PDF(Pubmed)
Abstract：
UNASSIGNED: Analyzing the differences in caregiving models for disabled older adult individuals after stroke and the influencing factors, to provide a basis for addressing relevant social demographic issues.
UNASSIGNED: The older adult diagnosed with stroke were screened from the Chinese Geriatric Health Survey (CLHLS), and were further divided into subgroups of disability, which was based on their ability of or whether they need help in performing activities such as dressing, bathing, eating, toileting or bowel and bladder control using the international common Katz scale. The care model was divided into formal care, informal care and home care. Multivariate logistic regression was used to screen the influencing factors of the choice of care model for the disabled older adult after stroke.
UNASSIGNED: The results of univariate analysis showed that there were statistical differences in the choice of care mode among different ages, household registration types, number of children, years of education, degree of disability, community services, retirement pension, marital status and medical insurance. Multiple logistic regression showed that, The rural older adult with more children, shorter education years, living with spouse and no help from community tend to choose informal care. Older adult people with higher levels of education, urban household registration, and access to community services are more likely to choose formal care. Older adult women with multiple children are more likely to receive care from their children.
UNASSIGNED: In the future, vigorous support for the development of formal caregiving institutions and the improvement of the management system of formal caregiving will help enhance the subjective initiative of disabled older adult individuals in choosing caregiving models and alleviate the burden of family caregiving.
UNASSIGNED: The older adult diagnosed with stroke were screened from the Chinese Geriatric Health Survey (CLHLS), and were further divided into subgroups of disability, which was based on their ability of or whether they need help in performing activities such as dressing, bathing, eating, toileting or bowel and bladder control using the international common Katz scale. The care model was divided into formal care, informal care and home care. Multivariate logistic regression was used to screen the influencing factors of the choice of care model for the disabled older adult after stroke.
UNASSIGNED: The results of univariate analysis showed that there were statistical differences in the choice of care mode among different ages, household registration types, number of children, years of education, degree of disability, community services, retirement pension, marital status and medical insurance. Multiple logistic regression showed that, The rural older adult with more children, shorter education years, living with spouse and no help from community tend to choose informal care. Older adult people with higher levels of education, urban household registration, and access to community services are more likely to choose formal care. Older adult women with multiple children are more likely to receive care from their children.
UNASSIGNED: In the future, vigorous support for the development of formal caregiving institutions and the improvement of the management system of formal caregiving will help enhance the subjective initiative of disabled older adult individuals in choosing caregiving models and alleviate the burden of family caregiving.
摘要：
■分析脑卒中后残疾老年人照顾模式的差异及其影响因素，为解决相关的社会人口问题提供基础。
■从中国老年健康调查（CLHLS）中筛选出被诊断为中风的老年人，并进一步分为残疾小组，这是基于他们的能力，或者他们是否需要帮助进行诸如穿衣之类的活动，洗澡,吃,使用国际通用Katz量表进行如厕或肠和膀胱控制。护理模式分为正式护理，非正式护理和家庭护理。采用多因素logistic回归筛选脑卒中后失能老年人护理模式选择的影响因素。
■单因素分析结果显示,不同年龄段的护理模式选择有统计学差异,户籍类型，儿童数量,多年的教育，残疾程度,社区服务,退休金,婚姻状况和医疗保险。多元Logistic回归分析显示,有更多孩子的农村老年人，教育年限较短，与配偶生活在一起，没有社区帮助的人倾向于选择非正式护理。受教育程度较高的老年人，城市户籍,和获得社区服务更有可能选择正规护理。有多个孩子的老年妇女更有可能从孩子那里得到照顾。
■在未来，大力支持正规护理机构的发展和完善正规护理管理体系，将有助于增强残疾老年人选择护理模式的主观能动性，减轻家庭护理负担。
■从中国老年健康调查（CLHLS）中筛选出被诊断为中风的老年人，并进一步分为残疾小组，这是基于他们的能力，或者他们是否需要帮助进行诸如穿衣之类的活动，洗澡,吃,使用国际通用Katz量表进行如厕或肠和膀胱控制。护理模式分为正式护理，非正式护理和家庭护理。采用多因素logistic回归筛选脑卒中后失能老年人护理模式选择的影响因素。
■单因素分析结果显示,不同年龄段的护理模式选择有统计学差异,户籍类型，儿童数量,多年的教育，残疾程度,社区服务,退休金,婚姻状况和医疗保险。多元Logistic回归分析显示,有更多孩子的农村老年人，教育年限较短，与配偶生活在一起，没有社区帮助的人倾向于选择非正式护理。受教育程度较高的老年人，城市户籍,和获得社区服务更有可能选择正规护理。有多个孩子的老年妇女更有可能从孩子那里得到照顾。
■在未来，大力支持正规护理机构的发展和完善正规护理管理体系，将有助于增强残疾老年人选择护理模式的主观能动性，减轻家庭护理负担。
