居家养老模式下社区护理服务的开展分析及效果研究  

Analysis and study on the effect of community nursing service in the home care model

作　　者：吴艺[1] 邓仁丽[1] 张丽娥[1] 

机构地区：[1]遵义医学院第五附属(珠海)医院护理部,广东珠海519100

出　　处：《中国医药科学》2016年第16期126-129,共4页China Medicine And Pharmacy

摘　　要：目的 探讨居家养老模式下社区护理服务的开展及效果。方法 2014年7月~2015年12月,选取该阶段内社区康复医疗中心收治的100例居家养老的老年患者作为此次研究的对象,将100例老年患者随机分为对照组、观察组,每组50例。对照组实施常规社区护理服务,观察组实施综合性社区护理服务。比较两组老年患者的健康行为评分、生活质量评分、焦虑评分、睡眠质量指数。结果 与干预前相比,干预后两组患者的健康行为评分均明显提高（P〈0.05）,但观察组干预后的健康行为评分较对照组明显更高（P〈0.05）。干预后,两组患者的焦虑评分、睡眠质量指数均明显降低（P〈0.05）,但观察组的焦虑评分、睡眠质量指数较对照组更低（P〈0.05）。与对照组相比,观察组的生活质量评分明显更高（P〈0.05）。结论 在居家养老模式下,对社区老年患者实施综合性的社区护理服务,能够有效提高患者的健康行为,还能有效改善患者的生活质量、睡眠质量、心理状态。Objective To explore the development and effect of community nursing service under the mode of home care for the elderly. Methods 100 cases of elderly patients who within home care in the community rehabilitation medical center at the stage from July 2014 to December 2015 were selected as the research object, and they were randomly divided into the control group and the observation group, with 50 cases in each. Patients in control group were treated with routine community nursing service, and patients in observation group were treated with the comprehensive community nursing service. The health behavior score, life quality score, anxiety score, sleep quality index of the two groups were compared. Results Compared with before intervention, the health behavior scores of two groups after the intervention were significantly improved （P 〈 0.05）, but the health behavior score of the observation group after the intervention was significantly higher than that of control group （P 〈 0.05）. The anxiety score and sleep quality index of two groups after the intervention were significantly lower （P〈 0.05）, but the anxiety score and sleep quality index of the observation group were lower than those of the control group （P 〈 0.05）. Compared with the control group, the life quality score of the observation group was significantly higher （P 〈 0.05）. Conclusion Under the old-age home model, the implementation of comprehensive community nursing service for community elderly patients can effectively improve the patient＇s health behavior, and can effectively improve the patients＇ quality of life, sleep quality and mental state.

关 键 词：居家养老模式 社区护理服务 健康管理 

分 类 号：R47[医药卫生—护理学]