老年综合评估在老年心力衰竭住院患者中的应用

Application of comprehensive geriatric assessment in elderly hospitalized patients with heart failure

目的探讨老年综合评估(CGA)在老年心力衰竭住院患者中的应用效果。方法 537例老年心力衰竭住院患者分为对照组262例和干预组275例。对照组实施心内科专科护理,干预组在对照组基础上应用CGA护理模式。比较2组住院期间跌倒发生率、压疮发生率及护理满意度。结果干预组跌倒发生率和压疮发生率低于对照组(P<0.05),护理满意度高于对照组(P<0.05)。结论在老年心力衰竭住院患者的护理中应用CGA模式,对降低患者住院期间跌倒、压疮等不良事件发生率具有积极作用。

Objective To investigate the effect of comprehensive geriatric assessment(CGA)in elderly hospitalized patients with heart failure.MethodsA total of537elderly patients withheart failure were assigned to the control group(n=262)and the intervention group(n=275).Both two groups received routine nursing care and the nursing intervention based on CGA was car-ried out in the intervention group.The incidence of falling down and pressure sores,as well satis-faction degree to nursing service,was compared between two groups.ResultsPatients in the in-tervention group had lower incidence of falling off and pressure sores and higher satisfaction rate compared with those in the control group(P<0.05).Conclusion Nursing intervention based on CGA mayreducedtheriskof falling downandpressuresoresinelderlyhospitalizedpatientswith heart failure.