家庭随访对老年卧床患者康复依从性及生活质量的影响

The effect of family follow-up visit on the bedridden elderly patients' rehabilitative compliance and quality of life

目的评价家庭随访对老年卧床患者康复依从性和生活质量的效果。方法将120名老年卧床患者分为试验组与对照组各60例。对照组出院时给予常规出院指导,对患者及其家属进行家庭康复训练指导,并进行定期电话随访。试验组在出院时,由医生、治疗师、护士、营养师、患者和家属共同制订家庭康复计划,并进行家庭随访指导。出院6个月两组进行康复依从性和生存质量的评价。结果出院6个月后,试验组的康复依从性及生存质量的评分均高于对照组,差异有统计学意义(P<0.05)。结论家庭随访能提高老年卧床患者的康复依从性,增强患者的日常生活能力,减少卧床时间,提高其生活质量。

Objective To evaluate the effect of family follow - up visit on the bedridden patients＂ rehabilitative compliance and quality of life. Methods A total of 120 elderly patients were divided into the experimental group with 60 eases and the control group with 60 eases. Patients in the control group received routine discharge guidance ,guidance of home rehabilitation and regular telephone follow- up. While patients in the experimental group received family rehabilitation programs formulating by doctors, therapists, nurses, nutritionists, patients and their families at discharge and family follow - up guidance. Rehabilita- tion compliance and quality of life were evaluated at 6 months after discharge. Results Six months after discharge, the compliance and quality of life in patients in the experimental group were siguifieantly higher than those of the control group （ P 〈 0.05 ）. Conclusion Home follow - up can improve the rehabilitative eomplianee of elderly patients, enhance the ability of daily life, reduce bed time, and improve the quality of life.