發(fā)布時(shí)間：2019-01-24 18:17

【摘要】：目的探討醫(yī)護(hù)康一體化延續(xù)管理模式在預(yù)防老年臥床患者出院后家居壓力性損傷中的應(yīng)用效果。方法將120例老年臥床患者按出院時(shí)間順序分為實(shí)驗(yàn)組和對照組,分別由醫(yī)護(hù)康組成的外展小組于出院前兩天評估患者并制訂家庭康復(fù)計(jì)劃。實(shí)驗(yàn)組按照醫(yī)護(hù)康一體化延續(xù)管理模式,由醫(yī)護(hù)康組成的外展小組對出院后老年臥床患者進(jìn)行壓力性損傷高危因素評估、制訂針對性預(yù)防壓力性損傷康復(fù)計(jì)劃、群組管理、遠(yuǎn)程護(hù)理聯(lián)合家庭訪視,適時(shí)跟進(jìn)措施落實(shí)并進(jìn)行效果檢查。對照組給予常規(guī)出院宣教及出院后的電話隨訪。采用壓力性損傷管理和生存質(zhì)量量表,比較兩組出院時(shí)、出院后6個(gè)月、出院后12個(gè)月的生活質(zhì)量及1年的壓力性損傷發(fā)生率。結(jié)果實(shí)驗(yàn)組壓力性損傷發(fā)生率較對照組低,差異有統(tǒng)計(jì)學(xué)意義(P0.05);出院后6個(gè)月、12個(gè)月生活質(zhì)量的生理領(lǐng)域、心理領(lǐng)域得分均高于對照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);兩組環(huán)境領(lǐng)域、社會(huì)領(lǐng)域得分比較無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論醫(yī)護(hù)康一體化延續(xù)管理可有效降低老年臥床患者居家壓力性損傷發(fā)生率,提高其生活質(zhì)量。
[Abstract]:Objective to explore the effect of continuous management mode of health care in prevention of stress injury in elderly bedridden patients after discharge from hospital. Methods 120 elderly bedridden patients were divided into experimental group and control group according to the order of discharge time. In the experimental group, according to the continuous management model of integrated health care, the outreaching team composed of health care and health care was used to assess the high risk factors of stress injury in elderly bedridden patients after discharge, and to formulate the rehabilitation plan for prevention of stress injury and group management. Combined home visit, timely follow-up measures and effect check. The control group was given routine discharge education and telephone follow-up after discharge. Stress injury management and quality of life scale were used to compare the quality of life (QOL) and the incidence rate of 1 year stress injury between the two groups at discharge, 6 months after discharge and 12 months after discharge. Results the incidence of stress injury in the experimental group was lower than that in the control group (P0.05). Six months after discharge, 12 months after discharge, the scores of physical and psychological areas were higher than those of the control group, the difference was statistically significant (P0.05); there was no significant difference between the two groups in the environmental field and social field score (P0.05). Conclusion the continuous management of health care can effectively reduce the incidence of family stress injury and improve the quality of life of elderly patients with bed rest.
【作者單位】： 廣東省人民醫(yī)院廣東省老年醫(yī)學(xué)研究所;
【基金】：廣東省科技計(jì)劃項(xiàng)目(2012B040301039) 廣東省醫(yī)學(xué)科學(xué)技術(shù)研究基金(A2012004)
【分類號】：R473.2

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