Abstract:

Objective To explore classification model of care services for the aged,based on measurement of length of care and analysis of its influencing factors.Methods Using convenience sampling method,187 elderly people in a pension institution in Tianjin were surveyed in May 2018,including capacity assessment of the elderly,care services and their frequency.Results The ability of daily living,mental state,perception and communication of the aged were influencing factors of the length of care. On the basis of these four factors,the elderly care services were divided into six levels by decision tree model analysis,which explained 77.87% of this model.Conclusion Based on the assessment results of the elderly’s ability,care services for the elderly is divided into six levels with significant differences by measurement of length of care. The classification of service level will provide the basis for the classification of the elderly care services in different modes,and it is also the basis for reasonable pricing and resource allocation of elderly care services.

Key words: Elderly Care, Grade Division, Time Measurement, Decision Tree, Geriatric Nursing

摘要：

目的 通过测量养老机构内老年人照护时长并分析其影响因素,构建老年人照护服务等级划分模型。方法采用方便抽样法,2018年5月对天津市某养老机构的187名老年人进行调查,调查内容主要包括老年人能力评估和照护服务项目及其频次等。结果 老年人的日常生活活动能力、精神状态、感知觉与沟通和社会参与状况是照护时长的影响因素;以这4个因素为基础,利用决策树模型分析,将老年人照护服务分为6个等级,此模型可解释比例为77.867%。结论 基于老年人能力评估结果,采用照护时长测算方法,将老年人照护服务分为差异有统计学意义的6个等级,为不同模式的老年人照护服务等级划分提供依据,也可为合理进行老年护理服务定价和资源配置提供借鉴。

关键词: 老年照护, 等级划分, 工时测量, 决策树, 老年护理学