Wang Dan, Zhang Huilan, Ren Hui, Luo Yu
School of Nursing, Third Military Medical University, Chongqing, China.
Health Soc Care Community. 2018 Jan;26(1):e164-e172. doi: 10.1111/hsc.12490. Epub 2017 Aug 30.
With its huge ageing population, China faces an enormous challenge for its elderly support and care. One of the proposed solutions was to diversify the elderly support systems. Towards this goal, setting up the Elderly Care Departments in the community health service centres is one of such new Chinese endeavour. This qualitative study was conducted among the residents enrolled in existing Elderly Care Departments established at the community health service centres in Chongqing, a Southwestern Chinese city, to evaluate the lived experience of the residents and to find strategies for improvement. Eighteen participants were recruited from the residents of the Elderly Care Departments of three community health service centres in the city. Data were collected through semi-structured in-depth individual interviews and were analysed utilising the Colaizzi's phenomenological method. Five main themes were identified: Safety and trust; Satisfaction and relief; Gratitude and mutual understanding; Complaints and helplessness; and Worries and apprehension. We found that set-up of the Elderly Care Departments at the community health service centres appeared to be consistent with the idea of integrated care and in general, the current running mode was able to provide the elderly with effective medical, nursing and other cares. The psychological and cultural services at these departments, however, need to be further enhanced.
由于庞大的老年人口，中国在老年人赡养和照料方面面临着巨大挑战。提出的解决方案之一是使老年人赡养体系多样化。为实现这一目标，在中国设立社区卫生服务中心老年护理部就是这样一项新举措。本定性研究以重庆市（中国西南部城市）社区卫生服务中心现有的老年护理部登记在册的居民为对象，评估居民的生活体验并寻找改进策略。从该市三个社区卫生服务中心老年护理部的居民中招募了18名参与者。通过半结构化深度个人访谈收集数据，并采用柯莱齐现象学方法进行分析。确定了五个主要主题：安全与信任；满意与宽慰；感恩与相互理解；抱怨与无助；担忧与忧虑。我们发现，在社区卫生服务中心设立老年护理部似乎符合综合护理理念，总体而言，目前的运行模式能够为老年人提供有效的医疗、护理和其他照料。然而，这些部门的心理和文化服务有待进一步加强。
