医养结合模式下养老机构医护人员急救能力研究进展

张颖; 李佳; 刘世平

doi:10.16766/j.cnki.issn.1674-4152.004100

医养结合模式下养老机构医护人员急救能力研究进展

doi: 10.16766/j.cnki.issn.1674-4152.004100

川北医学院附属医院全科医学科，四川南充 637000

基金项目:

四川省基层卫生事业发展研究中心资助项目 SWFZ23-Y-73

详细信息

通讯作者:
刘世平，E-mail：liusp456@163.com

中图分类号: R161.7 R197.7
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- 文章访问数: 8
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- 被引次数: 0
出版历程
- 收稿日期: 2024-07-05
- 网络出版日期: 2025-10-25

Research progress on the comparison of emergency response abilities among medical staff in elderly care institutions under the integration of medical care and elderly care

Department of General Practice, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, China

摘要

摘要: 我国已进入老龄化社会，随着老龄化的持续加剧，老年人对医疗、康复、保健、养老等需求逐渐增加，健康养老意识正在逐渐增强，故针对医养结合下养老机构的相关研究也呈上升趋势。医养结合是将“健康服务”与“养老体系”有机结合，以实现社会利用最大化和最优解。本文结合医养结合养老模式的相关概念，就近年来医养结合下养老机构医护人员急救能力相关研究进展进行综述，深入探讨其发展现状、前景及面临的问题，旨在消除养老服务体系与健康服务体系之间的分割，为指导养老机构真正做到医养结合及该领域进一步的研究提供一定的参考。以“医养结合”“养老机构”“急救”为主题词，在中国知网、维普、万方、PubMed数据库中对近年的期刊文献进行检索，并对相关文献进行筛选、阅读。通过阅读文献发现，相较于国外研究，国内研究以高校为主，理论分析较强，缺少实例研究。故以医养结合的养老模式作为宏观背景，全面分析养老机构医护人员的专业医疗照护与急救能力及其影响因素，从而制定相关培训制度，提高养老机构医护人员的整体素质，改变其急救观念，普及急救知识和技能，为目前养老卫生事业在急救医疗等领域提供新的改进思路。
- 医养结合 /
- 养老服务 /
- 养老机构 /
- 医护人员 /
- 急救能力
Abstract: China has officially entered an era of demographic ageing, with the country ' s rapidly ageing population resulting in an increased demand for medical treatment, rehabilitation, healthcare and pension services. Consequently, there has been a growing awareness of health pensions. This phenomenon is further evidenced by the increasing number of scholarly research studies focusing on pension institutions that integrate medical care and pension systems. The integration of medical and nursing care represents the harmonious convergence of "the health service" and "pension system" with the overarching objective being the maximization of social utility and the identification of optimal solutions. This paper, by drawing upon the relevant concepts of the model of combination of medical care with old-age care, reviews the research progress on the first-aid ability of medical personnel in old-age care institutions under the combination of medical care and old-age care in recent years. It also provides a comprehensive discussion on the development status, prospects and problems of this field, and aims to eliminate the division between the old-age service system and the health service system. The paper ' s objective is to provide a comprehensive reference point for elderly care institutions, encouraging the advancement of research in this field. A comprehensive search of recent journal literature was conducted using the CNKI, VIP, Wanfang and PubMed databases, and relevant literature was screened and reviewed to compile this review. The review revealed that, in contrast to international research, which primarily focuses on universities, domestic research is predominantly centred on institutions of higher education, emphasizing theoretical analysis over case studies. Therefore, it is imperative to comprehensively analyze the professional medical care and first-aid capabilities of medical staff in old-age care institutions and their influencing factors. This analysis should consider the combination of medical care and nursing as the macro background. The objective is to formulate relevant training systems, improve the overall quality of medical staff in old-age care institutions, change their first-aid concepts, and popularize first-aid knowledge and skills. This analysis can yield novel concepts for enhancing the existing elderly health service in the domain of emergency medical treatment.
- Combination of medical care and elderly care /
- Elderly care services /
- Elderly care institutions /
- Medical staff /
- First aid ability

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参考文献(40)

