延伸护理在社区老年慢性病中的护理效果
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摘要
目的探究社区老年慢性病患者实施延伸护理干预对其健康情况的影响。方法选取2017年8月～2018年5月在广东深圳某社区收集的80例老年慢性病患者为研究对象,根据随机数字表法对其进行分组,其中对照组40例以及观察组40例。对照组患者实施常规护理干预,观察组患者基于常规护理行延伸护理干预,通过日常生活能力量表(ADL)、焦虑自评量表(SAS)以及抑郁自评量表(SDS)对两组患者护理前后日常生活能力以及负性情绪情况进行检测和比较,同时比较两组患者护理后对慢性疾病相关知识知晓、基础护理技能以及护理满意度评分。结果护理前,两组患者ADL、SAS以及SDS评分经统计学比较差异无统计学意义(P> 0.05);护理后,观察组ADL评分、疾病知识知晓评分,基础护理评分以及护理满意度评分相比对照组显著更高,而SDS以及SAS评分相比对照组明显更低,数据差异有统计学意义(P <0.05)。结论社区老年慢性病患者实施延伸护理干预可有效改善患者日常生活能力,对患者护理满意度具有提升效果,因此该种护理模式可进行推广。
Objective To explore the effect of extended nursing intervention on the health status of elderly patients with chronic diseases in communities. Methods Eighty elderly patients with chronic diseases in a community in Shenzhen of Guangdong province from August 2017 to May 2018 were selected as research objects.According to random number table method,they were divided into the control group and the observation group,with 40 cases in each group.Patients in the control group were given routine nursing intervention while patients in the observation group were given extended intervention based on routine nursing.The Activity of Daily Living Scale(ADL),the Self-rating Anxiety Scale(SAS),and the Self-rating Depression Scale(SDS) were used to detect and compare the activity of daily living and negative emotions of the two groups before and after nursing.The knowledge of chronic disease,basic nursing skills,and nursing satisfaction scores were compared between the two groups. Results Before nursing,there was no significant difference in ADL,SAS and SDS scores between the two groups(P > 0.05).After nursing,ADL score,knowledge of disease score,basic nursing score and nursing satisfaction score of the observation group were significantly higher than those of the control group,but SDS and SAS scores were significantly lower than the control group.The difference in data was statistically significant(P < 0.05). Conclusion For elderly patients with chronic diseases in communities,extended nursing intervention can effectively improve the activity of daily living and the nursing satisfaction of patients.Therefore,this kind of nursing mode can be promoted.
Objective To explore the effect of extended nursing intervention on the health status of elderly patients with chronic diseases in communities. Methods Eighty elderly patients with chronic diseases in a community in Shenzhen of Guangdong province from August 2017 to May 2018 were selected as research objects.According to random number table method,they were divided into the control group and the observation group,with 40 cases in each group.Patients in the control group were given routine nursing intervention while patients in the observation group were given extended intervention based on routine nursing.The Activity of Daily Living Scale(ADL),the Self-rating Anxiety Scale(SAS),and the Self-rating Depression Scale(SDS) were used to detect and compare the activity of daily living and negative emotions of the two groups before and after nursing.The knowledge of chronic disease,basic nursing skills,and nursing satisfaction scores were compared between the two groups. Results Before nursing,there was no significant difference in ADL,SAS and SDS scores between the two groups(P > 0.05).After nursing,ADL score,knowledge of disease score,basic nursing score and nursing satisfaction score of the observation group were significantly higher than those of the control group,but SDS and SAS scores were significantly lower than the control group.The difference in data was statistically significant(P < 0.05). Conclusion For elderly patients with chronic diseases in communities,extended nursing intervention can effectively improve the activity of daily living and the nursing satisfaction of patients.Therefore,this kind of nursing mode can be promoted.
引文
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[11]孙勇,童领湖,尹君,等.慢性病管理在持续护理退休养老社区模式下的成效分析[J].实用临床医药杂志,2016,20(16):189-190.
[12]孙海燕,汤晓峰,周丽华,等.慢性病健康管理模式在社区居家养老服务中的应用[J].重庆医学,2016,45(8):1062-1064.
[13]崔银杰,张超,贾爱玲,等.医护合作责任制护理模式对社区老年2型糖尿病患者的管理效果研究[J].实用临床医药杂志,2017,21(16):145-147.
[14]董婷,刘素珍,李继平.四川省2931例社区老年高血压糖尿病患者护理服务的满意度及影响因素分析[J].护理学报,2017,24(9):7-10.
[15]胡颖辉,陈婧.专业志愿护理服务模式在社区居家养老中的应用研究[J].护理研究,2016,30(32):4003-4006.
[16]肖燕.社区慢性病空巢老年人自我效能与自我护理能力的相关性研究[J].中国实用护理杂志,2016,32(34):2693-2696.
[2]王小丽,孙孝君,王永,等.社区慢性病老年人延续性照护需求的现状调查及对策[J].中国实用护理杂志,2016,32(16):1205-1209.
[3]杨春梅,严永华,杨晓虹,等.社区老年人慢性病患病现状及其对家庭护理服务需求分析[J].成都医学院学报,2016,11(4):504-506.
[4]廖春霞,马红梅,张倩,等.老年慢性病病人延续性护理需求状况及影响因素分析[J].护理研究,2016,30(25):3175-3177.
[5]龚玉枝,李善玲,李翩,等.延续性护理对老年慢性疾病管理规范化及成效性的影响[J].护理研究,2016,30(34):4311-4313.
[6]倪圆圆,冀璇,石磊,等.过渡期护理模式降低我国老年慢性病病人再入院率的系统评价[J].护理研究,2017,31(29):3684-3687.
[7]洪艳群,方跃平.医养护一体化管理模式在社区老年慢性病病人管理中的应用[J].护理研究,2016,30(9):1102-1103.
[8]李爱琼,唐四元,李芬,等.家庭签约式服务对社区老年慢性病病人用药依从性的影响[J].护理研究,2017,31(16):2005-2007.
[9]阎红,刘书文.社会支持网研究现状及对慢性病老人社区养老护理体系构建的启示[J].护理研究,2017,31(12):1429-1431.
[10]谌小萍.社区卫生服务中心全科护理对老年慢性疾病患者生活质量的影响[J].山西医药杂志,2016,45(2):149-151.
[11]孙勇,童领湖,尹君,等.慢性病管理在持续护理退休养老社区模式下的成效分析[J].实用临床医药杂志,2016,20(16):189-190.
[12]孙海燕,汤晓峰,周丽华,等.慢性病健康管理模式在社区居家养老服务中的应用[J].重庆医学,2016,45(8):1062-1064.
[13]崔银杰,张超,贾爱玲,等.医护合作责任制护理模式对社区老年2型糖尿病患者的管理效果研究[J].实用临床医药杂志,2017,21(16):145-147.
[14]董婷,刘素珍,李继平.四川省2931例社区老年高血压糖尿病患者护理服务的满意度及影响因素分析[J].护理学报,2017,24(9):7-10.
[15]胡颖辉,陈婧.专业志愿护理服务模式在社区居家养老中的应用研究[J].护理研究,2016,30(32):4003-4006.
[16]肖燕.社区慢性病空巢老年人自我效能与自我护理能力的相关性研究[J].中国实用护理杂志,2016,32(34):2693-2696.