A survey and analysis on current status of the need and service for geriatric nursing in Sichuan Province

doi:10.3761/j.issn.0254-1769.2023.019.005

Abstract

Abstract:

Objective To analyze the current situation of nursing needs and services for the aged in Sichuan province，so as to provide references for improving and standardizing nursing needs assessment and services for the aged. Methods The data of geriatric nursing needs assessment carried out by Sichuan Provincial Health Commission were used. The elderly aged 65 years and over were selected as the research subjects. The ability classification of the elderly，the number of geriatric syndromes，the level of nursing needs，whether to provide nursing services，and the items of nursing services were included in the descriptive analysis. Results A total of 1 272 896 elderly people were enrolled，of which 962 607（75.62%） were in 0 grade（good ability）. The number of cases of geriatric syndromes were 0-2，which accounted for the majority. A total of 310 289 elderly people had different degrees of nursing needs，and 129 097 elderly people were provided with nursing services by nursing staff，accounting for 41.6%. The highest proportion of the 4 types of nursing services were safety protection and guidance，health education，psychological communication and counseling，and traditional Chinese medicine diet care. Conclusion The nursing needs level of the elderly in the community is mainly intact，and the number of geriatric syndrome projects is mostly 0~2. The supply of nursing services for the elderly with nursing needs is seriously insufficient，and the supply of nursing services for the elderly needs to be standardized and improved.

Key words: Aged, Nursing Needs Assessment, Assessment of Older Adult Abilities, Health Services for the Aged, Health Services Research

摘要：

目的分析四川省老年人护理需求及护理服务现状，为完善和规范老年护理需求评估及服务工作提供参考。方法采用四川省卫生健康委员会的老年护理需求评估数据，以65岁及以上老年人为调查对象，对老年人能力分级、老年综合征罹患项数、护理需求等级、是否提供护理服务、护理服务项目等进行描述分析。结果共纳入1 272 896名老年人，其中护理需求等级0级共962 607名，占75.62%；共有310 289名老年人有不同程度的护理需求，护理人员提供护理服务的老年人共129 097名，占41.6%，四类护理服务项目中，提供服务占比最高的分别为安全防护及指导、健康教育、心理沟通与疏导、中医饮食护理。结论社区老年人能力以完好为主，老年综合征罹患项数以0~2项居多，有护理需求的老年人护理服务供给严重不足，老年护理服务供给有待规范与完善。

关键词: 老年人, 护理需求评估, 老年人能力评估, 老年人保健服务, 卫生服务研究

LIU Li, ZHANG Shuai, HU Xiuying. A survey and analysis on current status of the need and service for geriatric nursing in Sichuan Province[J]. Chinese Journal of Nursing, 2023, 58(19): 2339-2344.

刘丽, 张帅, 胡秀英. 四川省老年人护理需求及服务的调查研究[J]. 中华护理杂志, 2023, 58(19): 2339-2344.