[1]	李婷. 我国人口老龄化对经济社会的影响及对策[J]. 产业与科技论坛, 2021, 20(23): 59-60. LI T. The impact and countermeasures of population aging on economy and society in China[J]. Industrial & Science Tribune, 2021, 20(23): 59-60.
[2]	周倩, 杨胜慧. 积极应对人口老龄化政策背景下我国老年人口健康状况分析: 基于第六次、第七次全国人口普查数据的比较分析[J]. 人口与健康, 2023(7): 49-53. ZHOU Q, YANG S H. Analysis of the health status of the elderly population in China under the background of actively responding to population aging policies: a comparative analysis based on the sixth and seventh national population censuses[J]. Population and Health, 2023(7): 49-53.
[3]	甘晓成, 艾力飞热·阿不都古力, 蔡瑶瑶. 人口老龄化下我国城乡养老机构运行效率研究: 基于三阶段SBM-DEA模型的分析[J]. 价格理论与实践, 2022(8): 132-136. GAN X C, ALIFEIRE·ABDUGULI, CAI Y Y. Research on the operational efficiency of urban and rural elderly care institutions in china against the background of population aging: analysis based on the three-stage SBM-DEA model[J]. Price: Theory & Practice, 2022(8): 132-136.
[4]	MARENGONI A, VETRANO D L. Multimorbidity: disease of society?[J]. Lancet Healthy Longev, 2021, 2(8): e451-e452. doi: 10.1016/S2666-7568(21)00167-7
[5]	DAMLUJI A A, FORMAN D E, WANG T Y, et al. Management of acute coronary syndrome in the older adult population: a scientific statement from the American Heart Association[J]. Circulation, 2023, 147(3): e32-e62.
[6]	MONTERO-ODASSO M M, KAMKAR N, PIERUCCINI-FARIA F, et al. Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review[J]. JAMA Netw Open, 2021, 4(12): e2138911. DOI: 10.1001/jamanetworkopen.2021.38911.
[7]	潘颖颖. 医养结合模式下机构养老设施改善策略研究[J]. 公关世界, 2024(10): 107-109. PAN Y Y. Research on the improvement strategy of institutional elderly care facilities under the integrated medical and elderly care model[J]. Public Relations World, 2024(10): 107-109.
[8]	王俊华, 董晨雪. 国家治理视域下我国健康养老服务体系的建构[J]. 苏州大学学报(哲学社会科学版), 2023, 44(1): 34-42. WANG J H, DONG C X. Study on constructing chinese health care service system from the perspective of national governance[J]. Journal of Soochow University(Philosophy & Social Science Edition), 2023, 44(1): 34-42.
[9]	赵瞳. 医养结合养老服务模式分析、制约因素及实践路径[J]. 决策科学, 2024, 32(1): 25-34. ZHAO T. Analysis of the mode, restrictive factors and practical path of combining medical and nursing services for the elderly[J]. Decision Science, 2024, 32(1): 25-34.
[10]	CAIN P, ALAN J, POROCK D. Emergency department transfers from residential aged care: what can we learn from secondary qualitative analysis of Australian royal commission data?[J]. BMJ Open, 2022, 12(9): e063790. DOI: 10.1136/bmjopen-2022-063790.
[11]	俞申婧, 王毅欣, 唐红玉, 等. 国外养老机构老年人急症转诊的研究现状及启示[J]. 军事护理, 2024, 41(1): 99-102. YU S J, WANG Y X, TANG H Y, et al. Review on the transfer of foreign elderly institution residents to emergency departments[J]. Military Nursing, 2024, 41(1): 99-102.
[12]	焦娜娜, 钟志宏, 汪漫江, 等. 养老机构养老护理员培训现状及需求调查分析[J]. 中国老年保健医学, 2022, 20(1): 63-66. JIAO N N, ZHONG Z H, WANG M J, et al. Investigation and analysis on the present situation and demand of the training of the nursing staff in Nursing Homes[J]. Chinese Journal of Geriatric Care, 2022, 20(1): 63-66.
[13]	许方明, 田建广, 顾建华, 等. 养老机构老年人院前心脏骤停病例分析及启示[J]. 贵州医药, 2021, 45(6): 969-970. XU F M, TIAN J G, GU J H, et al. Analysis and inspiration of prehospital cardiac arrest cases in elderly care institutions[J]. Guizhou Medical Journal, 2021, 45(6): 969-970.
[14]	刘潇雨. 大连市西岗区智慧健康养老服务发展调查研究[D]. 大连: 大连理工大学, 2019. LIU X Y. Research on the development of smart health and elderly care services in Xigang district, Dalian city[D]. Dalian: Dalian University of Technology, 2019.
