医养结合模式下延续护理在老年前列腺增生患者中的应用及效果分析
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摘要
目的探讨医养结合模式下延续护理在老年前列腺增生患者中的应用效果。方法选取2016年7月至2017年6月住院的200名老年前列腺增生患者为研究对象,分为对照组(n=100)和干预组(n=100)。对照组开展一般养老模式护理;干预组实施医养结合模式下延续护理,包含通过组建医养结合模式下延续护理小组、实施延续护理方案及效果评估。干预完成后,比较两组老年患者的生存质量、睡眠质量及对护理服务的满意度。结果实施医养结合模式下延续护理后干预组老年患者的生存质量、睡眠质量及老年患者对护理服务的满意度明显高于对照组(P<0.01)。结论医养结合模式下延续护理可以提高老年前列腺增生患者的生存质量和满意度,并改善患者的睡眠质量。
Objective To explore the effect of continuing nursing on elder benign prostatic hyperplasia(BPH) patients under hospital-pension service model.Methods Totally,200 BPH patients from July 2016 to June 217 were selected and divided as the intervention group(n= 100) and the control group(n= 100).The patients in the control group were under routine nursing care.The patients in the interventiongroup were under hospital-pension service model including continuing nursing team,implementing continuing nursing plan and effect evalua-tion.After intervention,the two elder group patients' survive quality,sleeping quality and satisfaction degree of nursing service were compared.Results Quality of life measurement and satisfaction questionnaire investigation scores for the intervention group were better than those ofthe control group(P<0.01).Conclusion Hospital and pension service model can improve the quality of life of patients,the patients' satis-faction of nursing work and the sleep quality.
Objective To explore the effect of continuing nursing on elder benign prostatic hyperplasia(BPH) patients under hospital-pension service model.Methods Totally,200 BPH patients from July 2016 to June 217 were selected and divided as the intervention group(n= 100) and the control group(n= 100).The patients in the control group were under routine nursing care.The patients in the interventiongroup were under hospital-pension service model including continuing nursing team,implementing continuing nursing plan and effect evalua-tion.After intervention,the two elder group patients' survive quality,sleeping quality and satisfaction degree of nursing service were compared.Results Quality of life measurement and satisfaction questionnaire investigation scores for the intervention group were better than those ofthe control group(P<0.01).Conclusion Hospital and pension service model can improve the quality of life of patients,the patients' satis-faction of nursing work and the sleep quality.
引文
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[8]刘媛,方英,戴莉敏,等.延续性护理对空巢老年糖尿病患者血糖管理的效果评价[J].护理管理杂志,2016,16(7):500-501.
[9]佘瑞芳,谢宇,刘泽文,等.我国医养结合服务发展现状分析与政策建议[J].中国医院管理,2016,36(7):7-9.
[10]贾建平,王荫华,李焰生,等.中国痴呆与认知障碍诊治指南(二):痴呆分型及诊断标准[J].中华医学杂志,2011,91(10):651-655.
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[15]吴杰兰,杨昭.老年良性前列腺增生患者家庭功能与生活质量调查[J].天津护理,2015,23(5):382-384.DOI:10.3969/j.issn.1006-9143.2015.05.003.
[16]徐君,武东霞.国外“医养结合”养老模式的特点及其经验启示[J].护理管理杂志,2017,17(3):171-172.DOI:10.3969/j.issn.1671-315X.2017.03.006.
[17]张敏,陈长香,李淑杏,等.社会支持与家庭功能对城乡老年人生存状况的影响[J].中国老年学杂志,2014,34(8):2201-2203.DOI:10.3969/j.issn.1005-9202.2014.08.085.
[18]王希晨,吕欣桐,周令,等.医养结合视角下养老护理员培训相关研究进展[J].中国护理管理,2016,16(10):1380-1384.
[19]耿桂灵,宋彦玲,肖玉华,等.医养结合理念下老年慢性病患者延续护理模式构建分析[J].护理管理杂志,2015,15(6):381-382.
