延续护理对老年脊髓损伤患者出院后身心健康的影响  

Influence of continued-nursing on physical and mental health for elderly patients with spinal cord injury

作　　者：陈巧灵[1] 于宁[1] 朱海娜[1] 李侗侗 唐家广[1] 

机构地区：[1]解放军总医院第一附属医院脊柱脊髓损伤科,北京100048

出　　处：《实用临床医药杂志》2017年第10期47-50,共4页Journal of Clinical Medicine in Practice

基　　金：北京市科技计划课题(D16110002816003)

摘　　要：目的探讨延续护理对老年脊髓损伤患者出院后身心健康的影响。方法选取本科的老年脊髓损伤(ASIA-A级)患者80例,采用随机数表分为观察组与对照组各40例,对照组接受常规护理和出院指导,观察组在此基础上实施6个月的延续护理干预,包括电话随访、家庭访视及开展主题宣教活动等形式。评价2组患者出院时和出院后6个月的生活自理能力以及心理状态,并比较2组患者并发症的发生率。结果出院时观察组和对照组功能独立性(FIM)评定、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分均无显著性差异(P>0.05);出院6月后观察组和对照组的FIM评定、汉密尔顿焦虑、抑郁量表评分有显著性差异(P<0.05);另外出院6月后观察组并发症发生率显著低于对照组(P<0.05)。结论延续护理能提高老年脊髓损伤患者出院后的康复治疗依从性及自我管理能力,提高其康复效果,并降低并发症的发病率,显著改善心理状态,提高生活质量。Objective To investigate influence of continued-nursing on physical and mental health for elderly patients with spinal cord injury. Methods A total of 80 elderly spinal cord injury patients （ASIA grade A） were selected in our department and divided into observation and control groups based on random number table method. The control group received conventional nursing and discharge guidance, while observation group received continued-nursing for 6 months after discharge, including telephone follow-up, family visit, and theme education activities. Self-care ability and psy- chological states before and after intervention were evaluated. Results The scores of Functional Inde- pendence Measurement （FIM） , HAMA, and HAMD showed no significant difference in both groups before intervention（ P 〉 0.05 ）. However, the scores above in observation group had significant differ- ence after 6 months of continued-nursing than that of control group （ P 〈 0.01 ）. The incidence of complication in observation group was lower. Conclusion Continued-nursing can improve the reha- bilitation adherence and self-management ability of elderly spinal cord injury patients after discharge, and reduce the incidence of complications.

关 键 词：延续护理 脊髓损伤 老年患者 心理状态 生活质量 

分 类 号：R473.6[医药卫生—护理学]