Research On The Quality Of Care Of Disabled Elderly In Dali Area

[Objectives]To further research on Dali disabled elderly care quality status and influencing factors, and make hygienic evaluation on quality of care for the elderly and disabled care service, in order to improve the quality of care for disabled elderly in Dali, improving care services presented valuable information, and provide the basis for the development of relevant measures.[Method]Ranked according to the districts and counties of Dali Prefecture GDP, sampling select Dali Bai Autonomous Prefecture five cities and counties as a sample survey areas. Select the Dali Bai Autonomous Prefecture60years or older (born before June1952), with Dali prefecture registered permanent residence, and identified by the CDPF sector registered as disabled elderly for the survey. Using the World Health Organization quality of care for the disabled scale, by "face to face" household survey, disability elderly demographic characteristics, living conditions and social support,the disabled elderly living conditions and social support,the disabled elderly care giving, accessibility, environmental resources, information resources, recently accepted to take care of the situation and other content as raw data in this survey. Using EpiData3.1to create a database, two people at the same time entered survey data, and then use SPSS21.0statistical analysis of the data.[Results]1. The research for evaluate the quality of care for the disabled elderly scale has high reliability and validity. Quality of care in each dimension correlation coefficient between0.609～0.706, scale Cronbach’s a coefficient between0.704～0.794, KMO value scale between0.715～0.835,Bartlett’s spherical test P value is0.000.2. The survey of300questionnaires were distributed, recovered293valid questionnaires, the effective rate was97.67%.3. Respondents to take care of the quality of the dimension scores:care giving score14.00±4.00,care accessibility score16.00±4.00,care environment score16.00±6.00,care information obtained score14.00±4.00,quality of care score58.75±9.097.4. Different demographic characteristics of respondents quality of care (generally disabled version) of each dimension score comparison:in different regions, ethnic groups, marital status, living and social support, education, health status, disability affect the standard of living, occupation, income and quality of the care of the scores, the difference was statistically significant (P<0.05).5. Different demographic characteristics of respondents accept social care support (disability objective module) of comparison:(1) The disabled elderly have received community doctor’s care or community support:quality of care in different regions, ethnic groups, marital status, living and social support, health status, disability affect life, income and each dimension scores, the difference was statistically significant(P<0.05).(2) The disabled elderly have received specialist care or community support:quality of care in different regions, health status, disability affect life, income and each dimension scores, the difference was statistically significant(P<0.05).(3) The disabled elderly have received psychiatrist’s care or community support: quality of care in different regions, ethnic groups, health status and each dimension scores, the difference was statistically significant(P<0.05).(4) The disabled elderly have received hospital or community health center nurses’ care or community support:quality of care in different regions, ethnic groups, health status, disability can see, disability affect life, income and each dimension scores, the difference was statistically significant(P<0.05).(5) The disabled elderly have received social workers’care or community support: quality of care in different regions, ethnic groups, living and social support and each dimension scores, the difference was statistically significant(P<0.05).(6) The disabled elderly have received CDPF staff rights and petition authorities’ care or community support:quality of care in different regions, income and each dimension scores, the difference was statistically significant(P<0.05).(7) The disabled elderly have received mate and family members’ care or community support:quality of care in different regions, living and social support, health status and each dimension scores, the difference was statistically significant(P<0.05).(8) The disabled elderly have received friends’care or community support:quality of care in different regions, marital status, disability can see, disability affect life, occupation, income and each dimension scores, the difference was statistically significant(P<0.05).6. The influencing factors of disabled elderly care quality scores have ethnic groups, marital status, occupation, disability affect life. Other ethnic groups, unmarried, unemployed/laid-off and unemployment, extremely serious impact, the above factors have an impact on the quality of care for the disabled.[Conclusion]1. Disabled Care Quality Scale (general disability version) and disabled care quality scale (objective module) have good reliability and validity. It’s suitable for disabled elderly in Dali.2. Disabled elderly in Dali focused on quality of care total score between54to65, the average score58.75,80points and above the minimum score percentage.3.Affect disabled elderly quality of care (generally disabled version) and each dimensions score factors are as follows:(1) Affect disabled elderly and care giving dimensions score factors are ethnic groups, living and social support.(2) Affect disabled elderly and care accessibility dimensions score factors are regions, ethnic groups, health status.(3) Affect disabled elderly and care environment dimensions score factors are marital status, education level, the impact of disability living, main occupation, income.(4) Affect disabled elderly and care information obtained dimensions score factors is education level.4. Affect disabled elderly accept social care support (disability objective module) factors are as follows:(1) Affect disabled elderly accept community doctor’s care or supported situation factors are regions, ethnic groups, marital status, living and social support, health status, disability affect life and income.(2) Affect disabled elderly accept specialist care or supported situation factors are regions, health status, disability affect life and income.(3) Affect disabled elderly accept psychiatrist’s care or supported situation factors are regions, ethnic groups, health status.(4) Affect disabled elderly accept hospital or community health center nurses’ care or supported situation factors are regions, ethnic groups, health status, disability can see, disability affect life, income.(5) Affect disabled elderly accept social workers’ care or supported situation factors are regions, ethnic groups, living and social support.(6) Affect disabled elderly accept CDPF staff rights and petition authorities’ care or supported situation factors are regions, income.(7) Affect disabled elderly accept mate and family members’ care or supported situation factors are regions, living and social support, health status.(8) Affect disabled elderly accept friends care or supported situation factors are regions, marital status, disability can see, disability affect life, occupation, income.