Résumé
Objective:To identify the key convergence points in the medical-nursing combined care among literature, and establish a mechanism for medical-nursing combined care integration from the perspective of the synergy theory, for the purpose of promoting the integrated development of such care in China.Methods:Relevant literature on the medical-nursing combined care were retrieved from the CNKI database from September 2013 to September 2021. The search formula used was TI= "the medical-nursing care integration" AND SU=(convergence+ transformation+ coordination+ mechanism), while supplementary searches were made using " pkulaw.com database" and Baidu Scholar database. The method of literature content analysis was used to screen key points of the medical-nursing combined care, and the convergence mechanism was built based on the perspective of the synergy theory.Results:A total of 42 literatures were included in this study, 8 key convergence points of medica-nursing combined care integration were identified. Namely the 4 key horizontal convergence points of medical care, aging care, rehabilitation and nursing, the 3 key vertical convergence points of home care, institution care and community care, and the one key convergence point of institutional medical care. Based on the synergy theory and the 8 key convergence points, the " 431" convergence mechanism of medical-nursing combined care was constructed. This mechanism refered to the horizontal linkage of healthcare, nursing, rehabilitation and aging care, the vertical redirection among home care, institution care and community care modes, and the development mode focusing on institutional aging care.Conclusions:At present, the poor convergence between aging care and nursing care in China is a key roadblock hindering the integrated development of aging and nursing care. Medical-nursing combined care should be conducive to the " 431" convergence development, achieving horizontal linkage, vertical redirection, and resource sharing, for the purpose of high-quality development of China′s aging care system.
Résumé
Objective:To investigate the satisfaction of the elderly who lived in medical-nursing combined in-stitutions in Weifang and to provide advice to the relevant department for optimizing the medical-nursing combined care mode. Methods:Using the convenience sampling method, 157 subjects from 2 medical-nursing combined institutions in Weifang were selected for the questionnaire survey. Results:The satisfaction score of the elderly was (4. 14 ± 0. 33), which was in the medium to high level. The satisfaction score of each dimension from high to low was listed as the daily life demands, the medical care needs, the recreational demands and psychological demands. Conclusions:The medical-nursing combined pension mode can mostly meet the basic needs of the elderly, but the service content needs to be expanded. It is needed for pension institutions to fully mobilize social resources to a-chieve the sustainable development of medical-nursing combined care mode.