杭州市社区老年护理院建设与发展的研究

目的了解杭州市社区老年护理现状，探索社区老年护理院建设和发展模式，为政府决策部门提供参考依据。方法以走访、信函调查、问卷调查相结合的方式，调查社区卫生服务中心及患者、社区护士、临床护士。结果社区护士数量少、学历低、职称低，在社区为老服务工作中没有发挥较好作用；家庭护理没有很好开展；社区卫生服务中心有一定住院床位，其功能已类似于老年护理院的功能。结论应以社区卫生服务中心为依托，开展社区老年护理院硬件建设，同时建立老年护理评估体系、加强老年护理人才培养，积极稳妥推进老年护理院的发展，以应对老年人快速增长的护理需求。

Study on the establishing and developing of community nursing institution for the aged in Hangzhou

Objective To learn the current situation of community nursing for the aged in hangzhou, investigate the pattern of construction and development of community nursing for the aged, provide reference for decision-making departments of government. Methods Surveied community health service center, patient, community nurses and clinical nurses by interview, letter and questionnaire. Results Smaller quantity, lower professional title and inferior educational background were the characteristics of community nurses. Accordingly, they didn't produce a marked effect in community Health Services for the Aged. Family nursing wasn't carried on very well. Community health service center has certain beds, its function was similar to elderly nursing home. Conclusions Hardware construction of elderly nursing homes should be based on community health service center, Simultaneously, we should establish nursing assessment system, strengthen cultivation of talents in elderly nursing, impel the development of elderly nursing home actively and stably, in response to the rapid increasing nursing needs of elderly.