医养结合背景下延续护理在骨科出院患者中的应用

Effects of transitional care under the treat-care model in orthopedic discharged patients

目的分析医养结合背景下延续护理在骨科出院患者中的应用效果。方法选取骨科患者216例,根据所在病区分为干预组和对照组,对照组接受常规护理,干预组在此基础上,应用医养结合背景下延续护理模式,包括医院护理部分、医养互换部分及出院后延续护理部分,为期6个月,评价出院时、出院后1、3、6个月时两组患者的自我护理能力及护理满意度。结果出院时,两组患者自我护理能力测定量表各维度评分差异无统计学意义(P>0.05),干预1、3、6个月后,干预组患者的自我护理能力优于对照组,差异有统计学意义(P<0.01);患者的时间效应和分组效应存在交互作用(P<0.01),干预组患者的满意度高于对照组(P<0.01或P<0.05)。结论医养结合背景下延续护理能够利用三级综合医院、家庭及社区的优势,明显提升骨科患者的自我护理能力,提高护理满意度,丰富延续护理内涵。

Objective To evaluate the effects of transitional care under the treat-care model in orthopedic discharged patients.Methods A total of 216 orthopedic patients were divided into intervention group and control group according to the disease.The control group was given routine care.The intervention group received transitional care under the treat-care model for 6 months.The transitional care included the hospital part,the exchange part and the discharged care part.The Exercise of Self-care Agency Scale(ESCA) and patients’ satisfaction were compared in two groups before discharged and at 1,3,6 months after discharged.Results The scores of ESCA before discharged was not statistically difference between two groups(P>0.05).The intervention group self-care agency were significantly better than the control group at 1,3,6 months after discharged(P<0.01).There was interaction between time effect and grouping effect in patients(P<0.01).The satisfaction of patients in intervention group were significantly higher than the control group(P<0.01 or P<0.05).Conclusion Transitional care under the treat-care model can comprehensively combine the advantages of hospitals,families and community hospitals.It can effectively improve the self-care agency and enhance patients’ satisfaction in orthopedic discharged patients.