基于护士主导的老年住院患者中期照护模式研究

Study on the care model of nurse-led intermediate care in hospitalized elderly patients

目的 探讨基于护士主导的老年综合评估为基础的多学科合作中期照护模式对住院老年患者的照护效果。方法 将符合纳入排除标准的老年患者分为干预组和对照组,干预组41例。对照组43例。在中期照护病房进行4周的老年综合评估基础上的个体化照护,对照组则实施常规护理,于干预前、干预4周后、6 个月后对2组患者进行老年综合评估和患者满意度调查,对比干预前后2组患者的日常生活能力、抑郁、跌到、压疮风险和患者满意度。结果 干预组干预前后患者日常生活能力对比差异有统计学意义(P<0.05),对照组4周后功能改善不明显(P>0.05)。干预前后跌到风险评估2组对比差异有统计需意义(P<0.05),干预组患者对医疗护理的满意度(97.4%)高于对照组(93%)(P<0.05)。结论 中期照护服务模式有利于改善老年患者的日常生活能力,降低患者跌倒的高风险。

Objective To investigate the nursing effects of nurse-led intermedaite care mode on the basis of comprehensive geriatric assessment-based interdisciplinary care in hospitalized elderly patients.Methods According to the diagnostic criteria and inclusion criteria,a total of 84 elderly patients who were hospitalized in our hospital were divided into intervention group (n=41) and control group (n=43).The patients in intervention group were treated by individually nursing on the basis of comprehensive geriatric assessment,and the patients in control group were treated bu routine nursing. The nursing effects and satisfaction degree of patients were assessed by comprehensive geriatric assessment before intervention, at 4w,6m after intervention.Moreover the daily living ability,and the risk of depression,falling and bedsore as well as satisfaction degree of patients before and after intervention were observed and compared between the two groups.Results There was a significant difference in the daily living ability between the two groups (P<0.05),and the Barthel indexes in intervention group were superior to those in control group (P<0.05). There was a significant difference in the risk of falling between the two groups (P<0.05),moreover, satisfaction degree of patients in intervention group was 97.4%,which was significantly higher than that (93.0%) in control group (P<0.05).Conclusion The nurse-led intermedaite care can promote functional recovery and reduce the risk of falling in hospitalized elderly patients,which can improve daily living ability of patients.