Nanchang Community Home Care Needs Of Disabled Elderly Long-term Care And Classification Of Content To Explore

Objective:In this study, investigation Nanchang home loss of the health of the community can be the elderly, the ability to grade and long-term care services demand, the ability to build different levels of community home-disabled elderly long-term care service content, for the effective conduct of Nanchang regulate community home long Term Care Research and disabled elderly home care service model to provide a reference.Methods:In this study, the method of multi-stage stratified cluster sampling, in Nanchang six administrative districts were randomly selected three communities were selected as the elderly total 1696, of which 309 disabled elderly. Ministry of Civil Affairs investigative tools using enacted in 2013 and implemented the "older capacity assessment standards" and prepare themselves "community home disabled elderly long-term care service needs survey"(Cronbach`s α coefficient was 0.957, test-retest reliability was 0.857) at home for the elderly in the community in general, health, ability to grade and long-term care services demand content for investigation. Information will be collected using Epidata3.01 be double entry, data were analyzed using statistical software SPSS19.0. Measurement data were expressed as mean ± standard deviation to describe, count data using frequency, descriptive statistics constitute ratio. Community home-based care for disabled elderly long-term service needs scores were analyzed using t-test, ANOVA. Factors affecting the demand for long-term care services using multiple regression analysis.Results:1. Community Home Health and ability to lose old hierarchical status quo.Community Garden disabled elderly average age of 75.43 ± 8.73, more women than men, male to female ratio of 0.88: 1. Its medical community home-disabled elderly was 92.88% prevalence of chronic diseases, the total number of 287 people. Two or more persons suffering from chronic diseases to 218 people(70.55%). The top five chronic diseases were hypertension(63.75%), coronary heart disease(49.19%), diabetes(44.34%), osteoporosis(39.48%), cataract(34.63%). Community home for the elderly disability groupings are as follows: The number of elderly people with mild disability to 239 people(77.35%), moderate to 27 people(8.74%), severe as 43 people(13.91%), disability rate of 18.33%.2. Community Garden disability and long-term care service needs of the elderly care content.(1) mild disabled elderly: life care services, primary care services, the demand of specialized care services is not high, but there is a certain demand for rehabilitation guidance.(2) moderately disabled elderly: some elderly life can not completely take care of themselves, the psychological issues outstanding, life care services, primary care services, specialist care, higher guidance and solace rehabilitation and psychological services needs.(3) severe disabled elderly: life can not take care of themselves, of life care services, primary care services, the demand for specialized care and rehabilitation guidance services is particularly high, on the contrary, to reduce demand for solace and psychological services.3. Age, residence status, source of income, number of chronic diseases, the ability level of community home-disabled elderly long-term care service needs are different scores(P <0.05).4. Age, residence status, source of income, number of chronic diseases, loss of ability levels are factors community home for the elderly long-term care service needs of energy(R2 = 0.792, F = 230.308, P = 0.000).Conclusion:1. Community Garden disabled elderly women than men; the generally low level of education; marital status to married majority, the health of bias, with disabled elderly age, suffering from chronic diseases species increased significantly the incidence of chronic diseases rise.2. Community Garden disability proportion of elderly people with different abilities from high to low levels capable mild loss, severe loss of capable, moderate loss of those who can afford. Community Garden disabled elderly age, the more severe the degree of energy loss. Women incapacitation higher proportion of the number of elderly people, in worse health than men disabled elderly.3. Community Garden disability elderly different capability levels, its long-term care service needs exist some differences. The extent of the loss of light energy for spiritual solace, the higher the demand for psychological services; the more severe the degree of energy loss, the higher the demand for specialist care, rehabilitation care.4. Factors disability community home care services for the elderly long-term demand in the order of ability levels, age, number of chronic diseases, source of income, living conditions.