STUDY ON BEHAVIORAL FACTORS FOR ASSURING CONTINUITY OF HOME CARE SERVICES OF THE ELDERLY.

66.2%的机构供养老人和26.9%的社区居家供养老人存在行为节律异常。节律异常分为五种类型：昼夜节律严重受损。自由运行，振幅减小，超节奏和混合型。30.5%的机构供养老年人存在严重的昼夜节律障碍。自由跑动节律异常建议通过洗浴纠正。为了使受损的昼夜节律重新同步，未来需要在社区提供适当的家庭护理服务。通过社会科学研究，探讨了居家养老服务的物质资源和人力资源与城市化和社区公共财政状况的关系。此外，采用焦点小组访谈法，对某社区实现24小时居家养老服务的相关因素进行了调查。结果表明。社区政府的领导和财政的支持，社区的参与，建立有效的居家养老服务管理体系，是实现社区24小时居家养老服务的关键因素。老年人居家护理服务的连续性技术转移将成为可能。综上所述，客观评估社区供养老人的需求不利于发展。有效的居家养老服务供给体系还需要社区政府的领导和社区的参与。

Behavioral rhythm abnormalities were found in 66.2% of the institutionalized dependent elderly, and 26.9% of the dependent elderly residing at home in the community. Rhythm abnormalities were classified into five types : severely impaired circadian rhythm. free running, decreased amplitude, ultradian rhythm and mixed type. Type of severely impaired circadian rhythm was found in 30.5% of the institutionalized dependent elderly. Rhythm abnormality of free-running was suggested to be corrected by bathing service. To resynchronize the impaired circadian rhythm, an appropriate supply of home care services in the community was required in the future.Physical and human resources of home care services were related to urbanization and public financial status of communities by a social scientific study Furthermore, factors associated with realization of 24-hour home care service in a community were investigated by the focus group interview method. Results showed that. the leadership of community government and financial support community participation and a development, of effective management system of home care services were crucial factors for a realization of 24-hour home care service in the community. The technology transfer of the continuity of home care service of the elderly will be possible. In conclusion, the objective assessment of needs for dependent elderly in the community anti the development. of effective system of supply of home care service will be required in addition 10 the leadership of community government and community participation.