West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
Department of Urology, West China Hospital, Sichuan University, Chengdu, China.
Front Public Health. 2024 Aug 19;12:1369456. doi: 10.3389/fpubh.2024.1369456. eCollection 2024.
The aging population has led to a surge in demand for home care, which has developed rapidly in China in recent years. However, there has been less empirical research into the needs of healthcare workers about providing home care. The purpose of this study was to explore the latent classes of healthcare workers' needs in primary health care institutions and to identify associated factors.
From August 2021 to June 2022, a convenience sampling method was adopted to conduct a questionnaire survey on the workers of 62 primary healthcare institutions in Sichuan Province. Latent class analysis was used to categorize home care needs by Mplus 8.3. Multinomial logistic regression analysis was adopted to explore the influencing factors using SPSS 25.0.
A total of 1,152 healthcare workers were included in the study. Their needs for home care were classified into four latent classes: overall high need group (18.0%); overall low need group (34.8%); high training and low support need group (29.9%), and the high security and low training need group (17.3%). The factors influencing the different need categories included working area, professional title, role of medical workers, had participated in training about home care, and feelings about home care, with Class 1 as the reference group.
Our findings indicate that primary healthcare workers have multifaceted needs for providing home care. Paying attention to their diverse needs can help optimize home care and enhance service capacity. Exploring the factors affecting needs can provide targeted support to healthcare workers to ensure the quality and continuity of home care services.
人口老龄化导致对家庭护理的需求激增，近年来中国家庭护理发展迅速。然而，对于医疗保健工作者提供家庭护理的需求，实证研究较少。本研究旨在探讨基层医疗机构医护人员需求的潜在类别，并确定相关因素。
2021 年 8 月至 2022 年 6 月，采用便利抽样法对四川省 62 家基层医疗机构的工作人员进行问卷调查。采用 Mplus 8.3 进行潜在类别分析，对家庭护理需求进行分类。采用 SPSS 25.0 中的多分类逻辑回归分析探讨影响因素。
共纳入 1152 名医护人员。他们的家庭护理需求被分为四类潜在类别：整体高需求组（18.0%）；整体低需求组（34.8%）；高培训低支持需求组（29.9%）和高安全低培训需求组（17.3%）。影响不同需求类别的因素包括工作区域、职称、医务人员角色、是否参加过家庭护理培训以及对家庭护理的感受，以第 1 类为参考组。
研究结果表明，基层医护人员在提供家庭护理方面有多种需求。关注他们的不同需求可以帮助优化家庭护理，提高服务能力。探索影响需求的因素可以为医护人员提供有针对性的支持，以确保家庭护理服务的质量和连续性。
