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Research On Economic Burden And Influencing Factors Of Elderly Patients With Dementia In Nursing Home In Soochow

Posted on:2012-11-01Degree:MasterType:Thesis
Country:ChinaCandidate:T LeiFull Text:PDF
GTID:2214330368992333Subject:Social Medicine and Health Management
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ObjectiveOur research mainly focuses on the economic burden brought by dementia disease about elderly population in Fuxing Nusing Home in Soochow,we surveyed the economic and income losses to family caused by dementia and also analyzed the related influencing factors.We also give related preventive and nursing strategies according to the study results in order to provide scientific basis to reduce the heavy burdens of suffers,family and society,and also grope the model of supporting for Soochow.MethodsFuxing Nusing Home was selected by the method of cluster random sampling in this study,and 104 cases of dementia suffers were confirmed by screening phase adopting MMSE and diagnostic phase,HIS was used to differentiate AD and VD.We surveyed the basic information on individuals, sicken situation, daily behaviors,cost of treatment and nursing care,income losses of family and evaluation about treatment and health care.The statistical softwares of EPIDATA,SPSS17.0 were used to analysis the results.The statistical methods including general description,non-parametric test and Spearman correlation test . The health economic theory was used to assess the results.Results1.The average economic burden of elderly dementia in latest half a year is 45461.04RM(media is 46968.35),the average monthly economic burden is 7576.84RMB, 172.72% of per capita disposable income in Soochow,including direct economic burden 5826.73RMB,and indirect burden 1750.11RMB.2.The average economic burden of AD in latest half a year is 38510.22RMB(media is 36670.82;The average economic burden of VD in latest half a year is 50558.30RMB(media is 48962.78).3.The average cost paid monthly by family is 2021.58RMB,46.08%of per capita disposable income in Soochow, and the average cost paid monthly by social security agencies is 3971.67RMB.4.96.15% suffers,medical and other needs were satisfied.92.31% families can afford the expense in ease ,and 6.73% families can pay fee reluctantly.5.The main factor influencing the economic burden of nursing home is as follows:marriage,type of dementia,disabled severity,behaviours and psychological symptoms of dementia(BPSD),lenghth in nursing home,smokin,drinking,attention of nutrition,hobbies,family relations and social relations.ConclusionAlthough the economic burden of dementia is heavy ,the suffers in nursing home can receive professional care and timely medical treatment,the quality of living and life is improved,and families can free themselves of care improving work efficiency and lengthening working hours in ease. Suffers with pension and insurance institutions can pay fees,reducing the economic burden of families.Nursing home is open,and it is important for suffers, rehabilitation that families and friends can visit them frequently.More and more suffers and families will choose the nursing home.So we give some policy suggestions in order to release the economic burden of dementia:pay attention to work of prevention and care,build up social security system,propagandize scientific health knowledge,guide scientific treatment ,regulate medical behaviour,advocate scientific life styles,strengthen investment from government to dementia business in elderly ,encourage individuals to open nursing institutions.
Keywords/Search Tags:dementia, elderly, economic burden, nursing home
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