预见性护理干预对社区高龄慢性疾病患者生活质量及压疮的影响

Effects of predictive nursing intervention on elderly patients with chronic diseases in community life quality and pressure ulcer

目的探讨预见性护理干预对社区高龄慢性疾病患者生活质量及压疮的影响。方法选取2013年2—10月于重庆市长寿区第三人民医院就诊的高龄慢性疾病患者170例,以随机抽样方法分为对照组(85例)和观察组(85例)。两组患者均行居家治疗,观察组患者在此基础上加用预见性护理干预。比较两组患者压疮发生率、生活质量综合评定问卷(GQO-LI)评分及护理满意度。结果对照组患者压疮发生率为17.65%(15/85),观察组为2.35%(2/85);观察组患者压疮发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者GQO-LI量表各项指标评分均高于对照组,差异有统计学意义(P<0.05)。对照组患者护理满意度为75.29%(64/85),观察组为100.00%(85/85);观察组患者护理满意度高于对照组,差异有统计学意义(P<0.05)。结论预见性护理干预可有效改善社区高龄慢性疾病患者的生活质量,降低压疮发生风险。

Objective To investigate the effects of predictive nursing intervention on life quality and pressure ulcer of elderly patients with chronic diseases in community. Methods From February to October 2013 in the Third People＇s Hospital of Changshou District, Chongqing, 170 elderly patients with chronic diseases were selected and divided into control group （n = 85） and observation group （n = 85） by random sampling method. Both groups given home treatment, patients of the observa- tion group given predictive nursing intervention based on the home treatment. The incidence of pressure ulcers, general quality of life. inventory （ GQO - LI） score and clinical nursing satisfaction were compared between the two groups. Results The inci- dence of pressure ulcer of the control group was 17.65% （15/85）, that of the observation group was 2. 35% （2/85） ; the in- cidence of pressure ulcer of observation group was lower than that of control group, the difference was statistically significant （ P 〈 0. 05） ; each index score of GQO - LI of observation group was better than that of the control group, respectively, the differ- ences was statistically significant （P 〈0. 05） ; clinical nursing satisfaction of the control group was 75.29% （64/85）, that of the observation group was 100. 00% （ 85/85 ） ; clinical nursing satisfaction of the observation group was higher than the control group, the difference was statistically significant （P 〈 0. 05）. Conclusion Predictive nursing intervention can effectively improve the quality of life of elderly patients with chronic diseases in community, reduce the risk of pressure ulcer.