“医养结合”居家养老服务体系对脑卒中老年患者生活质量的影响  

Effect of home pension system under medical-nursing combined model on quality of life in elderly patients with stroke

作　　者：符秀梅[1] 金水晶[1] 曾祥龙[1] 陈艳 FU Xiu-mei;JIN Sui-jin;ZENG Xiang-long;CHEN Yan(Hainan Provincial Cadre Sanatorium (Hainan Provincial Geriatric Hospital), Haikou 571100, Hainan, CHINA;Haikou Lichen Property Service Incorporated Company, Haikou 571100, Hainan, CHINA)

机构地区：[1]海南省干部疗养院(海南省老年病医院),海南海口571100 [2]海口立晨物业服务有限公司,海南海口571100

出　　处：《海南医学》2019年第10期1352-1355,共4页Hainan Medical Journal

基　　金：海南省自然科学基金(编号:817372;117116;717113)

摘　　要：目的探究"医养结合"居家养老服务体系对脑卒中老年患者生活质量的影响。方法选取2017年2～12月在海南省干部疗养院治疗出院后选择居家照护的127例老年脑卒中患者作为研究对象,采用随机数表法分为对照组(n=63)和观察组(n=64),对照组患者出院后由家庭成员进行居家照顾,观察组患者出院后由社区服务中心实施居家养老服务。通过随访,比较两组患者干预前、干预3个月、干预6个月后Barthel指数评分以及干预6个月后的脑卒中专用生活质量量表(SS-QoL)评分。结果观察组患者干预3个月、6个月Barthel指数评分分别为(31.78±7.73)分、(39.04±9.44)分,均明显高于对照组的(25.67±6.91)分、(28.46±7.97)分,差异均具有统计学意义(P<0.05);观察组和对照组患者干预6个月时,脑卒中专用生活质量量表中情绪[(14.25±3.35)分vs (12.59±3.88)分]、个性[(9.78±3.26)分vs (7.17±1.45)分]、精力[(9.74±1.32)分vs (7.22±1.32)]、活动能力[(18.45±1.97)分vs (14.62±2.97)分]、自理能力[(17.11±3.23)分vs (13.21±2.23)分]、上肢功能[(14.36±3.12)分vs (8.65±3.21)分]、工作/劳动[(8.02±1.27)分vs(7.37±1.05)分]等维度评分及总分[(154.21±11.56)分vs (131.78±12.12)]比较,观察组均明显高于对照组,差异均具有统计学意义(P<0.05)。结论 "医养结合"居家养老体系可以有效提高脑卒中患者的生活自理能力和生活质量。Objective To explore the influence of home pension system under medical-nursing combined model on the quality of life in elderly patients with stroke. Methods A total of 127 patients in Hainan Provincial Cadre Sanatorium from February 2017 to December 2017 were divided into a control group(n=63) and an observation group(n=64) by random number method. The control group received routine family care after discharge from the hospital, and the observation group received home pension service under medical-nursing combined model by community service center.The patients were followed up for six months. The Barthel index score before intervention, 3 months and 6 months after intervention, and the Stroke Scale Quality of life(SS-QoL) 6 months after intervention were compared between the two groups. Results The Barthel index scores of the observation group were 31.78±7.73 and 39.04±9.44 at 3 months and 6 months after intervention, which were significantly higher than 25.67 ± 6.91 and 28.46 ± 7.97 of the control group(P<0.05). Six months after intervention, the emotion, personality, energy, activity ability, self-care ability, upper limb function, work/labor scores of SS-QoL, and total score were 14.25±3.35, 9.78±3.26, 9.74±1.32, 18.45±1.97, 17.11±3.23,14.36±3.12, 8.02±1.27, 154.21±11.56 in the observation group, significantly higher than 12.59±3.88, 7.17±1.45, 7.22±1.32, 14.62±2.97, 13.21±2.23, 8.65±3.21, 7.37±1.05, 131.78±12.12 in the control group(P<0.05). Conclusion The medical-nursing combined model of home pension system can effectively improve the patients’ self-care ability and improve the quality of life.

关 键 词：老年 脑卒中 医养结合 社区康复 生活质量 

分 类 号：R473.74[医药卫生—护理学]