teoi care; semi-self care; demand; qualitative research; Received： 2017-03-23 根据国家统计局发布的2014年度国民经济统计数据公布:60岁及以上人口数突 破2.12亿，占总人口比例高达15. 5%Hlo全国老龄办和屮国老龄科学研究屮心 发布的数据显示，2015年全国失能、半失能老人将达4 000万人，占老年人口 19?5%図。世界卫生组织在《关于老龄化与健康的全球报告》中表明老龄健康问 题在中低收入国家和地区更加明显RL我国“未富先老”的社会现状在经济落 后