The demand for traditional Chinese medicine nursing services and influencing factors of inpatient elderly patients in the context of integration of medical care and elderly care
医养结合背景下住院老年患者中医护理服务需求调查与影响因素分析

摘要

目的 本研究旨在了解确定住院老年患者对中医护理服务需求与其影响因素以便有针对性的改进护理服务，为医养结合模式下中医护理服务的发展提供实证研究支持。方法 通过便利抽样法，选取某三甲医院住院老年患者作为研究对象，通过问卷调查了解当前老年患者中医护理服务需求，并进行相关性分析。结果 85.6%患者需要中医护理服务，住院老年患者对中医护理服务需求排名中，膳食指导、按摩、保健养生的需求度较高。民族差异蒙古族对中医外敷需求显著高于汉族（p=0.015），受文化程度、职业、民族差异以及中医认知水平影响因素显著。结论 老年患者更加注重易操作的中医技术，如膳食指导、按摩，与医养结合防治病重的理念高度重合，慢性病管理、民族文化和经济能力是需求差异化的核心要点因素，需要推动中医护理服务纳入医保并且开发中医蒙医结合的项目，并且针对失能的老年患者升级优化床旁中医护理服务。

Abstract

Objective This study aims to understand and determine the demand of hospitalized elderly patients for traditional Chinese medicine (TCM) nursing services and its influencing factors, so as to improve nursing services in a targeted manner and provide empirical research support for the development of TCM nursing services under the integration of medical and elderly care model. Method Using convenient sampling, elderly inpatients from a tertiary hospital were selected as the research subjects. Their current needs for traditional Chinese medicine (TCM) nursing services were investigated through a questionnaire survey, and correlation analysis was conducted.
Results 85.6% of the patients need TCM nursing services. Among them, hospitalized elderly patients have a relatively high demand for dietary guidance, massage, and health preservation. There is a significant difference in ethnicity. The demand of Mongolian patients for TCM external application is significantly higher than that of Han patients (p = 0.015). Influencing factors such as educational level, ethnic differences, and the level of TCM cognition are significant.
Conclusion   Elderly patients pay more attention to easy - to - operate TCM techniques, such as dietary guidance and massage, which highly coincide with the concept of preventing and treating diseases in the integration of medical and elderly care. Chronic disease management, ethnic culture, and economic ability are the core factors of demand differentiation. It is necessary to promote the inclusion of TCM nursing services in medical insurance, develop projects that integrate TCM and Mongolian medicine, and upgrade and optimize bedside TCM nursing services for disabled elderly patients.