延伸护理在社区老年慢性病中的护理效果

Nursing effect of extended nursing in elderly patients with chronic diseases in communities

目的探究社区老年慢性病患者实施延伸护理干预对其健康情况的影响。方法选取2017年8月～2018年5月在广东深圳某社区收集的80例老年慢性病患者为研究对象,根据随机数字表法对其进行分组,其中对照组40例以及观察组40例。对照组患者实施常规护理干预,观察组患者基于常规护理行延伸护理干预,通过日常生活能力量表(ADL)、焦虑自评量表(SAS)以及抑郁自评量表(SDS)对两组患者护理前后日常生活能力以及负性情绪情况进行检测和比较,同时比较两组患者护理后对慢性疾病相关知识知晓、基础护理技能以及护理满意度评分。结果护理前,两组患者ADL、SAS以及SDS评分经统计学比较差异无统计学意义(P> 0.05);护理后,观察组ADL评分、疾病知识知晓评分,基础护理评分以及护理满意度评分相比对照组显著更高,而SDS以及SAS评分相比对照组明显更低,数据差异有统计学意义(P <0.05)。结论社区老年慢性病患者实施延伸护理干预可有效改善患者日常生活能力,对患者护理满意度具有提升效果,因此该种护理模式可进行推广。

Objective To explore the effect of extended nursing intervention on the health status of elderly patients with chronic diseases in communities. Methods Eighty elderly patients with chronic diseases in a community in Shenzhen of Guangdong province from August 2017 to May 2018 were selected as research objects.According to random number table method,they were divided into the control group and the observation group,with 40 cases in each group.Patients in the control group were given routine nursing intervention while patients in the observation group were given extended intervention based on routine nursing.The Activity of Daily Living Scale(ADL),the Self-rating Anxiety Scale(SAS),and the Self-rating Depression Scale(SDS) were used to detect and compare the activity of daily living and negative emotions of the two groups before and after nursing.The knowledge of chronic disease,basic nursing skills,and nursing satisfaction scores were compared between the two groups. Results Before nursing,there was no significant difference in ADL,SAS and SDS scores between the two groups(P > 0.05).After nursing,ADL score,knowledge of disease score,basic nursing score and nursing satisfaction score of the observation group were significantly higher than those of the control group,but SDS and SAS scores were significantly lower than the control group.The difference in data was statistically significant(P < 0.05). Conclusion For elderly patients with chronic diseases in communities,extended nursing intervention can effectively improve the activity of daily living and the nursing satisfaction of patients.Therefore,this kind of nursing mode can be promoted.