Investigating The Status Of Provision And Satisfaction On Community Nursing Service Toward The Aged In Nanchang

Objective:This study provides practical significance for carrying out full-service items anda complete service system in community nursing service through investigating thestatus of the provision and satisfaction on community nursing service toward the agedin Nanchang.Methods:In April2012to November, A survey was conducted by following peopleaccording to inclusion criteria and exclusion criteria:（1）Community nurses:201cases of community nurses were selected from18community health service centers and30community health service stations by usingmulti-stage stratified random cluster sampling method. The questionnaire wasself-made and named as status of provision on community nursing service toward theaged with internal consistency cronbach alpha ’value of0.89and content validity of0.90. It was included the general data and status of provision and provision quality oncommunity nursing service toward the aged.（2）Community elderly:758cases were selected from five community healthservice centers as respondents by using multi-stage stratified simple random samplingmethod in Nanchang. The questionnaire was self-made and named as the status ofsatisfaction on community nursing service toward the aged with internal consistencycronbach alpha ’value of0.88and content validity of0.90. We investigate the generaldata, disease data and the status of satisfaction on community nursing service towardthe aged.SPSS18.0statistical software was adopted to analysis all the data. Measurementdata were described by using mean±standard deviation; enumeration data weredescribed by using frequency and constituent ratio; when analysis the satisfaction ofthe aged toward nursing service, we employed weighted rank and analogy method.Results:（1）The general provision status on community nursing service of the aged. On the whole, community nurses all agreed with that providing rate in the firstthree were periodic health examination, guidance of nutrition diet and health inquiry(guidance of exercise), accounting for92.5%,90.5%and89.6%(89.6%)respectively;Never providing rate were domestic sickbed service, psychologicalcounseling and guidance of immune care, accounted for73.1%,56.7%and51.7%respectively. Provision quality of periodic health examination, health inquiry andgeneral treatment and nursing in the outpatient were good, accounted for73.7%,66.1%and65.7%respectively, but providing quality of domestic sickbed service,rehabilitation nursing and home visits were poor,13.0%,5.4%and5.0%respectively.The provision status on each community nursing service of the aged.Community nurses all agreed with that: on the health guidance class, providingrate in the first three were guidance of nutrition diet, health inquiry and guidance ofexercise, but the providing rate of guidance of immune care and psychologicalcounseling were lower than50%; On the health monitoring class, providing rate inthe first three were periodic health examination, blood pressure, blood sugarmonitoring and dynamic management of filing information, but providing rate ofhome visits didn’t reach50%; On clinical nursing classes, providing rate in the firstthree were mental nursing, guidance of diagnosis and subsequent visit and chronicdisease of regular follow-up service, but providing rate of domestic sickbed servicewas lower than50%.The provision quality status on each community nursing service of the aged.According to self-judgment, community nurses believed that: on healthyguidance class, a good providing quality in the first three were health inquiry,guidance of exercise and guidance of nutrition diet, and a poor providing quality inthe first three were psychological counseling, health lecture and guidance of immunecare; on the health monitoring class, a good providing quality in first three wereperiodic health examination, dynamic management of filing information and bloodpressure and blood sugar monitoring, and a poor providing quality in the first threehome visits, community medical care; on clinical nursing class, a good providingquality in the first three were general treatment and nursing in the outpatient,guidance of diagnosis and subsequent visit and chronic disease of regular follow-up service, and a poor providing quality were domestic sickbed service, rehabilitationnursing, home care and community emergency care and guidance of assist the referraland consultation.（2）The satisfaction of the aged toward community nursing serviceThe overall satisfaction of the aged toward community nursing serviceIn Nanchang, the satisfaction of the aged toward community nursing service atmedium level (score was4.12±0.47). Among them, the satisfaction of the aged onhealth monitoring class with a highest score (score was4.30±0.57), followed byclinical nursing class (score was4.14±0.53), and the lowest satisfaction was healthguidance class (score was3.91±0.50).The satisfaction of the aged toward each community nursing serviceThe satisfaction rate of the aged on community nursing service in Nanchangwere sorting, the results showed that in the Health guidance class, the highestsatisfaction was guidance of nutrition diet, following by guidance of exercise andguidance of sleep and rest, the less satisfaction in the first three were (from low tohigh): guidance of rational use of healthy products, guidance of immune care andguidance of family and self health care. In the health monitoring class, the highestdegree of satisfaction was periodic health examination, following by dynamicmanagement of filing information and blood pressure, blood sugar monitoring, thesatisfaction of the aged on home visits, Assist in disease diagnosis and communitymedical care were not high. In the clinical nursing class, the higher degree ofsatisfaction were guidance of diagnosis and subsequent visit, guidance of medicationcare and community emergency care, the poorer satisfaction in the first three oncommunity nursing service were domestic sickbed service, home care andrehabilitation nursing.Comprehensive evaluation of the aged toward community nursing serviceIn Nanchang, the highest comprehensive index of each index in five communityhealth service centers were X12、X12、X19、X27and X12in institutions of A、B、C、D and E. And index score of the X12was highest among28two level indexes, as wellas the score and weight coefficient. When we analysis by the rank, weighted rank sumratio method, the results show that the agency D was the highest score with RSRwwas 0.883; agency E was the lowest score with RSRwwas0.378. When archiving, theresults showed that the highest satisfaction of the aged toward community nursingservices was agency D, agency B and C was in the medium level, agency E was thelowest.Conclusion:On the whole, the providing status of the aged on community nursing servicecould satisfied the increasing needs of aged in a certain extent in Nanchang, but thegovernment should expand community care service of the aged in each aspect,implement the content that had carried out well, and improve the quality of service, inorder to ensuring that the elderly could enjoy community health service at home, aswell as should improve the satisfaction of the aged on content of community nursingservice and institutions. Therefore, we suggest that government should regardprovision status as a base and old people’s satisfaction as a guide in Nanchang in thefuture when developing community nursing service. We should not only analyse thefactors that influence satisfaction and provision of the aged on community nursingservice, but also outreach the items of community nursing service, perfect thecommunity nursing service mode and improve the quality of the service actually.