社区护理干预模式应用于老年慢性病患者中对心理状态和日常生活能力的影响研究  

The Effect of Community Nursing Intervention Model on the Mental Status and Daily Living Ability in Elderly Patients with Chronic Diseases

作　　者：管键[1] Guan Jian(Community Health Management Section, The Fifth People＇s Hospital of Jinan, Jinan, Shandong, 250022, Chin)

机构地区：[1]济南市第五人民医院社区卫生管理科,山东济南250022

出　　处：《当代医学》2018年第14期13-16,共4页Contemporary Medicine

摘　　要：目的研究老年慢性病患者应用社区护理干预模式对心理状态和日常生活能力的影响。方法选取128例慢性病老年患者临床资料,按护理方式不同分两组,各组64例,对照组出院后常规护理,观察组出院后社区护理干预,比较组间血压血糖、心理状态等。结果观察组护理后收缩压(17.63±2.11)k Pa、舒张压(10.93±1.24)k Pa、血糖(8.10±2.51)mmol/L水平均比对照组有所改善(P<0.05);观察组SAS(25.63±6.11)分、SDS(29.13±3.22)分、Barthel指数(81.12±8.52)分均比对照组优(P<0.05);观察组护理后疾病基础知识(65.23±10.25)分、药物服用(71.26±5.47)分、合理饮食(74.31±6.59)分均比对照组高(P<0.05)。结论老年慢性病患者应用社区护理干预有助于控制血压、血糖的稳定,促进心理健康,增强生活能力,提高健康知识的掌握度。Objective To study the effects of community nursing intervention on mental state and daily living ability in elderly patients with chronic diseases. Methods The clinical data of 128 elderly patients with chronic disease were selected and divided into two groups according to the different nursing methods, 64 cases in each group. The control group was given routine nursing after discharge, and the observation group was given community nursing intervention after discharge. The blood pressure, blood sugar and mental state were compared between the two groups. Results After nursing in the observation group systolic blood pressure （17.63±2.11） kPa, diastolic blood pressure （10.93± 1.24） kPa, blood glucose （8.10± 2.51） mmol/L level has improved significantly than the control group （P〈0.05）; the observation group SAS （25.63±6.11）, SDS （29.13 ±3.22）, Baxth- el index （81.12±8.52） points were better than the control group （P〈0.05）; basic knowledge of disease after nursing in the observation group （65.23± 10.25） and drugs （71.26±5.47）, diet （74.31±6.59） were higher than the control group （P〈0.05）. Conclusion The application of community nursing intervention in elderly patients with chronic diseases can help control blood pressure and blood sugar stability, promote mental health, enhance living ability and improve the mastery of health knowledge.

关 键 词：老年 慢性病 社区护理 心理状态 生活能力 

分 类 号：R473.2[医药卫生—护理学]