This study investigated the needs and influencing factors of community nursing service for elderly diabetes patients, and put forward corresponding countermeasures and suggestions to provide scientific basis for the community nursing service mode of elderly diabetes patients. A self-made questionnaire was used to investigate 520 elderly community diabetic patients in the sample area by stratified sampling. Descriptive analysis, single factor analysis and multiple stepwise linear regression analysis were used to analyze the nursing service needs and influencing factors. The study showed that the demand score of community elderly diabetes patients for health promotion was 34.18±5.084, and the highest demand score was regular physical examination. The demand score of disease care was 20.55±5.099, and the highest demand score was to provide fixed time for follow-up visit. The score of nursing demand for complications was 20.96±4.714, and the highest demand was the prevention and nursing of diabetic peripheral neuropathy. The results of multi-factor analysis showed that the factors affecting the demand for health promotion care included BMI, financial source, treatment condition, VAS score, pain/discomfort, and the standard of fasting blood glucose. In the development of community care for elderly diabetes, it is necessary to clarify the diversified nursing needs of patients and the problems existing in the service process, provide multi-level and individualized community care services, so as to improve the quality of life of patients.
This study investigated the demand status and influencing factors of home-based care for the elderly in rural communities, and put forward corresponding countermeasures and suggestions to provide support for the home-based care service plan in rural communities. Multi-stage random sampling was employed to recruit 1100 rural elderly people which questionnaires were distributed.The descriptive statistical methods were used to analyze the demographic characteristics and the demand status of home-based care for the elderly;Chi-square test and Logistic regression analysis were used to analyze the influencing factors of the demand for the elderly.The study shows that 609 elderly people (59.24%) have the need of home-based pension in the community. The highest demand for the elderly is medical care, accounting for 40.58%, followed by daily care (20.56%), community activities (20.34%) and spiritual and cultural services (18.12%). Among the demands of medical and health care services, the demand for general practitioners is the greatest. Among the demand of daily care for the elderly, the elderly have a greater demand for laundry, cooking, cleaning and outgoing activities;Among the demands for community activities and spiritual and cultural services, 28.55% of the elderly have a demand for recreational activities.Multivariate analysis showed that living conditions,career type,income level and medical insurance were the main factors affecting the demand for home-based old-age care for the elderly in the community.We should make targeted improvements according to the needs of the elderly at home, provide multi-level and more appropriate services for the elderly at home. 1.Introduction Population aging is an important problem facing the whole world today[1]. With the increase of "421" type families and the emergence of empty nest families, it is difficult for family pension to meet the diverse service needs of the elderly in the aspects of day care, medical services, health care and critical care [2-3]. The report of the Eighteenth National Congress first mentioned that "we should actively respond to the aging of the population and vigorously develop services and industries for the aged". Starting from the national conditions, we should innovate the system and mechanism by giving full play to the leading role of the government, further stimulate the vitality of all aspects of society, give full play to various forces of the society in order to actively promote the development of the old-age service system, meet the diversified needs of home-based old-age service.Therefore, we should take the growing demand for home care services for the elderly as a starting point and a foothold[4]. Community home-based pension refers to the old people's choice of living in the family in accordance with the national living habits of our country to live safely in their old age. It takes the community as the platform, integrates all kinds of service resources in the community, and provides services for the elderly, such as meals, cleaning, bat...
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