Development And Application Of The Long-term Care Needs Questionnaire For The Disabled Elderly

Objective: Compile a long-term care needs questionnaire with good reliability,validity and practicability for the disabled elderly to investigate the long-term care needs of the disabled elderly,explore the differences in the content of the long-term care needs of the disabled elderly at different levels,and aim to provide personality for the disabled elderly Long-term care services that are integrated and hierarchical are of great significance to improving the quality of life of disabled elderly people.Methods: 1.Through literature review,semi-structured interviews,an item pool was constructed,and after two rounds of expert consultation and face validity tests,an initial questionnaire for the long-term care needs of the disabled elderly was formed;Cronbach’sα coefficient method was used to test the reliability of the questionnaire’s internal consistency;50 disabled elderly people filled out the questionnaire again two weeks later to calculate the test-retest reliability;divided the questionnaire into two sub-questions according to the odd and even items to calculate the half-reliability;the content validity was based on the CVI value;the structure validity was based on the factor analysis method2.Using the questionnaire survey method,apply the questionnaire on the long-term care needs of the disabled elderly to investigate the status quo of the long-term care needs of the disabled elderly.Results: 1.The initial questionnaire for the long-term care needs of the disabled elderly,including 6 dimensions,59 items,daily care needs(15 items),disease care needs(23 items),mental needs(5 items),and environmental facility needs(7 items),human support needs(4 items),spiritual care needs(5 items).To investigate the reliability and validity of the questionnaire for 400 disabled elderly people: The S-CVI of the questionnaire was 0.959,and the I-CVI was between 0.80 and 1.00;four common factors were extracted by exploratory factor analysis,and the cumulative contribution rate was 54.270%.According to the content of the item,the factors are named as medical rehabilitation needs(13 items),psychosocial support needs(8 items),specialized nursing needs(8 items),daily life needs(5 items);between each dimension and between each dimension and the total the Pearson correlation coefficient of the questionnaire ranges from 0.535 to 0.886(all P<0.01);the Cronbach’s α coefficient of the questionnaire is 0.948;the test-retest reliability is 0.914(P<0.01);the half-reliability is 0.926(P<0.01);2.To investigate the status quo of longterm care needs of 416 disabled elderly people: the average score of the long-term care needs of disabled elderly people is(3.06±0.64)points,which is at a middle level;the elderly with mild disability scores(2.81±0.56),which is at a low level;The elderly with moderate disability scores(3.30±0.61),which is at the middle level;the elderly with severe disability scores(3.39±0.60),which is at the middle level.Conclusion: 1.The questionnaire on the long-term care needs of the disabled elderly compiled in this study has good reliability and validity,and can be used to assess the status quo of the long-term care needs of the disabled elderly.2.The long-term care needs of the disabled elderly in this study are at a moderate level.The disabled elderly most hope to receive psychosocial support needs,followed by daily life needs,medical rehabilitation needs,and specialized nursing needs.With the increase in the degree of disability,the level of long-term care needs of the disabled elderly is gradually increasing,and the demand for specialized care and daily life is also higher.The elderly with mild and moderate disability most hope to get the needs of psychosocial support,and the elderly with severe disability most hope to get the needs of daily life.In the process of caring for the disabled elderly,corresponding care plans should be formulated according to the different ability levels of the disabled elderly,so as to better provide targeted,long-term,continuous and effective care services for the disabled elderly.