基于老年综合评估的个性化护理在老年肩关节损伤患者中的应用

Personalized care based on comprehensive evaluation in the elderly with shoulder injury

目的探讨基于老年综合评估(CGA)实施个性化护理对老年肩关节损伤恢复及生活质量的影响。方法选取老年肩关节损伤患者146例,随机分为观察组和对照组各73例,对照组采用常规护理措施,观察组在此基础上采用基于老年综合评估的个性化护理,比较2组患者的肩关节损伤恢复情况以及生活质量。结果干预后,2组日常生活活动能力、肢体活动度、肌力评分均较干预前不同程度升高,且观察组高于对照组(P<0.05),而2组疼痛评分均较干预前不同程度降低,且观察组低于对照组(P<0.05);护理干预后,2组患者社会关系领域、心理领域、生理领域、环境领域评分均较干预前不同程度升高,且观察组高于对照组(P<0.05);观察组协调与全面护理(CCC)、授权与合作(EP)、提供与患者有关的特殊信息(PSI)、尊重与支持护理(RSC)及提供基本信息(PGI)评分均高于对照组(P<0.05)。结论基于老年综合评估实施个性化护理干预,可有效促进老年肩关节损伤患者恢复,并提高生活质量,具有重要的临床意义。

Objective To analyze the effect of personalized care based on comprehensive e- valuation on the recovery and quality of life in the elderly with shoulder injury. Methods A total of 146 patients with shoulder joint injury in our hospital were randomly divided into control group and observation group, with 73 cases per group, given routine nursing measures and personalized care based on comprehensive evaluation, respectively. And shoulder joint injury recovery and quality of life of two groups were analyzed. Results Compared with nursing before, daily life activities ability, physical activity, myodynamia scores of two groups were increased and the observation group was sig- nificantly higher than control group （ P 〈 0.05 ） ; The pain scores were decreased in varying degrees in both groups, and the observation group was significantly lower than the control group （ P 〈 0.05 ）. After nursing intervention, social relations, psychology, physiology, environmental scores were in- creased in some extent, and the observation group was significantly higher than control group （P 〈 0.05）; Coordination and comprehensive care （CCC）, authorization and the cooperation （EP）, of- fering special information （PSI） related to the patients, respect and support nursing （RSC） and of- fering basic information （PGI） scores were significantly higher than that in the control group （P 〈 0.05 ）. Conclusion Individualized nursing intervention based on comprehensive evaluation can effectively promote the recovery of senile shoulder joint injury, and improve patients quality of life, so it is of great significance in clinic.