护理干预对老年慢性病患者死亡率影响的随机对照研究

Effect of Nursing Intervention on Mortality of Elderly Patients with Chronic Diseases:A Randomized Controlled Trial Study

目的探讨护理干预对老年慢性病患者死亡率的影响。方法将老年慢性病患者随机分为对照组(n=872)和干预组(n=860)。对照组不做任何干预,干预组进行护理干预,干预时间6个月。干预前后采用抑郁自评量表(SDS)、社会功能缺陷筛选量表(SDSS)和日常生活能力评定量表(ADL)进行心理功能、社会功能及日常生活能力评定;随访5年后,观察老年慢性病患者的死亡率。结果干预后干预组老年慢性病患者SDS和SDSS评分均明显低于对照组,ADL评分明显高于对照组,差异具有统计学意义(P<0.05);随访发现,干预组老年慢性病患者死亡率明显低于对照组,差异具有统计学意义(P<0.05)。结论护理干预能显著提高老年慢性病患者的心理功能、社会功能及日常生活能力,降低其死亡率。

Objectives To discuss the effect of nursing intervention on the mortality of elderly patients with chronic diseases.Methods Elderly patients with chronic diseases were divided into control group（n=872）and intervention group（n=860）randomly.The control group did not receive nursing intervention,the intervention group received nursing intervention for 6months.Psychological function,social function and activities of daily living were evaluated by the self-rating depression scale（SDS）,social disability screening schedule（SDSS）and activities of daily living（ADL）before and after the intervention.Mortality was observed in elderly patients with chronic diseases after the 5years follow-up.Results After intervention,the SDS and SDSS scores in the intervention group were significantly lower than those of the control group,ADL scores in the intervention group were significantly higher than those in the control group,the difference was statistically significant（P〈0.05）.Mortality in the intervention group was significantly lower than those of the control group and the difference was statistically significant（P〈0.05）.Conclusions Nursing intervention can significantly improve the psychological function,social function and daily living ability of the elderly patients with chronic diseases,and reduce the mortality.