医养心整合养老模式的效果研究

Effect of Combination of Medical-Health Care-Psychological pension model

目的通过分析昆明市社会福利院福利医院在长期的医养结合模式实践中结合临床心理科团队开展的医养心整合养老模式的有效性,探索出一套更适合机构养老的服务模式。方法选择住院老年人80例,按病区分为研究组和对照组,研究组老年人接受医养心整合养老模式服务,对照组接受普通医养模式服务。采用访谈法及健康状况调查问卷、纽芬兰纪念大学幸福度量表和生活满意度测评表对其生活质量、幸福感和满意度的变化状况进行评估,并设计团体心理辅导干预方案。采用t检验比较组间的各指标的差异。结果在医养服务中融入以支持性为主的团体心理服务,即医养心整合养老模式能加强老年人的积极心理体验,处理消极心理体验,从而有效改善入住老年人的生活质量,提高其幸福感和满意度(P <0.05)。医养心整合养老模式能够通过改善情感职能、社会功能、躯体疼痛、精力、精神健康和健康自我评价来提高老年人的总体健康状况(P <0.05)。结论医养心整合养老模式适合机构养老的老年人,对老年人的心身健康有非常明显的促进作用。

Objective To explore a suitable service model of institutional pension by analyzing the validity of the Combination of Medical-Health Care-Psychological pension model that was developed and practiced for a long term by the clinical psychiatric team in Kunming Social Welfare Institute Welfare Hospital. Methods 80 elderly inpatients were divided into a study group and a control group. The elderly in the study group received the Combination of Medical-Health Care-Psychological pension model service, and the control group received the general medical care mode service. The quality of life, wellbeing, and satisfaction were assessed by interview and with a health status questionnaire, the Memorial University of Newfoundland Scale of Happiness(MUNSH), and life satisfaction scale. t-test was used to compare the difference of indexes between groups. Results Integrating supportive group psychological services in the pension model could enhance the positive psychological experience, deal with negative psychological experience, and improve the quality of life and satisfaction(P < 0.05). The integrated model could improve the health status in the elderly by promoting the affective function, social function, physical pain, psychical energy, and mental health(P < 0.05). Conclusion The Combination of Medical-Health Care-Psychological pension model is very suitable for the elderly in the institutions and has a very positive role in promoting their physical and mental health.