The Survey Of Elderly’s Satisfaction In Community Nursing Homes And Analysis Of Its Influencing Factors

Objective:In this study,the satisfaction questionnaire of the elderly living in the nursing home was sinicized and used in the satisfaction survey of the elderly living in the community nursing home,and then the satisfaction status and influencing factors of the elderly living in the community nursing home were analyzed,so as to provide the basis for the better construction of the community nursing home.Method:The Chinese version of Consumer Satisfaction in Nursing Home Questionnaire was formed by using Brislin model to translate CSNHQ into Chinese.From August to October2020,176 elderly people from four community nursing homes in Jianghan District,Hanyang District,Qiaokou District and Dongxihu District of Wuhan city were investigated to evaluate the reliability and validity of the questionnaire.Spss23.0 software was used to analyze the data,and the answer distribution method,decision value analysis and correlation coefficient method were used to screen the items;Internal consistency reliability and test-retest reliability were used to evaluate the reliability of the questionnaire;Content validity and construct validity were used to evaluate the validity of the questionnaire.Based on the purpose sampling method,266 elderly people from Hanyang District,Qiaokou District,Jianghan District and Jiangan District of Wuhan city were selected as the research objects from October to December 2020 according to the economic level.The survey tools include general information questionnaire,Chinese version of Consumer Satisfaction in Nursing Home Questionnaire,Barthel index rating scale.Epidata3.1 was used to input data,spss23.0 was used to analyze data,and mean was used for quantitative data ± Standard deviation,frequency and percentage were described;T test and analysis of variance were used to describe the difference of data.Multiple linear regression was used to explore the related influencing factors.Result:There are 34 items in the Chinese version of the satisfaction degree of the elderly living in nursing homes,with good reliability and validity;Total Cronbach’s α The coefficient is0.966,and the Cronbach’s of each dimension α The coefficient is 0.863-0.933;The test-retest reliability of the questionnaire was 0.940,and the test-retest reliability of each dimension was 0.748-0.991;The split half reliability of the questionnaire was 0.889,and the split half reliability of each dimension was 0.837-0.928.Six common factors were extracted by exploratory factor analysis,and the cumulative variance contribution rate was72.194%.In this study,the satisfaction score of the elderly living in the community nursing home is 128.58 ± 22.19,53.76% were higher than the average score.Catering and activities were the two lowest scoring dimensions.Multiple linear regression analysis showed that gender,age,occupation,Barthel index score,self-conscious health status,subjective feeling of economic situation and visiting frequency of relatives and friends were the main factors influencing the satisfaction of the elderly living in community nursing homes.Conclusion:The Chinese version of the consumer satisfaction in nursing home questionnaire contains 6 dimensions and 34 items,which is consistent with the theoretical structure of the original questionnaire.The Chinese version of the questionnaire has good reliability and validity,and is suitable for evaluating the satisfaction of the elderly living in community nursing homes in China.In this study,the satisfaction level of the elderly living in community nursing homes is above the average.Gender,age,occupation,Barthel index score,self-conscious health status,subjective feeling of economic situation and visiting frequency of relatives and friends are the main factors influencing the satisfaction of the elderly living in community nursing homes.The government should improve the welfare of the elderly,reduce the burden of providing for the aged and carry forward the traditional virtue of respecting the elderly;Community nursing homes should provide personalized diet for the elderly,publicize the importance of exercise,provide various ways to participate in activities,persuade children to visit more and cooperate with medical centers.