以质量求发展,以服务铸品牌

Journal of Nursing ›› 2023, Vol. 30 ›› Issue (4): 11-15.doi: 10.16460/j.issn1008-9969.2023.04.011

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Construction of home-care service standard of social support institutions for elderly people with dementia in Chengdu City from perspective of long-term care insurance

REN Pan1, CHEN Xiao-ju1, ZENG Jing1, LIAO Ming-shu1, RONG Huan2, ZHONG Hong-yue1, LI Li1   

  1. 1. School of Nursing, Chengdu Medical College, Chengdu 610083, China;
    2. Oncology Laboratory, Chongqing University Cancer Hospital, Chongqing 400030, China
  • Received:2022-08-23 Online:2023-02-25 Published:2023-03-14

Abstract: Objective To construct the home-care service standard of social support institutions for elderly people with dementia in Chengdu from the perspective of long-term care insurance, to standardize and improve the quality of home care service, and to provide reference for satisfying the need of elderly people with dementia. Methods Based on holistic theory, the questionnaire was formed after literature review, mixed research, and brainstorming. A three-round modified Delphi survey was conducted with 20 experts from 13 units in Chengdu to determine the standardized service indicators. SPSS26.0 was used to calculate expert positive coefficient, authority coefficient, and coordination coefficient. Furthermore, Yaahp12.7 was used to determine the weight of indicators at all levels. Results The positive coefficient of the 3 rounds of expert consultation was 100%, 100% and 90%, respectively. Expert authority coefficient was 0.912, and Kendall's W coefficient was 0.231, 0.226, and 0.187, respectively (both P<0.05). The final home-care service standard consisted of 2 first-level, 9 second-level, and 62 third-level indicators. Conclusion Home-care service standard of social support institutions developed in this study is scientific and targeted. It provides reference for improving the quality of home-care services for elderly people with dementia and protecting their care rights and interests in the future.

Key words: elderly people with dementia, long-term care insurance, home care, home-care services, services standard, Delphi technique

CLC Number: 

