老年综合评估和护理干预对老年住院患者并发症及生存质量的影响研究  

Effect of Comprehensive Evaluation and Nursing Intervention on the Complications and Quality of Life of Elderly Hospitalized Patients

作　　者：王燕[1] 薛春丽[1] 陈涛[1] WANG Yan;XUE Chun-li;CHEN Tao(Health and Medicine Department,Zhengzhou People’s Hospital,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州人民医院健康医学部,河南郑州450000

出　　处：《黑龙江医学》2022年第1期112-114,共3页Heilongjiang Medical Journal

摘　　要：目的:探究老年综合评估和护理干预对老年住院患者并发症及生存质量的影响。方法:选取2016年5月—2017年8月郑州人民医院收治的85例老年住院患者纳入研究,采取随机数表法将患者分为对照组和干预组,对照组患者(42例)实施常规住院患者护理干预,干预组患者(43例)进行老年综合评估后实施针对性护理干预,对比两组患者干预前后营养情况,微型营养评估表(MNA)评分、简明精神状态检查表(MMSE)评分、日常生活能力量表(ADL)评分及躯体化症状自评量表评分、生活质量评分(SF-36)、并发症情况。结果:干预前,两组患者MNA评分、MMSE评分、ADL评分、躯体化症状自评量表评分、SF-36评分比较,差异无统计学意义(t=0.1342、0.6237、0.5069、0.4290,P>0.05)。干预后两组患者评分均改善,干预组评分优于对照组,差异有统计学意义(t=8.6194、9.9821、14.6813、14.6809,P<0.05);干预组患者并发症发生率2.33%,低于对照组的16.67%,差异有统计学意义(χ^(2)=5.1253,P<0.05)。结论:老年综合评估和护理干预可显著提升老年住院患者日常生活能力及生活质量水平,降低并发症发生率,安全性高,可在临床推广应用。Objective:To explore the effect of comprehensive evaluation and nursing intervention on the complications and quality of life of elderly hospitalized patients.Methods:A total of 85 elderly inpatients admitted to the hospital from May 2016 to August 2017 were selected and included in the study,and the patients were divided into two groups by random number table method.The patients in the control group(42 cases)were given routine inpatient nursing intervention,and the patients in the intervention group(43 cases)were given targeted nursing intervention after comprehensive assessment of the elderly.The nutritional status,mini-nutrition assessment(MNA)score,brief mental state examination(MMSE)score,activities of daily living(ADL)score,somatization symptom self-rating scale,quality of life score(SF-36)and complications were compared between the two groups before and after the intervention.Results:Before intervention,there was no statistically significant difference in MNA score,MMSE score,ADL score,somatization symptom self-rating scale score and SF-36 score between the two groups(t=0.1342,0.6237,0.5069,0.4290,P>0.05).After the intervention,the scores of patients in each group were improved,and the scores of the intervention group were better than those of the control group,and the difference was statistically significant(t=8.6194,9.9821,14.6813,14.6809,P<0.05).The incidence of complications in the intervention group was 2.33%,which was lower than 16.67%in the control group,and the difference was statistically significant(χ^(2)=5.1253,P<0.05).Conclusion:Comprehensive geriatric assessment and nursing intervention can significantly improve the daily living ability and quality of life of elderly hospitalized patients,reduce the incidence of complications,and have high safety,which can be popularized and applied.

关 键 词：老年住院患者 老年综合评估 护理干预 并发症 生存质量 

分 类 号：R473[医药卫生—护理学]