家庭跟进照料模式对老年卧床患者家庭康复效果的评价

Evaluation of the effect of family follow up care model on home rehabilitation of elderly patients with bed ridden patients

目的对老年卧床患者家庭实施家庭跟进照料模式,并对其康复效果进行评价与分析。方法选取2015年6月~2016年9月在本院治疗后出院的老年卧床患者126例,按数字表法随机分为对照组与试验组,每组63例。对照组采用口头出院指导及定期电话随访的护理干预模式;试验组则采用家庭跟进照料模式。对比分析两组干预12个月内并发症发生情况、出院时及出院后3个月、6个月、9个月、12个月的Barthel指数评分情况。结果两组干预12个月内,试验组并发症发生率(12.69%)明显低于对照组并发症发生率(38.10%),差异有统计学意义(P<0.05)。对照组随着干预时间的增加,其Barthel指数呈下降趋势;而试验组则呈上升趋势。试验组出院后3个月(52.80±11.17)分、6个月(51.62±12.74)分、9个月(52.23±11.90)分、12个月(53.39±11.96)分的Barthel指数均明显高于对照组出院后3个月(47.53±11.99)分、6个月(46.10±11.83)分、9个月(43.44±9.85)分、12个月(41.05±8.71)分的Barthel指数,差异有统计学意义(P<0.05)。结论对老年卧床患者实施家庭跟进照料模式后,患者的日常生活能力显著提高,肺炎、压疮、尿路感染等并发症发生率明显下降,康复效果较优。

Objective To analyze and evaluate the effect of family follow up on the family of the elderly in bed ridden patients. Methods 126 cases of elderly lying in bed after treatment in our hospital from June 2015 to September 2016 were selected and randomly divided into the control group and the experimental group, 63 cases in each group were randomly divided into two groups. Control group using oral discharge guidance and regular telephone follow-up nursing intervention model; the experimental group is the use of family follow-up care model. The complications of two groups were compared and analyzed, Discharge time and post-discharge 3 months, 6 months, 9 months, 12 months Barthel index were analyzed. Results The incidence rate of complications in the experimental group （12.69%） was significantly lower than the control group （38.10%） in 12 months, and the difference was statistically significant （P 〈 0.05）. Barthel index of the control group showed a downward trend with the increase of intervention time, while the experimental group showed a rising trend. 3 months after discharge from the experimental group （52.80±11.17）, 6 months （51.62± 12.74）, 9 months （52.23±11.90）, 12 months （53.39±11.96） Barthel index were significantly higher than the control group Barthel index with 3 months （47.53± 11.99）, 6 months （46.10± 11.83）, 9 months （43.44±9.85）, 12 months （41.05±8.71）, and the difference was statistically significant （P 〈 0.05）. Conclusion After the implementation of family follow-up care model for elderly patients in bed, the patient＇s daily life ability significantly im- proved, pneumonia, pressure ulcers, urinary tract infections and other complications were significantly decreased, the rehabilitation effect is better.