Figures/Tables 3

References 25

[1]	李建伟, 王炳文. 我国人口老龄化的结构性演变趋势与影响[J]. 重庆理工大学学报(社会科学版), 2021, 35(6):1-19.
	Li JW, Wang BW. The structural evolution trend and influence of population aging in China[J]. J Chongqing Inst Technol, 2021, 35(6):1-19.
[2]	国家统计局, 国务院第七次全国人口普查领导小组办公室. 第七次全国人口普查公报(第四号):人口性别构成情况[J]. 中国统计, 2021(5):9-10.
	NBSPRC, Office of the Leading Group for the Seventh Nation-al Population Census of the State Council. Bulletin of the seventh national census(No.4)-gender composition of population[J]. China Stat, 2021(5):9-10.
[3]	关于印发“十四五”健康老龄化规划的通知[J]. 中华人民共和国国家卫生健康委员会公报, 2022(2):16-25.
	Circular of printing and issuing the plan for healthy aging during the 14th Five-Year Plan Period[J]. Gazette of the Na-tional Health Commission of the People’s Republic of China, 2022(2):16-25.
[4]	国务院关于印发“十四五”国家老龄事业发展和养老服务体系规划的通知[J]. 中华人民共和国国务院公报, 2022(7):13-29.
	Circular of the State Council on printing and issuing the plan for the development of national yndertakings for the aged and elderly care service system during the 14th Five-Year Plan Period[J]. Gazette of the State Council of the People’s Republic of China, 2022(7):13-29.
[5]	王佳韵, 王滢嘉, 刘子荣, 等. 老年照护需求评估体系的国内外比较与启示[J]. 上海预防医学, 2022, 34(4):388-393.
	Wang JY, Wang YJ, Liu ZR, et al. Comparison of domestic and international elderly care needs assessment system and the implication[J]. Shanghai J Prev Med, 2022, 34(4):388-393.
[6]	王蓉蓉, 肖明朝, 赵庆华, 等. 老年人长期照护需求评估研究现状[J]. 中国老年学杂志, 2020, 40(12):2671-2675.
	Wang RR, Xiao MC, Zhao QH, et al. Current status of research on the assessment of long-term care needs for the elderly[J]. Chin J Gero, 2020, 40(12):2671-2675.
[7]	关于开展老年护理需求评估和规范服务工作的通知[J]. 中华人民共和国国家卫生健康委员会公报, 2019(7):18-30.
	Circular of carrying out needs assessment and standardized services for aged care[J]. Gazette of the National Health Commission of the People’s Republic of China, 2019(7):18-30.
[8]	桂前, 王燕君, 张沁, 等. 基于国际居民长期照护评估工具的养老机构不同能力等级老年人照护需求研究[J]. 中国全科医学, 2019, 22(4):473-477. DOI
	Gui Q, Wang YJ, Zhang Q, et al. interRAI-LTCF-assessed care needs study in elderly people with different levels of ability in geriatric nursing facilities[J]. Chin Gen Pract, 2019, 22(4):473-477.
[9]	刘玉玉, 林金蕾, 张倩, 等. 养老机构老年人能力评估与分级服务需求探究[J]. 护理研究, 2018, 32(7):1150-1153.
	Liu YY, Lin JL, Zhang Q, et al. Exploration of ability assessment and classification service demand of the elderly in person institutions[J]. Chin Nurs Res, 2018, 32(7):1150-1153.
[10]	Stein J, Luppa M, König HH, et al. Assessing met and unmet needs in the oldest-old and psychometric properties of the German version of the Camberwell Assessment of Need for the Elderly(CANE)-a pilot study[J]. Int Psychogeriatr, 2014, 26(2):285-295. DOI URL
[11]	Cheraghi P, Delbari A, Cheraghi Z, et al. Assessment of Met and unmet care needs in older adults without mental disorders using the Camberwell Assessment of Need for the elderly:a systematic review and Meta-analysis[J]. J Res Health Sci, 2021, 21(4):e00530.
[12]	庄嘉元, 姜小鹰, 张旋, 等. 我国东部地区老年人护理服务需求及影响因素研究[J]. 中华护理杂志, 2016, 51(8):992-997.
	Zhuang JY, Jiang XY, Zhang X, et al. Nursing demands and influencing factors among elderly people in Eastern China[J]. Chin J Nurs, 2016, 51(8):992-997.
[13]	钟凯颖, 孙龙凤. 基于Kano模型的失能老年人长期照护需求研究进展[J]. 中华护理杂志, 2022, 57(3):368-373. DOI
	Zhong KY, Sun LF. Research progress on long-term care needs of disabled elderly based on Kano model[J]. Chin J Nurs, 2022, 57(3):368-373. DOI
[14]	Rashidi K, Jalali A, Salari N, et al. Validation of an instrument for assessing elder care needs in Iran[J]. Clin Interv Aging, 2020, 15:275-283. DOI PMID
[15]	张超南, 覃芹丹, 薛阳阳, 等. 不同年龄和性别人群老年综合征的现状调查[J]. 中华老年医学杂志, 2017, 36(2):209-213.
	Zhang CN, Qin QD, Xue YY, et al. Investigation of the current situation of geriatric syndromes in the elderly with different age and gender[J]. Chin J Geriatr, 2017, 36(2):209-213.
[16]	卢翠莲, 张慧, 符雪彩, 等. 老年住院患者慢性疾病和老年综合征患病情况分析[J]. 中华老年医学杂志, 2019, 38(8):913-916.
	Lu CL, Zhang H, Fu XC, et al. Clinical investigation and analysis of chronic diseases and geriatric syndromes in elderly inpatients[J]. Chin J Geriatr, 2019, 38(8):913-916.
[17]	琚慧, 唐玲. 老年综合征研究进展[J]. 护理研究, 2020, 34(12):2160-2165.
	Ju H, Tang L. Progress in research on aging syndrome[J]. Chin Nurs Res, 2020, 34(12):2160-2165.
[18]	陈旭娇, 严静, 王建业, 等. 老年综合评估技术应用中国专家共识[J]. 中华老年医学杂志, 2017, 36(5):471-477.
	Chen XJ, Yan J, Wang JY, et al. Chinese experts consensus on application of comprehensive geriatric assessment[J]. Chin J Geriatr, 2017, 36(5):471-477.
[19]	Güzel A. The Turkish version of the Camberwell Assessment of Need for the Elderly:a validity and reliability study[J]. Australas J Ageing, 2023, 42(1):149-158. DOI URL
[20]	张娟. 居家失能老年人长期护理需求调查及现状分析[D]. 苏州: 苏州大学, 2018.
	Zhang J. Investigation and analysis of long-term care needs of elderly people with home disability[D]. Suzhou: Soochow University, 2018.
[21]	李菲, 陈娜, 刘莹, 等. 天津市老年人医养照护服务需求现状调查及影响因素分析[J]. 中国护理管理, 2022, 22(11):1632-1637.
	Li F, Chen N, Liu Y, et al. Characteristics and influencing factors of the care demand for medical and nursing services among elderly in Tianjin[J]. Chin Nurs Manag, 2022, 22(11):1632-1637.
[22]	张虹, 沈军, 喻秀丽. 352名医养结合机构失能老人长期照护需求现状及影响因素分析[J]. 护理学报, 2020, 27(21):7-10.
	Zhang H, Shen J, Yu XL. Current status of long-term care needs of disabled elders in medical and nursing institutions and its influence factors:a 352-case study[J]. J Nurs, 2020, 27(21):7-10.
[23]	张军, 赵心阳, 张莹莹, 等. 辽宁省养老机构老年人长期照护需求及影响因素调查[J]. 护理学杂志, 2018, 33(21):90-92.
	Zhang J, Zhao XY, Zhang YY, et al. Long-term care needs and its influencing factors among institutionalized older people in Liaoning Province[J]. J Nurs Sci, 2018, 33(21):90-92.
[24]	王梦娜, 刘倩汝, 邓新茹, 等. 医养结合模式下老年人中医护理服务需求研究进展[J]. 护理学杂志, 2022, 37(21):102-105.
	Wang MN, Liu QR, Deng XR, et al. Demands of the elderly for TCM nursing in the context of medical-nursing combined care[J]. J Nurs Sci, 2022, 37(21):102-105.
[25]	关于深入推进医养结合发展的若干意见[J]. 中华人民共和国国家卫生健康委员会公报, 2019(10):14-18.
	Opinions on further promoting the development of combination of healthcare and elderly services[J]. Gazette of the National Health Commission of People’s Republic of China, 2019(10):14-18.