■本研究调查了≥60岁成年人对当前基于社区的家庭护理服务的满意度及其影响因素。
■采用分层整群随机抽样，我们调查了济南和青岛的1494名老年人，山东省,2021年至2023年。基线和满意度调查由我们的研究团队设计，问卷以结构化访谈的形式进行。采用Kruskal-WallisH检验和Logistic回归分析探讨满意度的影响因素。
■满意度主要受年龄影响（p=0.007），婚姻状况（p<0.001），退休前职业(p=0.003)，经济来源(p<0.001)，和居住方式(p=0.001)在1,494名老年人的研究中。在多种因素的影响下,对老年人服务的评估，已婚[OR=4.039，95%CI：1.176-13.877]更倾向于平均水平，他们的职业是农业，林业,畜牧业,渔业,和水生产工人[OR=0。237,95%CI:0.068-0.819]和生产运输设备操作人员及相关人员[OR=0.153,95%CI:0.024-0.966]或[OR=0.153,95%CI:0.029-0.820]趋于较为不满意。
■基于社区的家庭护理服务的满意度在老年人中相对较高，它主要受年龄等因素的影响，婚姻状况,退休前的职业，财政资源的来源，和居住方式。满足老年人的情感需求，降低老化成本，无缝整合医疗保健和老龄化是我们需要解决的持续挑战之一。
This study investigated the satisfaction of current community-based home care services and its factors in adults aged ≥60 years.
Using stratified cluster random sampling, we surveyed 1,494 older adults in Jinan and Qingdao, Shandong province, between 2021 and 2023. The baseline and satisfaction surveys were designed by our research team, and the questionnaires were conducted in the form of structured interviews. Kruskal-Wallis H-test and Logistic regression analysis were used to explore the influencing factors of satisfaction.
The satisfaction was mainly affected by age (p = 0.007), marital status (p < 0.001), pre-retirement occupation (p = 0.003), economic source (p < 0.001), and mode of residence (p = 0.001) in the study of 1,494 older adults. Under the influence of multiple factors, the evaluation of older adults services, married [OR = 4.039, 95% CI: 1.176-13.877] were more inclined to be average, and their occupations were agriculture, forestry, animal husbandry, fishery, and water production workers [OR = 0. 237, 95% CI: 0.068-0.819] and production and transportation equipment operators and related personnel [OR = 0.153, 95% CI: 0.024-0.966] or [OR = 0.153, 95% CI: 0.029-0.820] tended to be more dissatisfied.
The satisfaction level of community-based home care services is relatively high among older adults, and it is mainly affected by factors such as age, marital status, pre-retirement occupation, source of financial resources, and mode of residence. Addressing the emotional needs of older adults, lowering the cost of aging, and integrating health care and aging seamlessly are among the ongoing challenges that we need to tackle.
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