Abstract：
For the disabled, paying attention to their health status is the starting point to discovering their survival problems, while meeting their care needs is the end point to solving their survival problems. As the country with the largest number of disabled elderly in the world, how to ensure this group could obtain appropriate home care is a major public health issue facing China. Thus, we conducted a cross-sectional study from October to December 2020 to explore the basic characteristics and health status of disabled elderly in different types of care who are living at home in 37 streets in Shanghai, as well as the individual care needs and its relevance. We observed the significant differences in the number of diagnoses (p = 0.03), smoking (p = 0.009), drinking (p = 0.016), exercise (p = 0.001), activity of daily living (p < 0.0001), and the quality of life (p < 0.0001) across care types. The care needs of the disabled elderly are diversified, of which a vast majority of them have not been fully guaranteed. The urgent need for improving the identification accuracy of care needs of disabled elderly, as well as the development of elaborate and personalized care programs for them, is needed.
摘要：
对于残疾人来说，关注他们的健康状况是发现他们生存问题的起点，而满足他们的护理需求是解决他们生存问题的终点。作为世界上失能老年人数量最多的国家,如何确保这一群体能够获得适当的家庭护理是中国面临的重大公共卫生问题。因此，我们于2020年10月至12月进行了一项横断面研究，探讨了上海37个街道居家不同护理类型失能老人的基本特征和健康状况，以及个人护理需求及其相关性。我们观察到诊断次数的显着差异（p=0.03），吸烟（p=0.009），饮酒（p=0.016），锻炼(p=0.001)，日常生活活动(p<0.0001)，和不同护理类型的生活质量(p<0.0001)。失能老人的照顾需求多样化,其中绝大多数没有得到充分保证。迫切需要提高失能老人护理需求识别的准确性,以及为他们制定精心和个性化的护理计划，是需要的。
