公寓型养老机构老年人自我照顾能力现状及其影响因素

目的：通过对公寓型养老机构入住老年人进行健康评估，分析老年人自我照顾能力现状及其影响因素，为家庭、社区、养老机构在评估管理及生活服务等方面提供参考。方法：采用问卷调查法，对入住公寓型养老机构的253名老年人进行调查。结果：老年人自我照顾能力评分为（23.20±2.91）分，自我照顾能力尚可。多元回归分析显示，老年人年龄、程序记忆能力、对日常生活事务决定能力和日常生活活动能力是其自我照顾能力的影响因素（P〈0.05）。结论：在保持和提高老年人自我照顾能力过程中，养老机构应注重健康评估管理，可通过健康评估选择收住对象，并提高老年人程序记忆能力和对日常生活事务决定能力，以减轻长期护理服务提供方照顾负担。

Investigation of self-care ability and inlfuencing factors of the old adults in long-term care facilities

Objective：By assessing the health status of old adults in long-term care facilities, we intended to investigate the self-care ability of old adults and analyze the inlfuencing factors to provide theoretical basis for long-term care providers in homes, communities and long-term care facilities. Methods：A total of 253 old adults in long-term care facilities were investigated using a questionnaire. Results：The mean score of self-care ability among these old adults was 23.20＆#177;2.91, on a high level. And this ability was inlfuenced by age, procedural memory, decision-making ability on daily living affairs and ADL （P＆lt;0.05）. Conclusion：Old adults in long-term care facilities show high level of self-care ability. In the process of maintaining and improving old adults＆#39; self-care abilities, managers should devote to improve procedural memory abilities and decision-making abilities on daily living affairs and alleviate caring burden of long-term care providers.