医养结合护理模式对多病共存老年患者自护能力及生存质量的影响  

Efficacy of the combination of medical and pension nursing model on self-care ability and quality of life in elderly patients with multi-disease coexistence

作　　者：胡文芳[1] 李晓嫱[1] 

机构地区：[1]深圳市福田区慢性病防治院,广东深圳518001

出　　处：《中医临床研究》2018年第26期132-133,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨"医养结合"护理模式对多病共存老年患者自护能力及生存质量的影响,为实现"医疗"与"养老"服务资源的有效整合提供示范引领作用。方法:2015年8月-2016年12月选取70例在本中心登记在册的多病共存老年患者,随机分为对照组与观察组各35例,对照组实施常规医疗服务及基础护理,观察组在此基础上实施医养结合护理模式,完善居家养老、社区养老与机构养老,比较两组自护能力(量表选用ESCA)与生存质量(量表选用WHOQOL-BREF)。结果:观察组实施医养结合护理模式后,自护能力评分明显高于对照组,而且WHOQOL-BREF各维度评分均明显高于对照组,两组差异显著(P <0.05)。结论:医养结合护理模式有利于提高多病共存老年患者自护能力,改善生活质量,值得借鉴及大力推广。Objective To explore the efect of combination of medical and pension nursing on self-care ability and quality of life in elderly patients with multi-disease coexistence, and to provide exemplary guidance for realizing the efective integration of medical and pension service resources. Methods： 70 patients were randomly divided into the control group and the observation group, 35 cases in each. The control group was given routine medical care and basic nursing. The observation group was given combination of medical and pension nursing more. The self-care ability and quality of life in two groups were compared. Results： The self-care ability score and WHOQOL-BREF scores in the observation group were signifcantly higher than the control group, with signifcant diferences （P〈0.05）. Conclusion： The combination of medical and pension nursing model can improve the self-care ability and the quality of life, and is worth learning and popularizing.

关 键 词：医养结合 服务体系 多病共存 老年患者 自护能力 生存质量 

分 类 号：R473[医药卫生—护理学]