社区护理服务在社区老年慢性病患者管理中的应用效果

Application Effect of Community Nursing Services in Management of Elderly Patients with Chronic Diseases in Community

目的:分析社区老年慢性病患者管理中采用社区护理服务的效果。方法:选取2022年1月—2023年2月上海市普陀区甘泉街道社区卫生服务中心收治的68例老年慢性病患者作为研究对象,根据随机数字表法分为两组,各34例。常规组给予常规护理服务,干预组给予社区护理服务。比较两组自我管理能力、生活质量、遵医行为及满意度。结果:管理后,干预组血压监测、按时服药、健康锻炼、健康饮食评分均高于常规组,差异有统计学意义(P<0.0001)。管理后,干预组躯体疼痛、一般健康、社会功能、生理职能评分均高于常规组,差异有统计学意义(P<0.0001)。干预组合理膳食、规律作息、遵医用药、坚持运动占比均高于常规组,差异有统计学意义(P=0.0084)。干预组总满意度高于常规组,差异有统计学意义(P=0.0239)。结论:在社区老年人慢性病管理中采用社区护理服务,可提升患者自我管理能力以及生活质量,引导患者形成较强的遵医行为,提高其满意度,值得临床应用。

Objective:To analyze the application effect of community nursing services in the management of elderly patients with chronic diseases in the community.Methods:From January 2022 to February 2023,68 elderly patients with chronic diseases admitted to Shanghai Putuo District Ganquan Street Community Health Service Center were selected as the study subjects.They were divided into two groups with 34 cases in each group according to the random number table method.The conventional group was given conventional nursing services,and the intervention group was given community nursing services.Self-management ability,quality of life,medical compliance behavior and satisfaction were compared between the two groups.Results:After management,the scores of blood pressure monitoring,medication on time,healthy exercise,and healthy diet in the intervention group were higher than those in the conventional group,and the difference was statistically significant(P<0.0001).After management,the scores of physical pain,general health,social function,and physiological function in the intervention group were higher than those in the conventional group,and the difference was statistically significant(P<0.0001).The proportions of reasonable diet,regular work and rest,medication compliance behavior and adherence to exercise in the intervention group were higher than those in the conventional group,and the difference was statistically significant(P=0.0084).The total satisfaction in the intervention group was higher than that in the conventional group,and the difference was statistically significant(P=0.0239).Conclusion:The community nursing services in the management of elderly people with chronic diseases in the community can improve patients'self-management ability and quality of life,guide patients to form strong compliance behavior,and improve the satisfaction.It is worthy of clinical application.