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Objective: To assess the the Karamay home care care worker status quo; social benefits will accept government purchase care services for the elderly (experimental group) and did not receive the services for the elderly (control group) and quality of life were compared, and evaluation of government initiatives. Methods: using a self-designed questionnaire survey, descriptive study design, cluster sampling horizontal survey age home care workers; non-randomized controlled trial, 346 home home and day-care services for the elderly to accept government not accept 336 service disability disabled elderly quality of life survey Short Form (WHOQOL-BREF) investigation. All qualified the data using Epidata Double entry, with SPSS16.0 software processing and analysis. Results: nursing member of the District 100 were female, aged 23-53 years old, average age 36.95 ± 6.21 years. Care workers 65% very practical training and regular assessment, and 91% thought that the assessment of the work to help. 78% believe that the competent work of old-age home, 76 percent carry out pension difficulties, the main difficulty is that the concept of community residents, the lack of funds. 76% of the income dissatisfied. To the the service object commitment of 26 service: authorized high mastery, low utilization. Investigation of the home disability, disabled elderly people aged between 60 to 99 years old, with an average age of 76.51 ± 6.745 years. Han Chinese accounted for 85.1% and 65.5%, remarried elderly, widowed, 32.5% of elementary and junior high school education accounted for 85.8%. 50.5% of pre-retirement work in state-owned enterprises. 88.9 percent of the elderly is non living alone. Accounted for more than 71.1% of the family income of 2,000 yuan / month, there is no difference in the two groups of elderly education, living situation, number of children. Tribes, religion, marital status, on-the-job nature of units, monthly family income, age, gender of a difference, using multivariate analysis of variance in the data analysis, in order to eliminate the possible impact. Two groups of elderly people in three kinds of arrhythmia, pulmonary heart disease, uremia disease by testing the difference between P lt; 0.01. The remaining 20 kinds of diseases P gt; 0.01 there is no difference. Were no difference between the two groups of elderly people are suffering from diseases of years. Four areas of the test group and the control group, the quality of life of the self-assessment (Q1), the health status of the self-assessment (Q2), quality of life, self overall rating score difference. Home daycare group a higher quality of life than other subgroups, the field of the environment of the elderly men and women score higher than female physical domain, psychological, social relations field below. The main consideration is due to age, disease, elderly own physical condition and other reasons. The results fully government purchase care initiatives rationality. Conclusion: home nursing member team overall better quality of their own work, there is a certain cognitive, but there is still room for improvement. The quality of life score of the test group to accept the government purchase care services better than the control group did not receive the service for the elderly. Government to buy a better social care initiatives.
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