老年非手术患者陪住需求及其影响因素分析

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中图分类号：R473；R197 文献标识码：A 文章编号：1000-503X（2025）03-0396-06

DOI：10.3881/j.issn.1000-503X.16310

Caregiver Presence Needs and Their Influencing Factors Among Hospitalized Elderly Non- Surgical Patients

GUO Ran’，LI Zirong²，ZUO Lingyan³，SUN Jianhua4，YANG Longfei ， ，BO Haixin²

Department of Respiratory and Critical Care Medicine， 2 Department of Nursing，3Department of Nephrology， 4 Medical Intensive Care Unit， （204 5 Department of Gastroenterology，PUMC Hospital，CAMC and PUMC，Beijing 10O730，China

Corresponding author：LI ZirongTel：010-69158139，E-mail：lzr_O803@sina.com

ABSTRACT： ObjectiveTo analyze the caregiver presence needs and their influencing factors among hospitalized elderlynon-surgical patientsand providea basis for formulating relevant policies.MethodsA descriptive qualitative study method wasadopted.Through purposive sampling，semi-structured interviews were conducted on elderly non-surgical patients and their families and medical staff in Peking Union Medical Collge Hospital from September to October 2023.MAXQDA 2020 and the 7-step phenomenological analysis method of Colaizzi were used to clasify and code the interview contents and identify themes.ResultsThe categories ofcaregiver presence needs of elderly non-surgical patients included basic living assistance needs，disease monitoring needs， psychological support needs，as wellas the needs for family members to provide economic support and participate intreatment decision-making.The influencing factors includedadvancedage，frailty，thelack ofself-care ability in patients with comorbidities，the susceptibilityof patients to sudden situations during the disease exacerbation period，the increased risk of unexpected events in patients with psychological distress，and patients’concerns about social support and medical decision-making.ConclusionThe caregiver presence needs of elderly non-surgical patients during hospitalization are high and influenced by multiple factors.

Key words：elderly；non-surgical；patient；caregiver presence need；qualitative study

ActaAcadMedSin，2025，47（3）：396-401

随着社会人口老龄化趋势日益显著，住院患者的老龄化问题应受到重视。（剩余6989字）