[15]	付佑兴, 成霞, 刘嘉洋, 等. 城市老年人社区居家医养结合养老服务需求现状及影响因素分析[J]. 中华全科医学, 2023, 21(11): 1903-1906, 1923. doi: 10.16766/j.cnki.issn.1674-4152.003254 FU Y X, CHENG X, LIU J Y, et al. Analysis of the current situation of demand for community home medical care with pension services and its influencing factors for the urban elderly[J]. Chinese Journal of General Practice, 2023, 21(11): 1903-1906, 1923. doi: 10.16766/j.cnki.issn.1674-4152.003254
[16]	刘晓楚, 顾立, 鞠梅, 等. 养老机构老年人的健康保健服务需求Kano属性及其影响因素[J]. 广西医学, 2021, 43(23): 2850-2855. LIU X C, GU L, JU M, et al. Kano attributes and their influencing factors for health care service demands of elderly people in elderly care institutions[J]. Guangxi Medical Journal, 2021, 43(23): 2850-2855.
[17]	叶艳, 杨海明, 赵宇涵, 等. 我国医养结合机构养老护理员照护能力调查分析: 以东北、华东、西北地区为例[J]. 卫生职业教育, 2023, 41(22): 120-126. YE Y, YANG H M, ZHAO Y H, et al. Investigation and analysis on the care ability of elderly caregivers in medical and elderly care institions in China: taking Northeast China, East China, and Northwest China as Examples[J]. Health Vocational Education, 2023, 41(22): 120-126.
[18]	朱燕, 阿依尼格尔·艾则孜, 魏晶晶. 近十年我国医养结合研究的分析[J]. 中国农村卫生事业管理, 2023, 43(12): 900-906. ZHU Y, AYINIGEE·AIZEZI, WEI J J. Analysis of research on the integration of medical care and elderly care in China in the past decade[J]. China Rural Health Management, 2023, 43(12): 900-906.
[19]	谭梅, 张雨婷, 张艳, 等. 基于安德森模型的老年人社区居家医养结合服务需求及影响因素分析[J]. 中华全科医学, 2023, 21(7): 1179-1183. doi: 10.16766/j.cnki.issn.1674-4152.003079 TAN M, ZHANG Y T, ZHANG Y, et al. Analysis of the demand and influencing factors of community home combined medical and health care services in the elderly based on the Anderson model[J]. Chinese Journal of General Practice, 2023, 21(7): 1179-1183. doi: 10.16766/j.cnki.issn.1674-4152.003079
[20]	KIM S O, BAE S H. Emergencies in long-term care services for the elderly in Korea: a mixed-methods study[J]. Int J Environ Res Public Health, 2019, 17(1): 66. DOI: 10.3390/ijerph17010066.
[21]	KIM S O. Effect of case-based small-group learning on care workers ' emergency coping abilities[J]. Int J Environ Res Public Health, 2021, 18(21): 11458. DOI: 10.3390/ijerph182111458.
[22]	ZUNIGA F, GAERTNER K, WEBER-SCHUH S K, et al. Inappropriate and potentially avoidable emergency department visits of Swiss nursing home residents and their resource use: a retrospective chart-review[J]. BMC Geriatr, 2022, 22(1): 659. DOI: 10.1186/s12877-022-03308-9.
[23]	ROLLAND Y, MATHIEU C, TAVASSOLI N, et al. Factors associated with potentially inappropriate transfer to the emergency department among nursing home residents[J]. J Am Med Dir Assoc, 2021, 22(12): 2579-2586. e7. DOI: 10.1016/j.jamda.2021.04.002.
[24]	GUERBAAI R A, KRESSIG R W, ZELLER A, et al. Identifying appropriate nursing home resources to reduce fall-related emergency department transfers[J]. J Am Med Dir Assoc, 2022, 23(8): 1304-1310. e2. DOI: 10.1016/j.jamda.2022.01.063.
[25]	DOBBIE F, UNY I, EADIE D, et al. Barriers to bystander CPR in deprived communities: findings from a qualitative study[J]. PLoS One, 2020, 15(6): e0233675. DOI: 10.1371/journal.pone.0233675.
[26]	聂爱霞, 陈骞. 我国养老服务政策思考与研究: 基于"十三五"时期国家政策文本量化分析[J]. 秘书, 2022(3): 14-27. NIE A X, CHEN Q. The study and reflection of China's elderly services policy: the policy text analysis based on China's 13th Plan of Five-Year National Development[J]. Secretary, 2022(3): 14-27.
