基于卡诺模型的失能老年人护理新模式探索与应用
wf（2021）
Abstract
目的 采用卡诺(Kano)模型,探讨失能老年人居家护理新模式—长护险的质量属性及其对老年人营养状况和生活质量的影响.方法 选取2018年11月—2019年11月在上海市闵行区虹桥社区卫生服务中心依据《上海市老年照护统一需求评估指南》评估照护等级为2～6级的149名失能老年人作为研究对象,采用Kano模型,分析长护险的质量属性;随机选取在社区慢性病门诊就诊的老年人149例作为对照组.采用微型营养风险筛查表(MNA)进行营养风险筛查,比较营养风险及营养不良发生情况.结果 长护险服务总体质量处于较高水平,失能老年人对照护项目整体相对满意度较高;照护者的个人卫生及健康状况、基本生活照护、聊天、褥疮预防护理显示为基本属性;照护者的专业技能、照护时间,医疗保健问题以及安全心理健康预防显示为期望属性.经过3个月的长护险照护,老年营养风险发生率及营养不良发生率均有显著降低(P<0.05).结论 长护险作为老年居家护理新模式,可以整合社区卫生服务中心和民政部门资源,有效利用医疗资源,改善失能老年人的营养状况,提高老年生活质量.
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