目的：了解潍坊市养老机构护理分级的现状，分析影响老年人长期照护服务中护理分级满意度的因素。方法：2019年1月~8月，采用自行编制的问卷，通过方便抽样与面对面质性访谈法的方法对潍坊市五家养老机构的102例入住老年人开展横断面调查。结果：潍坊市五家养老机构无统一的护理分级服务标准，主要以提供日常护理服务为主。入住老年人对于公办养老机构的满意程度明显高于民办私人养老机构，公办养老机构满意度总分平均为147.31 ± 9.50，民办养老机构为140.63 ± 14.24 (满分为160分)。养老机构对老年人精神、心理层面的关注较少，16.7%的老年人谈到养老机构没有公共娱乐设施和场所，仅有2.9%的老年人在问卷养老院设施一项上勾选了心理咨询室。结论：潍坊市养老机构缺乏统一的护理分级标准，服务条目主要以提供生活照护为主，老年人的护理分级满意度总体居于一般水平，应通过其影响因素分析结果，探索统一的养老机构护理分级标准，提高老年人护理分级满意度，提升养老机构的服务水平。
Objective: To
understand the current status of nursing grading in the elderly care
institutions in Weifang and analyze the factors that affect the satisfaction of
nursing grading in long-term care services for the elderly. Methods: A
self-designed questionnaire was used to conduct a cross-sectional survey of 102
elderly people in five old-age care institutions in Weifang City through
convenient sampling and face-to-face interviews. Results: There was no unified
nursing grading service standard in five elderly care institutions in Weifang
City, which mainly provided daily nursing services. The satisfaction degree of
the elderly to the public pension institutions was significantly higher than
that of the private pension institutions. The average total satisfaction score
of the public pension institutions was 147.31 ± 9.50, and the private pension
institutions was 140.63 ± 14.24 (full score is 160). The elderly care
institutions paid less attention to the spiritual and psychological aspects of
the elderly. 16.7% of the elderly talked about the lack of public entertainment
facilities and places in the elderly care institutions, and only 2.9% of the
elderly chose the psychological consulting room on the questionnaire. Conclusion:
The nursing homes in Weifang City lack a unified standard for nursing grading.
The service items mainly provide life care. The satisfaction of nursing grading
for the elderly is generally at a general level. A unified nursing grading
standard for nursing homes should be explored through the analysis of influencing
factors, to improve the satisfaction rating of elderly care, and improve the
service level of elderly care institutions.
Portrait, F., Lindeboom, M. and Deeg, D. (2000) The Use of Long-Term Care Services by the Dutch El-derly. Health Economics, 9, 513-531. https://doi.org/10.1002/1099-1050(200009)9:6<513::AID-HEC534>3.0.CO;2-R