[27]	左美云, 刘浏, 尚进. 从国家政策看智慧健康养老发展脉络[J]. 中国信息界, 2021(1): 72-75. ZUO M Y, LIU L, SHANG J. From the perspective of national policies, the development trend of smart health and elderly care[J]. Information China, 2021(1): 72-75.
[28]	庞庆泉, 赵云, 黄贤昌. 国内外医养结合研究进展及趋势[J]. 中国医院, 2024, 28(1): 64-69. PANG Q Q, ZHAO Y, HUANG X C. Research progress and trend of the combination of medical care and pension at home and abroad[J]. Chinese Hospitals, 2024, 28(1): 64-69.
[29]	SOONTORN T, PONGTRIANG P, SONGWATHANA P. Thai family caregivers ' experiences helping dependent elders during medical emergencies: a qualitative study[J]. Australas Emerg Care, 2020, 23(2): 71-76. doi: 10.1016/j.auec.2019.11.002
[30]	UNY I, ANGUS K, DUNCAN E, et al. Barriers and facilitators to delivering bystander cardiopulmonary resuscitation in deprived communities: a systematic review[J]. Perspect Public Health, 2023, 143(1): 43-53. doi: 10.1177/17579139211055497
[31]	孙玉红. 院前心脏骤停患者心肺复苏效果及其成功影响因素分析[J]. 中国实用医药, 2022, 17(11): 86-88. SUN Y H. Analysis of the effectiveness and influencing factors of cardiopulmonary resuscitation in patients with pre hospital cardiac arrest[J]. China Practical Medicine, 2022, 17(11): 86-88.
[32]	SHIBAHASHI K, SAKURAI S, SUGIYAMA K, et al. Nursing home versus community resuscitation after cardiac arrest: comparative outcomes and risk factors[J]. J Am Med Dir Assoc, 2022, 23(8): 1316-1321. doi: 10.1016/j.jamda.2021.09.009
[33]	MOWBRAY F I, JONES A, STRUM R P, et al. Prognosis of cardiac arrest in home care clients and nursing home residents: a population-level retrospective cohort study[J]. Resusc Plus, 2022, 12: 100328. DOI: 10.1016/j.resplu.2022.100328.
[34]	姜秀菊. 医养结合型养老机构护理员噎食急救培训模式优化及实用性分析[J]. 名医, 2021(14): 147-148. JIANG X J. Optimization and practicality analysis of choking emergency training mode for nursing staff in medical and elderly care institutions[J]. Famous Doctor, 2021(14): 147-148.
[35]	何惊惊, 钟兴明, 沈丽娟, 等. 医养结合模式下民办高职院校护理专业人才培养探究[J]. 中国市场, 2021(25): 129-132. HE J J, ZHONG X M, SHEN L J, et al. Exploration of nursing talent training in private vocational colleges under the model of medical and nursing integration[J]. China Market, 2021(25): 129-132.
[36]	张锦红, 王卿. 医养结合背景下中医老年护理与管理人才培养模式的构建[J]. 中医药管理杂志, 2023, 31(9): 61-64. ZHANG J H, WANG Q. Construction of a talent cultivation model for elderly care and management in traditional Chinese medicine under the background of integrating medical care and elderly care[J]. Journal of Traditional Chinese Medicine Management, 2023, 31(9): 61-64.
[37]	熊旖诗, 杨风, 王鑫. 民营医院医养结合建设研究[J]. 合作经济与科技, 2024(8): 169-171. XIONG Y S, YANG F, WANG X. Research on the construction of medical and nursing integration in private hospitals[J]. Co-Operative Economy & Science, 2024(8): 169-171.
[38]	万凯莹, 苏嘉清, 涂斯婧, 等. 广西医养结合机构养老护理员职业现状分析[J]. 广西医学, 2022, 44(2): 198-202. WAN K Y, SU J Q, TU S J, et al. Occupational status of senior caregivers at Guangxi medical and elderly care institutions[J]. Guangxi Medical Journal, 2022, 44(2): 198-202.
[39]	杨萨萨. "医养结合"养老模式的必要性与对策分析[J]. 中国管理信息化, 2023, 26(19): 178-181. YANG S S. The necessity and countermeasures of the "medical and elderly care integration" elderly care model[J]. China Management Informationization, 2023, 26(19): 178-181.
[40]	丁宁龙. 后疫情时代医养结合养老服务的发展现状、问题与对策[J]. 全科护理, 2022, 20(23): 3248-3252. DING N L. The development status, problems, and countermeasures of integrated medical and elderly care services in the post epidemic era[J]. Chinese General Practice Nursing, 2022, 20(23): 3248-3252.