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。

       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．

目的 对 2017—2021年护理岗位人员的职业倦怠相关领域文献中的研究热点进行分析,以期让相关研究人员和卫生行政管理人员更加全面了解护理人员的职业倦怠情况。方法 本文基于共词聚类的研究方法,将从CNKI数据库中获取的护理人员职业倦怠研究文献运用BICOMB、gcluto 2.0和VOSviewer软件进行热点分析。结果 共有1 218篇护理人员职业倦怠相关文献纳入研究,分布在199本期刊中,共有关键词1 495个,出现频次≥10的关键词共有78个。通过共词聚类分析,护理人员职业倦怠研究可归纳为4大聚类热点:巴林特小组改善护理人员职业倦怠、心理资本与护理人员职业倦怠中介作用、护理人员工作压力、心理弹性及社会支持与职业倦怠、护理人员职业倦怠现状、影响因素及应对方式等。 结论 研究揭示了我国护理人员职业倦怠研究领域的研究现状及热点。

Objective Through the analysis of the research hotspots in the literature about job burnout of nursing staff from 2017 to 2021, relevant researchers and health administrators were expected to have a more comprehensive understanding of job burnout of nursing staff. Methods Based on the research method of co-word clustering, this paper used BICOMB and gcluto 2.0 and VOSviewer software to analyze the literatures on nursing burnout obtained from CNKI database. Results A total of 1 218 nursing staff burnout related literatures were included in the study, distributed in 199 journals, with 1 495 high-frequency subject words, 78 words with frequency≥10 times. Through word clustering analysis, nurses' job burnout research can be summarized as four clustering hotspots: bahrain's team to improve nurses' job burnout, psychological capital and the intermediary role of nurses' job burnout, nurses work pressure, resilience and social support and job burnout, nurses' job burnout status, influencing factors and coping methods, etc. Conclusions This study reveals the current situation and hotspots of nursing staff burnout research in China.

目的 探讨广州地区老年人维生素D水平及其与骨密度、甲状旁腺激素的相关性。方法 收集2016年6月—12月在广州市第一人民医院老年病科就诊的患者。检测25-羟维生素D、甲状旁腺激素、Ⅰ型前胶原氨基端前肽、β-Ⅰ型胶原C端肽、腰椎和髋部骨密度。将患者分为维生素D缺乏组(≤20 ng/mL)、维生素D不足组(20～30 ng/mL)、维生素D充足组(≥30 ng/mL)。结果 ①426例研究对象的平均年龄是(79.77±7.69)岁,25羟维生素D平均值是(20.38±8.20)ng/mL。维生素D缺乏、不足、充足者比例分别是53%(226/426)、34.3%(146/426)、12.7%(54/426)。②25羟维生素D水平随年龄增加而降低。25羟维生素D与股骨颈和全髋骨密度呈正相关(r=0.18,P＜0.001),与甲状旁腺激素呈负相关(r=-2.05,P＜0.001)。结论 广州地区老年人维生素D不足及缺乏十分普遍。维生素D与股骨颈、髋部骨密度呈正相关,与甲状旁腺激素呈负相关。

Objective To investigate the vitamin D level of elder people in Guangzhou and the relationship in vitamin D, bone mineral density and parathyroid hormone. Methods To screening elderly patients in the geriatric department of Guangzhou First peoples Hospital from June to December 2016.Serum 25-hydroxy vitamin D,parathyroid hormone,procollagen typeⅠN-terminal propeptide,β-crosslaps of C-telopeptide of typeⅠcollagen,bone mineral density were measured.Three groups were divided according to the serum 25(OH)D level,including deficiency group(≤20 ng/mL),insufficiency group(20-30 ng/mL) and sufficiency group(≥30 ng/mL). Results The mean age of the 426 subjects was 79.77±7.69 years old. The average level of 25(OH)D was 20.38±8.20 ng/mL. The proportion of vitamin D deficiency, insufficient and sufficient persons were 53% (226/426), 34.3% (146/426), and 12.7% (54/426). The level of 25 hydroxy vitamin D was decreased with age.Correlation analysis showed that 25 hydroxy vitamin D level was positive correlated with the femoral neck and total hip bone density(r=0.18,P＜0.001),was negatively correlated with parathyroid hormone(r=-2.05,P＜0.001). Conclusion Vitamin D deficiency or insufficiency is highly prevalent in elderly men in Guangzhou.25 hydroxy vitamin D level was positive correlated with the femoral neck and total hip bone density, negatively correlated with parathyroid hormone.