社区护士主导的全科团队家访服务对高龄居家老人心理状况的影响  

Influence of community nurse-led multidisciplinary team home visiting services on psychological state of old age of home elderly

作　　者：易景娜[1] 陈利群[1] 贾守梅[1] 陆敏敏[1] 荀雪琴[2] 

机构地区：[1]复旦大学护理学院 [2]上海市黄浦区老西门社区卫生服务中心

出　　处：《护理研究（中旬版）》2012年第4期975-978,共4页Chinese Nursing Researsh

基　　金：复旦大学研究生创新基金资助项目;编号:EZF400302;复旦大学护理科研基金立项课题;编号:FNF201016

摘　　要：[目的]探讨以社区护士为主导的全科团队家访服务对社区高龄居家老人抑郁、孤独等心理状况的影响。[方法]采用投掷硬币法将144名认知清楚的80岁以上居家老人按照居住地随机分为干预组(74例)和对照组(70例),干预组接受社区护士为主导的全科团队家访服务,对照组接受常规社区卫生服务。采用重复测量方差分析两组干预前、干预3个月、6个月时抑郁、孤独指标的变化。[结果]两组高龄居家老人抑郁、孤独得分比较差异有统计学意义(P<0.001);两组抑郁、孤独各时间点的单独处理效应显示干预组在干预3个月、6个月时各领域得分均较干预前降低(P<0.001),而对照组无明显变化(P>0.05)。[结论]社区护士为主导的全科团队家访服务可明显改善高龄居家老人的抑郁、孤独等不良心理状况,团队模式具有可操作性和实用性。Objective：To probe into the influence of community nurse-led multidisciplinary team home visiting service on psychological state such as depression and loneliness of community advanced age of old people at home.Methods：A total of 144 old people at home whose cognition was clear and whose age was over 80 years old were randomly divided into intervention group（n=74） and control group（n=70） by throwing coins.The intervention group patients received the nurse-led multidisciplinary team home visiting.The control group cases received routine community health service.The changes of depression and loneliness indexes were observed respectively before intervention,at three months after intervention and six months after intervention.Results：There was statistical significant difference in depression and loneliness score of advanced age of old people at home between both groups（P0.001）;compared the scores before intervention,all domain scores were significantly lower at 3 months and 6 months after the intervention（P0.001）,however,there was no significant change in control group（P0.05）.Conclusion： The nurse-led multidisciplinary home visiting service can improve the adverse psychological conditions such as depression and loneliness of advanced age of old people at home,and the team mode is operational and practical.

关 键 词：社区护士主导全科团队 高龄 居家老人 抑郁 孤独 

分 类 号：R473.2[医药卫生—护理学]