长期照护保险制度视域下成都市失智老人社会支持类居家上门照护服务标准构建

目的 构建长期照护保险制度视域下成都市失智老人社会支持类居家上门照护服务标准,旨在规范上门服务人员的工作,从而提高其照护质量,为更好的满足失智老人居家照护需求提供参考。方法 在采用文献研究、混合研究的基础上,根据全人理论,使用德尔菲法对成都市20名专家进行3轮函询,确定失智老人社会支持类居家上门照护服务标准指标。应用SPSS26.0计算专家积极系数、权威系数与和谐系数,运用Yaahp12.7确定各级指标的权重。结果 3轮专家函询的有效回收率分别为100%、100%和90%,专家权威系数均为0.912,Kendall's W系数分别为0.231、0.226和0.187（均P<0.05）。最终失智老人社会支持居家上门照护服务标准包括2项一级指标、9项二级指标和62项三级指标。结论 本研究构建的社会支持类居家上门照护服务标准的研究方法科学,且内容具有针对性,可为今后提升失智老人居家照护服务品质,保障失智老人照护权益提供参考。

Construction of home-care service standard of social support institutions for elderly people with dementia in Chengdu City from perspective of long-term care insurance

Objective To construct the home-care service standard of social support institutions for elderly people with dementia in Chengdu from the perspective of long-term care insurance, to standardize and improve the quality of home care service, and to provide reference for satisfying the need of elderly people with dementia. Methods Based on holistic theory, the questionnaire was formed after literature review, mixed research, and brainstorming. A three-round modified Delphi survey was conducted with 20 experts from 13 units in Chengdu to determine the standardized service indicators. SPSS26.0 was used to calculate expert positive coefficient, authority coefficient, and coordination coefficient. Furthermore, Yaahp12.7 was used to determine the weight of indicators at all levels. Results The positive coefficient of the 3 rounds of expert consultation was 100%, 100% and 90%, respectively. Expert authority coefficient was 0.912, and Kendall's W coefficient was 0.231, 0.226, and 0.187, respectively (both P<0.05). The final home-care service standard consisted of 2 first-level, 9 second-level, and 62 third-level indicators. Conclusion Home-care service standard of social support institutions developed in this study is scientific and targeted. It provides reference for improving the quality of home-care services for elderly people with dementia and protecting their care rights and interests in the future.