摘要目的 调查社区失能老人自我护理能力情况,探讨医养护一体化服务对社区不同失能程度老人的自我护理能力的影响.方法 对某一社区签约医养护一体化服务的42名失能老人进行跟踪调查,采用中文版老年人自我护理能力量表对比服务对象接受服务前和接受服务6个月后的自我护理能力变化.结果 42名社区失能老人的自我护理能力平均(48.69±12.11)分,总体处于低水平;接受医养护一体化服务6个月后,失能老人自我护理能力得分提高,自我护理能力总分为(53.07±8.68)分、目标维度(21.38±3.76)分、技能维度(25.62±4.39)分,接受服务前后比较差异有统计学意义(t值分别为-2.346、-2.592、-2.731;P<0.05).轻度失能老人在接受服务前后差异无统计学意义(P>0.05);中度和重度失能老人接受服务后自我护理能力总分、技能维度得分提高,差异有统计学意义(P<0.05).结论 社区失能老人自我护理能力总体较低,医养护一体化服务可以提高社区失能老人的自我护理能力,但仍有很大的提升空间.

abstractsObjective To investigate the self-care agency in disabled elders of community and to explore effects of medical care and nursing service integration on self-care agency in disabled elders with different degrees of disability in community. Methods We traced and investigated a total of 42 disabled elders signed medical care and nursing service integration with a community. The self-care agency was compared with the Chinese Version of the Self-care Ability Scale for the Elderly (SASE-CHI) before and six months after service objects accepting services. Results The average of self-care ability of community disabled elders was (48.69±12.11) with a low level. Six months after accepting medical care and nursing service integration, the score of self-care ability of disabled elders increased along with (53.07±8.68) in total score of self-care ability, (21.38±3.76) in objective dimension and (25.62±4.39) in skill dimension. There were significant differences in scores of self-care ability compared before and after accepting service (t=-2.346,-2.592, -2.731;P<0.05). There were small changes in elders with mild disability before and after accepting services (P>0.05). The total score of self-care ability and score of skill dimension increased in elders with moderate and severe ability after accepting services, the differences were statistically significant (P<0.05). Conclusions The self-care ability of community disabled elders is in a low level. The medical care and nursing service integration can improve self-care ability of community disabled elders. However, there is great room to upgrade.