| Objective: Investigate the cognition of residents in three types of old-age care models in Urumqi on the knowledge of old-age care and health;understand the residents' satisfaction with the use of old-age care services and old-age care methods under different old-age care models;Analyze and compare the factors influencing residents' choice of different pension methods under the three pension models,and then analyze the problems that arise in the provision of pension services under different pension models.Quality of life and quality of life put forward rational countermeasures and suggestions.Methods:Self-designed questionnaires,using random number table method to randomly select communities and old-age institutions in Urumqi.A total of 6 community health institutions,7 old-age institutions,5 integrated medical and nursing-type old-age institutions were surveyed,and a total of 929 questionnaires were issued.After data collection and analysis,SPSS 17.0 was used for statistical analysis,qualitative data was descriptive analysis,difference chi-square test,and chi-square test single factor analysis,scoring and two-class logistics regression were used for influencing factors for elderly cognition and use of elderly services.Analysis,satisfaction analysis of the aged service using factor analysis and multiple linear regression model analysis.Results: 1.Residents' aged care status: A total of 905 residents were surveyed,38.40% were home-based elderly residents;35.9% were institutional elderly residents,and 25.70% were elderly residents with integrated medical care and nursing care.It shows that at this stage,the majority of residents choose the old-age care method at home.2.Resident self-assessment health:Comparing the self-assessment health status of residents under three pension models,the self-assessed health status of institutional elderly residents is better than home-based and medical-supported elderly residents.48.92%,43.80% and 35.19%;The prevalence of chronic diseases was higher among residents under the three types of pension modes.The average prevalence of chronic diseases was 76.24%,which was higher than the nationalaverage of 64.50% of the elderly.The prevalence was 81.27%,69.54% and 78.11%;More than 55% of the residents suffer from chronic diseases of two or more types.It shows that the health status of residents is not satisfactory,and the health status still needs to be improved.The economic costs of residents under the three types of pension modes are higher than those for home-based and institutional pensions(more than 30,000).3.Cognitive aspects of residents' health-related factors: The awareness rates of common pension types in China for home-based pensions and medical-support pensions were51.90% and 47.20%,respectively,and institutional pension residents were less aware of common pension types in China(31.70%).Residents' awareness of daily self-care in more than 80% of the three ways of supporting the elderly indicates that residents pay more attention to self-care;Residents' awareness of hypertension risk factors was better under the three pension modes,and the awareness rates were more than 50%;The awareness rate of diabetes risk factors is 60.80%,37.20%,and 50.20% for home-based,institutional,and medical-supported elderly residents.The awareness of institutional-based elderly residents is lower than that of medical-supported elderly residents.Residents.Residents 'awareness of stroke risk factors is poor,all less than 40%;residents' awareness of risk factors of chronic obstructive pulmonary disease is poor,all less than 35%.It shows that,in general,the awareness rate of chronic diseases of hypertension and diabetes included in the national basic public health is better than that of stroke and chronic obstructive pulmonary disease not included in the basic public health.Residents' willingness to care for the elderly: The three types of pensioners have a strong willingness to add chronic disease management in their retirement life,all of which are more than 80%.As for the current pension lifestyle,the willingness of home-based elderly residents to be at home is 92.5%.Residents 'willingness to provide care for the elderly in the institutions reached 77.5%,and residents' willingness to combine medical care with the elderly reached 82.8%.4.Residents' cognitive awareness influencing factors: There are 14 indicators such as age,education,and personal monthly income that affect the elderly's cognitive awareness at home;self-care,chronic disease management,and medical There are 10 indicators,such as the relationship between patient and responsibility;15 factors,such as education,health status,and knowledge channels,that affect the cognition of elderly residents with integrated medical support.5.Residents' use of elderly care services: Home-based elderly residents make better use of basic public health(54.24%)and fitness-related equipment(51.52%)provided by the community;institutional elderly residents use anti-slip and anti-fall safety facilities provided by the organization(74.60%),Daily living care(66.11%),economic subsidy and social welfare(54.87%),social participation activities(71.31%)make better use of the basic medical and nursing elderly residents provide basic medical and nursing elderly care institutions Public health(51.06%),high-quality and comfortable old-age environment and anti-slip and anti-fall facilities(70.06%),daily living care(60.34%),social participation activities(53.97%)make good use of;6.Residents' satisfaction with elderly care services: the level of medical services,the configuration and quality of elderly care services,the effectiveness and cost of services are common factors that affect the satisfaction of the three types of elderly care models;Allocation and quality,service effects and costs;The factors that affect the satisfaction of elderly residents are: the level of medical services,the allocation and quality of services,attitudes and costs;the factors that affect the satisfaction of elderly residents with integrated medical care are: convenient service utilization,Medical service cost and configuration,quality and effect of medical service.Conclusion: 1.At present,home-based care for the elderly is still the main form of care for the elderly at this stage.Institutional care and the combination of medical care and care for the elderly still need to increase publicity and improve the connotation construction.2.The good rate of residents' self-assessment health is less than 50%,and the increase in the prevalence of chronic diseases still reminds us that we need to pay attention to the quality of life of elderly residents.3.At present,the residents' awareness of elderly care is general,and the elderly care system has not been fully utilized.The awareness of hypertension and diabetes risk factors included in basic public health services has been improved,and chronic obstructive pulmonary disease not included in basic public health has been improved.Disease and stroke risk factors are not well understood,and the goal of promoting healthy lifestyle behaviors has not yet been reached.4.Residents' use of old-age care services has improved compared to the past.The three types of old-age care service use projects are slightly different.Therefore,in the development and use of old-age service,attention should be paid to the needs and utilization of residents of different old-age care modes,and targeted convenience for the elderly should be provided service.5.In terms of satisfaction with old-age services,medical service level,allocation and quality of old-age services,service effects and costs are common factors that affect residents' satisfaction.In the future,in the provision of old-age services,it is necessary to strengthen its connotation construction,improve service levels and improve services Quality thus improves results. |
PDF Full Text Request