Effects of medical care and nursing service integration on self-care agency in disabled elders of community
10.3760/cma.j.issn.1674-2907.2018.15.014
- VernacularTitle:医养护一体化服务对社区失能老人自我护理能力的影响
- Author:
Qingxia GE
1
;
Shu LI
;
Binglin CAI
;
Xuejiao ZHU
Author Information
1. 310020,杭州市江干区凯旋街道社区卫生服务中心护理部
- Keywords:
Self care;
Community care;
Disabled elderly;
Medical care and nursing service integration
- From:
Chinese Journal of Modern Nursing
2018;24(15):1797-1800
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the self-care agency in disabled elders of community and to explore effects of medical care and nursing service integration on self-care agency in disabled elders with different degrees of disability in community. Methods We traced and investigated a total of 42 disabled elders signed medical care and nursing service integration with a community. The self-care agency was compared with the Chinese Version of the Self-care Ability Scale for the Elderly (SASE-CHI) before and six months after service objects accepting services. Results The average of self-care ability of community disabled elders was (48.69±12.11) with a low level. Six months after accepting medical care and nursing service integration, the score of self-care ability of disabled elders increased along with (53.07±8.68) in total score of self-care ability, (21.38±3.76) in objective dimension and (25.62±4.39) in skill dimension. There were significant differences in scores of self-care ability compared before and after accepting service (t=-2.346,-2.592, -2.731;P<0.05). There were small changes in elders with mild disability before and after accepting services (P>0.05). The total score of self-care ability and score of skill dimension increased in elders with moderate and severe ability after accepting services, the differences were statistically significant (P<0.05). Conclusions The self-care ability of community disabled elders is in a low level. The medical care and nursing service integration can improve self-care ability of community disabled elders. However, there is great room to upgrade.
