老年慢性病患者住院及出院后持续综合干预效果分析  

The outcome of continuous comprehensive intervention applying to the elderly with chronic disease

作　　者：杨玲[1] 陈茜[2] 胡秀英[2] 

机构地区：[1]四川大学华西医院门诊部,四川成都610041 [2]四川大学华西医院老年医学中心

出　　处：《现代预防医学》2013年第12期2365-2367,共3页Modern Preventive Medicine

基　　金：四川省卫生厅课题(川干健办发【2012】7)

摘　　要：目的探讨对老年慢性病患者住院期间及出院后持续综合干预的效果。方法将某院收治的老年慢性病患者200例随机分为研究组和对照组,两组各100例。对干预组实施出院前干预和出院后为期6个月的持续综合干预。出院后6个月后测评两组患者自理能力(ADL)、是否再次入院情况。结果干预组94人、对照组93人完成研究。出院后6月,干预组老年人的ADL评分较干预前减小(-2.44),而对照组患者的ADL评分较6月前增大(1.78)(P﹤0.05)。干预组老年慢性病患者再入院者比例(22.3%)较对照组(36.3%)低14.3%(P﹤0.05)。结论实施持续综合干预能有效地改善老年慢性病患者的日常生活能力,减少其再次入院率。OBJECTIVE To test the effects of continuous comprehensive intervention for the elderly with chronic disease. METHODS We used a randomized controlled trial to compare the effectiveness of continuous muhidisciplinary care for the elderly having chronic disease. 200 cases of the hospitalized patients with chronic disease （age〉~60 years） were randomly di- vided into study group （100） and control group （100）, The elderly in the study group received a continuous comprehensive intervention which included muhidiseiplinary care before discharge and a six-month continuing medical intervention after dis- charge. Data from the patients at 6 months later using muhidiseiplinary care were collected, including activity of daily living （ADL）, whether readmitted. RESULTS 94 cases in the multidisciplinary care group and 93 cases in the control group com- pleted the study. 6 months after discharge, the elder patient＇s ADL score in muhidisciplinary care group reduced （-2.44） comparing to enrolment in the muhidisciplinary care group, which increased （1.78） in the control group （P 〈 0.05）. The rate of readmission reduced 14.3% in the study group which was lower than the control group （22.3% vs. 36.3%） （P〈 0.05）. CONCLUSION Continuous comprehensive intervention may benefit the elderly with chronic disease by enhancing the ADL and reducing the re-admission rate.

关 键 词：老年人 慢性病 综合干预 自理能力 出院 

分 类 号：R49[医药卫生—康复医学]