The Study On Satisfaction And Influencing Factors Of The Elderly In Nursing Homes In Shenyang

Objective: The purpose of this study is to investigate the satisfaction of elderly people living in nursing homes to the medical and health services provided by nursing homes in Shenyang,and to analyze the influencing factors of satisfaction of elderly people living in nursing homes in Shenyang,so as to provide a basis for further improving the medical and health service system of nursing homes.Methods: This study adopts the method of random sampling from July to September 2018,selects nine urban districts in Shenyang,and randomly selects pension service institutions according to the proportion of 10% of the number of pension service institutions in each district,and randomly selects 10-20 elderly people living in each pension service institution as the research object.This study was approved by the Ethics Committee of China Medical University.Questionnaire survey was conducted for the elderly living in the pension service institutions,which consisted of basic information of the elderly(gender,age,educational background,etc),medical and health services and other services of the pension service institutions(medical care services,cultural and recreational activities,psychological care services,etc),and satisfaction of the elderly(overall environmental service satisfaction,catering service satisfaction,life care service satisfaction,medical staff’s technical level satisfaction,medical staff’s service attitude satisfaction,overall old-age service satisfaction).A total of 813 questionnaires were issued,and 738 of them were valid.Chi-square test was used to analyze and compare the satisfaction of the elderly with different demographic characteristics.Binary Logistic regression method was used to confirm the influencing factors of satisfaction of elderly people in nursing homes.Results: There were statistically significant differences in the satisfaction of the elderly to the service provided by pension service institutions in different ages,educational background,health status,frequency of children’s visit,monthly charge standard,number of chronic diseases,self-care status,residence intention and occupation before retirement(P < 0.05).The analysis results of Binary Logistic regression showed that the influencing factors of the satisfaction of the elderly in the nursing home included health status,frequency of children’s visit,monthly charge standard,number of chronic diseases,education background and residence intention.Conclusion: This study provides a single supply of elderly care services for the elderly.On the whole,the elderly have a high degree of satisfaction with the overall environment,catering services,life care services,the technical level of medical staff,the service attitude of medical staff,and the overall elderly care services.In terms of the satisfaction of the elderly,the worse the health status,the less frequent the children visit,the more the monthly charge standard,the more the number of chronic diseases,the lower the educational background,and the more the elderly who are not willing to live in the pension institution are not satisfied with it.