护生志愿者在老年慢病患者延续护理中的作用探究  

The effect of nursing student volunteers in continuing nursing care for chronic diseases in elderly

作　　者：林海红 俞益君 石莺莺 郑舟军 魏虹 龚戬芳 Lin Haihong;Yu Yijun;Shi Yinyin;Zheng Zhoujun;Wei Hong;Gong Jifang(Zhoushan City Hospital,Zhoushan,Zhejiang 316000;Zhejiang Ocean University Donghai Science and Technology Medical School,Zhoushan,Zhejiang 316000)

机构地区：[1]浙江省舟山市中医院,浙江舟山316000 [2]浙江海洋大学东海科学技术学院医学院,浙江舟山316000

出　　处：《护士进修杂志》2019年第11期970-973,共4页Journal of Nurses Training

基　　金：浙江省舟山市医药卫生计生科技计划研究基金项目(编号:2017A04)

摘　　要：目的探讨护生志愿者参与干预的延续性护理服务模式应用于老年慢性病患者中的效果。方法以2017年9月-2018年2月在我院内科2个病区出院的老年慢病患者(患有糖尿病、高血压、肺部疾病)为研究对象。采用整群分组法,依照患者居住所在社区分组。对照组48例,观察组52例。对照组给予常规出院宣教、出院后电话随访、“317护”信息平台交流;观察组在此基础上,增加护生志愿者参与干预这一环节。分别于干预后2~4周、10~12周、22~24周采用延续护理测评量表评价实施延续护理的效果。结果干预后10~12周、22~24周,观察组患者的延续护理质量评分均高于对照组,差异均有统计学意义(P<0.05)。结论护生志愿者参与干预,可以提高慢病患者延续护理服务质量。Objective To discuss the effect of nursing student volunteers in continuing nursing care for chronic diseases in elderly.Methods The elderly patients with chronic diseases, including diabetes, hypertension and pulmonary diseases, discharged from 2 wards of the internal medicine department of hospital from September 2017 to February 2018 were studied.The patients were divided into observation group (52 patients) and control group (48 patients) according to the community in which they lived.The control group was given routine post-discharge education, telephone follow-up after discharge, and communication on "317 nursing" information platform.On this basis, the observation group increased the intervention of nursing student volunteers.The evaluation indexes of quality of continuing nursing care for chronic diseases in elderly were used to evaluate the effect of continuing nursing care at 2 to 4 weeks, 10 to 12 weeks and 22 to 24 weeks after intervention.Results At 10~12 weeks and 22~24 weeks after intervention, patients in the observation group had higher scores in quality of continuing nursing care than those in the control group, which had statistically significant differences( P <0.05).Conclusion The intervention of nursing student volunteers can improve the quality of continuing nursing care for elderly patients with chronic disease.

关 键 词：护生志愿者 老年慢病患者 延续护理 

分 类 号：R473.59[医药卫生—护理学]