中文摘要：

目的探讨社区老年人家庭功能、家庭访视护理需求状况及两者之间的关系，为社区医护人员实施家庭访视护理提供依据。方法采取便利抽样入户调查方法，选取宁夏自治区银川市妇幼保健院永丰社区医疗卫生服务站管辖的2个居委会660户家庭，应用家庭关怀度指数问卷和自制的社区老年人家庭访视护理服务需求问卷进行调查。结果家庭功能总分为（5．50±2．503）分，家庭功能良好占34．8％，家庭功能障碍占65．2％；家庭功能障碍组老年人的家庭访视护理总需求及生活护理、健康促进和护理服务需求得分分别为（139．76±30．083）、（27．75±6．491）、（33．42±5．577）、（78．59±19．006）分，均高于家庭功能良好组的（133．95±34．451）、（26．38±7．502）、（32．43±6．536）、（75．14±21．347）分（P均〈0．05）；且社区老年人家庭功能与家庭访视护理需求呈负相关（r=-0．135，P〈0．01），其中家庭功能障碍与家庭访视护理需求的生活护理、健康促进、护理服务各维度均呈负相关（r=-0．142～-0．166，P均〈0．01）。结论社区老年人的家庭功能有待进一步改善，家庭功能与家庭访视护理需求密切相关。

英文摘要：

Objective To study family functioning, home visiting care needs and the relationship between them among community elderlies, and to provide basis for health home visiting by community health workers. Methods Totally 660 families covered by Yongfeng Community Health Service Station of Yinchuan Municipal Maternal and Child Health Hospital, Ningxia Hui Autonomous Region were selected with convenience sampling method and investigated with Family Adaptation, Partnership, Growth, Affection, and Resolve （APGAR） Scale and a self-designed community elderly home visiting care needs questionnaire. Results The total score of family functioning was 5.50 ±2. 503 and the ratio of families with good family functioning was 34. 8% and that of with defective family functioning was 65.2% for the elder- lies. The fmilies with defective family functioning had higher scores than the families with good family functioning in to- tal home visiting care needs （ 139.76 ± 30. 08 vs 133.95 ± 34. 451 ）, life care （27.75 ± 6. 49 vs 26. 38 ± 7.50 ）, health pro- motion（33.42 ±5.58 vs 32. 43 ±6. 54） ,and nursing service need（78.59 ± 19.00 vs 75.14 ±21.35） （P 〈0. 05 for all）. The family functioning showed remarkably inverse relation with home visiting care needs in the community elderlies （ r = -0. 135, P 〈 0. 01 ）. The defective family functioning was inversely related to life care, health promotion, and nursing service needs （r =-0. 142 - -0. 166, P 〈 0. 01 for all）. Conclusion The family functioning among community elderlies needs to be improved. The family functioning is closely associated with home visiting care needs.