Need for community-based medical-nursing combined services among urban empty nesters in China and its influencing factors: a cross-sectional study

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-05-01 DOI:10.1016/j.gerinurse.2025.04.033

Qianru Liu , Tianyu Zhang , Jiao Yuan , Xiaoxiao Mei , Cheng Wan , Yangzheng Liu , Guang Cai , Zhuoya Zhang , Li Geng

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引用次数: 0

Abstract

Objective

We aimed to investigate the need and influencing factors for community-based medical-nursing combined services among urban empty nesters in China based on ecological system theory.

Methods

A cross-sectional survey was conducted in Wuhan and Nanyang city. 289 empty nesters participated in the survey. This study employed a self - administered questionnaire, which had been tested for reliability and validity, to conduct the survey. Descriptive analysis, univariate analysis, and multiple stepwise linear regression were used for data analysis.

Results

Chinese empty-nest elderly had the highest need for health management and safety services. Age, monthly income, number of chronic diseases, marital status, walking time to the community health service center, frequency of choosing community health service center for primary medical treatment, differences in the health insurance type, and the understanding of medical-nursing combined model policies, could predict urban empty nesters’ needs.

Conclusion

The findings of this study assist elderly care service providers in closely matching the needs of empty-nest elderly when delivering medical-nursing combined services. In community elderly care, special attention should be given to specific types of elders, like the very old, the chronically ill, and those with mobility impairments. A comprehensive assessment of the needs of empty-nested elders for community-based home healthcare services should be carried out. Moreover, a community social and recreational platform should be established to facilitate interactions among the empty-nest elders.

查看原文本刊更多论文

中国城市空巢老人社区医疗护理结合服务需求及其影响因素的横断面研究

目的基于生态系统理论，探讨中国城市空巢老人社区医养结合服务需求及其影响因素。方法在武汉市和南阳市进行横断面调查。289名空巢老人参与了调查。本研究采用自填问卷进行调查，问卷已经过信度和效度检验。数据分析采用描述性分析、单变量分析和多元逐步线性回归。结果我国空巢老年人对健康管理和安全服务的需求最高。年龄、月收入、慢性病数量、婚姻状况、前往社区卫生服务中心的步行时间、选择社区卫生服务中心进行初级医疗的频率、健康保险类型的差异、对医养结合模式政策的了解程度等因素可以预测城市空巢老人的需求。结论本研究结果有助于养老服务提供者在提供医疗护理结合服务时紧密匹配空巢老人的需求。在社区老年人护理中，应特别注意特定类型的老年人，如高龄老年人、慢性病患者和行动不便的老年人。应全面评估空巢老人对社区家庭保健服务的需求。此外，应该建立一个社区社交和娱乐平台，促进空巢老人之间的互动。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.