[2]孙懿松,徐琼峰.良性前列腺增生病人生活质量现状的调查分析[J].全科护理,2014,12(8):754-755.DOI:10.3969/j.issn.1674-4748.2014.08.055.
[3]师磊,叶晖.经尿道微波热疗治疗良性前列腺增生的有效性及安全性[J].中国老年学杂志,2016,36(16):4124-4126.DOI:10.3969/j.issn.1005-9202.2016.16.118.
[4]CALOGERO A E,BURGIO G,CONDORELLI R A,et al.Epidemiology and risk factors of lower urinary tract symptoms/benign prostatic hyperplasia and erectile dysfunction[J].Aging Male,2018,2(1):1-8.DOI:10.1080/13685538.2018.1434772.
[5]LIM K B.Epidemiology of clinical benign prostatic hyperplasia[J].Asian Journal of Urology,2017,4(3):148-151.DOI:10.1016/j.ajur.2017.06.004.
[6]杨雪敏,徐兰,归燕华,等.我国医养结合养老模式现状下护理服务探讨[J].中国卫生产业,2016,13(8):18-20.DOI:10.16659/j.cnki.1672-5654.2016.08.018.
[7]胡秀香,梁江云.医养结合服务模式在养老机构患者生存质量中的应用效果评价[J].护理管理杂志,2017,17(5):370-372.(228)(224)
[8]刘媛,方英,戴莉敏,等.延续性护理对空巢老年糖尿病患者血糖管理的效果评价[J].护理管理杂志,2016,16(7):500-501.
[9]佘瑞芳,谢宇,刘泽文,等.我国医养结合服务发展现状分析与政策建议[J].中国医院管理,2016,36(7):7-9.
[10]贾建平,王荫华,李焰生,等.中国痴呆与认知障碍诊治指南(二):痴呆分型及诊断标准[J].中华医学杂志,2011,91(10):651-655.
[11]MCLELLAN A.Rewarding senior staff.Performance bonuses:a fair swap for public service pension reform?[J].Health Service Journal,2011,121(6284):3.
[12]ANGELUCCI P A.Caring for patients with benign prostatic hyperplasia[J].Nursing,1997,27(11):54-55.
[13]SKEVINGTON S M,LOTFY M,O'CONNELL K A,et al.The World Health Organization's WHOQOL-BREF quality of life assessment:psychometric properties and results of the international field trial.A report from the WHOQOLgroup[J].Quality of Life Research,2004,13(2):299-310.DOI:10.1023/B:QURE.0000018486.91360.00.
[14]BUYSSE D J,REYNOLDS C F,MONK T H,et al.The Pittsburgh Sleep Quality Index:a new instrument for psychiatric practice and research[J].Psychiatry Research,1989,28(2):193-213.DOI:10.1016/0165-1781(89)90047-4.
[15]吴杰兰,杨昭.老年良性前列腺增生患者家庭功能与生活质量调查[J].天津护理,2015,23(5):382-384.DOI:10.3969/j.issn.1006-9143.2015.05.003.
[16]徐君,武东霞.国外“医养结合”养老模式的特点及其经验启示[J].护理管理杂志,2017,17(3):171-172.DOI:10.3969/j.issn.1671-315X.2017.03.006.
[17]张敏,陈长香,李淑杏,等.社会支持与家庭功能对城乡老年人生存状况的影响[J].中国老年学杂志,2014,34(8):2201-2203.DOI:10.3969/j.issn.1005-9202.2014.08.085.
[18]王希晨,吕欣桐,周令,等.医养结合视角下养老护理员培训相关研究进展[J].中国护理管理,2016,16(10):1380-1384.
[19]耿桂灵,宋彦玲,肖玉华,等.医养结合理念下老年慢性病患者延续护理模式构建分析[J].护理管理杂志,2015,15(6):381-382.