广州市某三甲医院老年住院患者服务需求现状及影响因素分析

doi:10.20223/j.cnki.1000-8535.2025.12.017

摘要/Abstract

摘要： 目的调查老年人照护服务需求现状并分析其影响因素,为构建基于需求为导向的老年照护服务体系提供参考依据。方法采用便利抽样法,选取广州市某三甲医院212名老年人作为调查对象,采用日常生活能力量表、Fried衰弱评估量表及自行编制的老年人需求评估问卷进行调查。结果老年人对运动与营养（1.96±0.90分）、心理慰藉（2.63±0.85分）、安宁服务（2.73±1.07分）的需求水平较高。多因素线性回归分析结果显示养老方式、日常生活活动能力、爱好数量、性别、衰弱等级、有无主要照顾者是照护服务需求的影响因素（P均<0.05）,可解释61.5%的变异量。结论老年人的照护服务需求受多种因素的影响。应根据老年人的不同特征,构建供需匹配的多元化,多层次照护体系。

关键词: 老年, 照护需求, 日常生活活动能力, 衰弱

Abstract: Objective To investigate the status quo of care service needs of the elderly and analyze its influencing factors,so as to provide a reference for the construction of a needs-oriented care service system for the elderly．Methods A total of 212 elderly people from a tertiary hospital in Guangzhou were selected by convenience sampling method and investigated with the Activity of Daily Living scale,Fried frailty scale and the self-designed elderly needs assessment questionnaire．Results Elderly patients had higher demands for exercise,nutrition,psychological comfort and hospice services．The results of multivariate analysis showed that the influencing factors of care service demand included pension style,activities of daily living,number of hobbies,gender,frailty level,and having main caregivers（all P<0.05）,which could explain 61.5% of the variation．Conclusions The care needs of elderly patients are affected by many factors．A diversified and multi-level care system with matching supply and demand should be constructed according to the different characteristics of the elderly．

Key words: the elderly, care needs, activities of daily living, frailty

饶红英, 杨秋莲, 于雅, 王珊. 广州市某三甲医院老年住院患者服务需求现状及影响因素分析[J]. 广州医药, 2025, 56(12): 1736-1744.

RAO Hongying, YANG Qiulian, YU Ya, WANG Shan. Current status and influencing factors of elderly patients' service needs in Guangzhou[J]. Guangzhou Medical Journal, 2025, 56(12): 1736-1744.

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