健康管理护理干预在农村老年慢性病患者中的应用效果

Application Effect of Health Management Nursing Intervention in Rural Elderly Patients with Chronic Diseases

目的:探讨健康管理护理干预在农村老年慢性病患者中的应用效果。方法:选取2022年1月—2023年12月中山大学附属第七医院收治的农村老年慢性病患者100例作为研究对象,通过单双号法分为对照组和研究组,各50例。对照组给予常规护理干预,研究组给予健康管理护理干预。比较两组自我护理能力、心理状态、生活质量、不良反应发生率、护理满意度。结果:干预后,两组自护技能、自我概念、健康知识水平、自我责任感评分高于干预前,研究组高于对照组,差异有统计学意义(P<0.05);干预后,两组焦虑自评量表、抑郁自评量表评分低于干预前,研究组低于对照组,差异有统计学意义(P<0.05);干预后,两组心理功能、躯体功能、物质生活、社会功能评分高于干预前,研究组高于对照组,差异有统计学意义(P<0.05);研究组不良反应发生率低于对照组,差异有统计学意义(P=0.0290);研究组护理满意度高于对照组,差异有统计学意义(P=0.0144)。结论:健康管理护理干预应用于农村老年慢性病患者中,可有效改善患者的心理状态,提高其自我护理能力和生活质量,降低不良反应发生率,护理满意度较高。

Objective:To explore the effect of health management and nursing intervention in rural elderly patients with chronic diseases.Methods:A total of one hundred rural elderly chronic disease patients admitted to the Seventh Affiliated Hospital of Sun Yat-sen University from January 2022 to December 2023 were selected as the research objects,and divided into control group and study group by odd-even number method,with fifty cases in each group.The control group was given routine nursing intervention,and the study group was given health management nursing intervention.Self-care ability,mental state,quality of life,incidence of adverse reactions and nursing satisfaction were compared between the two groups.Results:After intervention,the scores of self-care skills,self-concept,health knowledge level and self-responsibility of the two groups were higher than before intervention,and the study group was higher than the control group,the difference was statistically significant(P<0.05);after intervention,the scores of self-rating anxiety scale and self-rating depression scale in the two groups were lower than before intervention,and the scores in the study group were lower than those in the control group,the difference was statistically significant(P<0.05);after intervention,the scores of psychological function,physical function,material life and social function of the two groups were higher than before intervention,and the study group was higher than the control group,the difference was statistically significant(P<0.05);the incidence of adverse reactions in the study group was lower than that in the control group,and the difference was statistically significant(P=0.0290);the nursing satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(P=0.0144).Conclusion:The application of health management nursing intervention in rural elderly patients with chronic diseases can effectively improve their psychological state,improve their self-care ability and quality of life,reduce the incidence of adverse reactions,and have a high nursing satisfaction.