  • R473
[1] Jia L, Du Y, Chu L, et al.Prevalence, risk factors, and management of dementia and mild cognitive impairment in adults aged 60 years or older in China: a cross-sectional study[J]. Lancet Public Health, 2020, 5(12):e661-e671. DOI:10.1016/S2468-2667(20)30185-7.
[2] Wu B, Petrovsky DV, Wang J, et al.Dementia caregiver interventions in Chinese people: a systematic review[J]. J Adv Nurs, 2019, 75(3):528-542. DOI:10.1111/jan.13865.
[3] 王敏. 四川省长期护理保险制度研究[J]. 卫生经济研究, 2021, 38(4):21-24. DOI:10.14055/j.cnki.33-1056/f.2021.04.005.
[4] 郑巧英,张小霞,陈雪莲. 基于马斯洛需求层次原理的养老服务标准体系研究[J]. 标准科学, 2020(3):77-81. DOI: 10.3969/j.issn.1674-5698.2020.03.012.
[5] 王伯彦. 居家失能老人长期照护服务需求及其影响因素研究[D]. 太原: 山西财经大学, 2021. DOI: 10.27283/d.cnki.gsxcc.2021.000015.
[6] 李晓乾,李守杰,刘蕾. 基于德尔菲法的“ 1+X ”失智老人照护培训课程内容构建[J]. 沈阳医学院学报, 2022, 24(6): 664-668. DOI: 10.16753/j.cnki.1008-2344.2022.06.023.
[7] 卢舒颖,郭军,杨琳,等. 失智症患者照护专病护士培训体系的构建[J]. 中华护理教育, 2022, 19(1):21-27. DOI:10.3761/j.issn.1672-9234.2022.01.003.
[8] 赵凌波,曹文丽. 养老机构失智症照护人员职业能力评价体系构建[J]. 护理学报, 2022,29(7):27-31. DOI: 10.16460/j.issn1008-9969.2022.07.027.
[9] 聂玉琴,韩雯雯,窦丽,等. 医养结合视角下初级养老护理员培训体系构建及实施效果[J]. 新疆医科大学学报, 2022, 45(8):923-929.DOI:10.3969/j.issn.1009-5551.2022.08.020.
[10] 卞学莉,王君俏,王静. 护理员认知障碍照护核心技能指标体系的构建[J]. 护理学杂志, 2022, 37(9):93-95. DOI: 10.3870/j.issn.1001-4152.2022.09.093.
[11] 康艳楠,魏文彤,王瑞瑞,等. 基于马斯洛需求层次理论农村留守老年人社会支持需求评估体系的构建[J]. 护理学报, 2022, 29(8):1-6. DOI: 10.16460/j.issn1008-9969.2022.08.001.
[12] 冯景景,张利,苏晓娟. 社区居家老年人长期照护评估指标体系的构建[J]. 护理研究, 2020, 34(20):3611-3616. DOI: 10.12102/j.issn.1009-6493.2020.20.008.
[13] 潘爱红,赵玉,戴夫,等. 综合医院-护理院-社区-家庭医养结合老年护理服务标准化体系的构建[J]. 中华现代护理杂志,2021,27(29):3959-3966.DOI:10.3760/cma.j.cn115682-20210406-01510.
[14] 何欣欣,黄思源,张明凤,等. 长期照护机构智能照护安全质量评价指标体系的构建[J]. 护理研究, 2022, 36(19): 3393-3397. DOI: 10.12102/j.issn.1009-6493.2022.19.002.
[15] 周晓俊,岳玉川,吴冬梅,等. 成都市失智老年人长期照护服务质量评价指标体系的构建[J]. 护理研究, 2020, 34(11): 2038-2040. DOI:10.12102/j.issn.1009-6493.2020.11.037.
[16] 高小芬,张玲芝,黄立群,等. 基于Delphi法的城市居家失能老人专业护理需求指标体系的构建[J]. 护理与康复, 2022, 21(10): 32-40. DOI: 10.3969/j.issn.1671-9875.2022.10.008.
[17] 丁亚平,李冬梅. 养老机构失智症服务与管理标准的构建[J]. 护理学杂志, 2020, 35(5):91-93. DOI:10.3870/j.issn.1001-4152.2020.05.091.
[18] 齐敬晗,倪翠萍,秦雨,等. 养老护理员开展失智症精神行为症状照护的护理培训[J]. 解放军护理杂志, 2022, 39(1): 81-84. DOI:10.3969/j.issn.1008-9993.2022.01.020.
[19] 田双月,刘帅,王志稳. 中重度失智老人居家照护者困扰问题及需求调研[J]. 中国护理管理, 2019, 19(10):1502-1507. DOI: 10.3969/j.issn.1672-1756.2019.10.015.
[20] Gao SS, Chu CH, Young F.Oral health and care for elderly people with Alzheimer's disease[J]. Int J Environ Res Public Health, 2020, 17(16):5713.DOI:10.3390/ijerph17165713.
[21] Orgeta V, Mcdonald KR, Poliakoff E, et al. Cognitive training interventions for dementia and mild cognitive impairment in Parkinson's disease[J]. Cochrane Database Syst Rev, 2020,2(2):CD011961.DOI:10.1002/14651858.CD011961.pub2.
[22] 杨振,张会君. 老年失智症患者养老护理员照护性抑郁风险预测模型的构建[J]. 护理学报, 2021, 28(21):7-11. DOI: 10.16460/j.issn1008-9969.2021.21.007.
[23] 肖红梅,李策,冷敏敏,等. 居家失智患者照护者获益感的质性研究[J]. 护理学报, 2022, 29(10):1-4. DOI:10.16460/j.issn1008-9969.2022.10.001.
[24] 马冬飞,孙皎,赵英男,等. 痴呆患者精神行为症状相关护理模式的研究进展[J].中华护理杂志, 2019, 54(7):1017-1022. DOI: 10.3761/j.issn.0254-1769.2019.07.011.
[25] 贾让成,董晓欣,李龙,等. 基于合作博弈理论的失智老人长期照护社会支持系统探讨[J]. 中国卫生资源, 2021, 24(4):388-392. DOI: 10.13688/j.cnki.chr.2021.201067.
[26] 朱榕,张莉,李娟,等. 老年痴呆家庭照护者照护能力现状及影响因素研究[J]. 实用老年医学, 2019, 33(1):90-93. DOI: 10.3969/j.issn.1003-9198.2019.01.025.
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