社区护理在居家养老服务中的应用效果

Application Effect of Community Nursing in the Home-based Care Services

目的探究社区护理在居家养老服务中的应用效果。方法 2015年9月起对长春市人民医院所属的21家社区服务中心中随机抽取2家,将348位居家养老老年人进行分组,实验组实施社区护理,由专业护理人员与护工配合实施护理工作,首选对老年人进行基本情况调查,建立全面、详细的健康档案,其次在护理工作中强调整体护理的理念。开展社区活动,以知识讲座、免费体检等形式帮助老年人关注自身健康状况,主动学习健康知识,进而改善自身不良生活习惯。对观察组实施居家老年人常规护理服务,组织定期健康宣教,对老年人的生活习惯、饮食理念等方面不做过多管理和干涉。经过6个月的研究后对两组老年人对护理工作的满意度、配合度等相关指标进行调查。结果实验组老年患者对社区护理的满意程度较高,对护理满意人数明显多于观察组,而在护理人员精心安排的社区健康活动中,实验组老年人的参与度与配合度明显高于观察组;在实施社区护理工作的实验组中有102位老年人在健康教育下改变了自身不良饮食习惯,96位老年人改正了吸烟、酗酒等不良生活习惯,观察组在常规健康知识宣教后仅有21位老年人在饮食习惯上做出了改变,11人改正了不良生活习惯。结论在居家养老服务中加入专业性的社区护理理念,对树立老年人健康理念,培养老年人健康生活、饮食习惯具有一定影响,在居家养老服务中加入社区护理值得进一步推广。

Objective To study the application effect of community nursing in the home-based care services. Methods 2 cases from 21 community service centers of Changchun people＇s hospital has been randomly extracted since September 2015, the 348 home-based old people were divided into two groups, the experimental group implemented community services con-ducted by the professional nursing staff and nursing workers, firstly, the basic condition of the old people was surveyed and the sound and detailed health record was established, secondly, the whole concept of nursing in the nursing work was em-phasized, and we help the old people pay attention to their own health status and actively study health knowledge by devel-oping community activities, knowledge lecture and free physical examination thus improving their bad living habits, we im-plemented conventional nursing services and organized regular health education for the observation group and do not give too much management and intervention of living habits and eating idea of old people, after 6-month research, the relevant indi-cators including satisfactory degree and adaptability degree of nursing work were surveyed. Results The satisfactory degree of community nursing was higher in the experimental group, and the satisfactory number of nursing in the experimental group was obviously more than that in the observation group, but in the community health activities elaborately planned by nursing staff, the participation degree and adaptability degree in the experimental group were obviously higher than those in the ob-servation group, 102 old people changed their own bad eating habits and 96 old people changed the smoking, alcohol and other bad living habits in the experimental group after the health education, but only 21 old people changed their eating habits and 11 old people changed their bad living habits after conventional health knowledge education. Conclusion Adding professional concept of community nursing in the home-based care services has a certain effect on establishing the concep-tion of health, cultivating the healthy life of old people and eating habits, which is worth further promotion.