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目的通过对老年脑卒中患者养老需求以及影响因素进行调查,为老年脑卒中患者探寻医疗照护及养老方式,为中国积极应对老龄化问题提供理论依据。方法对河南省部分医院就诊的老年脑卒中患者的养老需求情况及其影响因素进行问卷调查。结果共纳入972名老年脑卒中患者。首选社区养老者占40.60%,首选家庭养老者占35.40%,将居家养老作为首选者占13.30%,首选机构养老者占8.60%。每月养老支出选择1000~2000元的人数最多,占47.74%。服务方式方面,医疗康复536人(55.14%),基本医疗服务(27.16%)和人性化照顾(10.29%)。对养老机构关心的因素为:价格、服务质量和医疗条件。文化程度、婚姻、健康满意度、有无个人收入、有无医保、城乡、吃饭及打电话自理情况8个变量对养老方式的选择有影响。结论脑卒中患者养老呈现多元化需求模式,需要大力发展多种养老模式。
Objective To investigate the elderly care needs and their influencing factors in senile stroke patients and to explore medical care and retirement care for senile patients with stroke so as to provide a theoretical basis for China to actively respond to the aging problem. Methods The elderly care needs of senile stroke patients in some hospitals in Henan Province and their influencing factors were surveyed. Results A total of 972 senile stroke patients were enrolled. The preferred community carers accounted for 40.60%, the preferred home-carers accounted for 35.40%, home-based retirement as the preferred 13.30%, the preferred institutional carers accounted for 8.60%. The monthly pension expenditures of 1000 to 2000 yuan the largest number, accounting for 47.74%. In terms of service methods, 536 medical rehab (55.14%), basic medical services (27.16%) and humane care (10.29%) were provided. The factors that care about pension institutions are: price, quality of service and medical conditions. Educational level, marital status, health satisfaction, personal income, medical insurance, urban and rural areas, eating and telephone self-care situation 8 variables affect the choice of pension options. Conclusion Aging patients in stroke patients present diversified demand patterns and need to vigorously develop a variety of pension patterns.