Cui Min, Hua Jianing, Shi Xiaoliu, Yang Wenwen, Geng Zihan, Qian Xiangyun, Geng Guiling
School of Medical, Nantong University, No19, Qixiu Road, Chong Chuan District, Nantong, Jiangsu Province, 226001, China.
Affiliated Hospital of Jiangnan University, 1800 Lihu Avenue, Wuxi, Jiangsu Province, China.
BMC Nurs. 2022 Aug 22;21(1):230. doi: 10.1186/s12912-022-01014-w.
Instrumental support, which is defined as practical, tangible, and informational assistance extended to patients, is crucial for older people in transition. However, little is known about instrumental support in transitional care. Thus, the aim of this study was to evaluate the instrumental support of older people in transitional care.
This cross-sectional study was conducted using the Questionnaire of Instrumental Support in Transitional Care (QISCT) to collect data from 747 older people in China from September to November 2020. Survey items consisted of a sociodemographic characteristics questionnaire and the QISCT. Multiple regression analyses were conducted to examine the association between independent variables and the QISCT scores.
The total score of the QISCT was 39.43 (± 9.11), and there was a significant gap between the anticipated support and received support. The satisfaction of instrumental support was low. Multiple regression analyses showed that educational level, the number of intimate relationships, monthly family income, monthly costs of transitional care, diabetes, and chronic obstructive pulmonary disease were associated with instrumental support in transitional care.
To cope with the burden caused by chronic disease, the government and transitional care teams should establish a demand-oriented transitional care service model and pay more attention to helping older people obtain adequate and satisfactory instrumental support.
工具性支持被定义为向患者提供的实际、具体和信息性援助，对处于过渡阶段的老年人至关重要。然而，对于过渡性护理中的工具性支持知之甚少。因此，本研究的目的是评估过渡性护理中老年人的工具性支持。
本横断面研究使用过渡性护理工具性支持问卷（QISCT），于2020年9月至11月收集了中国747名老年人的数据。调查项目包括社会人口学特征问卷和QISCT。进行多元回归分析以检验自变量与QISCT得分之间的关联。
QISCT的总分为39.43（±9.11），预期支持与实际获得的支持之间存在显著差距。工具性支持的满意度较低。多元回归分析表明，教育水平、亲密关系数量、家庭月收入、过渡性护理月费用、糖尿病和慢性阻塞性肺疾病与过渡性护理中的工具性支持有关。
为应对慢性病带来的负担，政府和过渡性护理团队应建立以需求为导向的过渡性护理服务模式，并更加注重帮助老年人获得充分且满意的工具性支持。
