护理志愿者家庭访视对居家不出老年人的影响

Effects of nursing volunteers′home visits on the housebound older adults

目的探讨护理志愿者家庭访视对居家不出老年人干预的效果。方法将84例符合纳入与排除标准的居家不出老年人随机分为干预组与对照组各42例。干预组接受为期3个月的护理志愿者家庭访视:第1个月每周1次,第2、3个月每2周1次;对照组实施常规的自我照护和家庭照护。结果干预组干预后日常生活活动能力、抑郁、社会支持得分与干预前和对照组同期水平比较,差异有统计学意义(P<0.05,P<0.01);干预组干预后居家不出率显著低于对照组(P<0.01)。结论护理志愿者家庭访视可减少老年人居家不出率及其抑郁表现,提高日常生活活动能力及社会支持,是对老年人居家不出实行干预的有效护理措施。

Objective To evaluate the effects of nursing volunteers′home visits on the housebound older adults.Methods Eighty four housebound elderly adults were randomly divided into an experimental group and a control group,42 cases in each group.The experimental group received home visits for three months：once a week in the first month,once every two weeks in the second and the third month.But no visits was given to the control group.Results The ADL,scores of depression and society support in the experimental group were significantly better than those before the intervention,as well as the control group（P〈0.05,P〈0.01）.The rate of remaining housebound was significantly lower in the experimental group than the control group（P〈0.01）.Conclusion Home visits by nursing volunteers could decrease the rate of remaining housebound and depression,and increase ADL and social support.Therefore,it is a very effective intervention.