摘要目的：调查绍兴市社区老年护理现状及不同群体对社区老年护理体系的评价，为构建适合健康老龄化的新型社区护理模式提供依据。方法采用文献查阅、专家论证的方法编制社区老年人健康状况及社区护理需求调查表，采用分层抽样的方法对社区老年群体、社区卫生服务中心和医院护理人员进行现场调查。结果老年群体健康状况中患病率较高的是70～79岁组、80～89岁组；慢性病患病率从高到低为高血压、高脂血症、糖尿病、慢性肺部疾病、冠心病、脑血管病、恶性肿瘤；接受社区护理服务的情况。测量血压占82.46％，定期体检占68.47％，配药占58.58％，健康讲座占46.82％，注射／输液占34.33％；在对老年群体潜在的护理需求调查中，定期体检占69.78％，慢性病护理占56.34％，生活方式指导占43.28％，家庭访视占38.06％，居家护理占36.19％，调查对象认为最合理的老年护理模式为“疾病护理－健康管理－日常照护”一体化连续管理的模式。结论社区护理资源利用度较低，连续性社区护理模式符合老年群体的健康需求，有利于发挥社区护理在个体、群体和社会健康老龄化层面的促进作用。

abstractsObjective To investigate the current situation of community nursing for the elderly of Shaoxing cit-y, and the evaluation of different groups of community nursing system, to provide references for construction of nursing mode of the health aging.Methods The methods of literature review and expert argumentation were used to produce a questionnaire of elders'health condition and care needs.Stratified sampling method was used to do on-site survey for the elderly, community medical service center and nursing staffs.Results The age between 70~79 and 80~89 had a high prevalence of disease about the elderly health status, and the prevalence rate of chronic diseases from high to low were hypertension, hyperlipidemia, diabetes, chronic lung disease, coronary heart disease, cerebrovascular disease and tumor.The elderly accepted community nursing service's situation:for the measurement of blood pressure was 82.46%;the regular physical examination was 68.47%;dispensing was 58.58%;health lecture 46.82%;injection/infusion was 34.33%; in the investigation of the elderly's community nursing demands, the regular physical examination was 69.78%;nursing care of chronic disease was 56.34%; lifestyle guide was 43.28%; home visit was 38.06%, home care was 36.19%;in the investigation of the demand for the aged, in according to the mode of the elderly nursing, the most reasonable model was integration continuous management model of "disease care, health management, Daily care".Conclusions The community care resource's utilization degree is low, and the continuity of community nursing model could meet the demand of the health of the elders, and could accelerate the community nursing service in elderly individuals, groups and social healthy aging.