基于互联网的医院-机构联动养护管理模式在失智老年人养老照护中的应用  

Application of Internet-based hospital-institution linkage care management model in elderly care for elderly people with dementia

作　　者：乔雨晨[1] 常红[1] 杨璇 王佳妹[1] 贾举鹏 方芳 Qiao Yuchen;Chang Hong;Yang Xuan;Wang Jiamei;Jia Jupeng;Fang Fang(Neurology Department,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Gerontology Department,Beijing Fangshan District Mental Health Care Hospital,Beijing 102453,China)

机构地区：[1]首都医科大学宣武医院神经内科,北京100053 [2]北京市房山区精神卫生保健院老年科,北京102453

出　　处：《中国实用护理杂志》2023年第3期164-169,共6页Chinese Journal of Practical Nursing

基　　金：北京市属医院科研培育计划项目(PG2021014)。

摘　　要：目的探讨基于互联网的医院-机构联动养护管理模式在失智老年人养老照护中的应用效果。方法本研究为类实验性研究,方便选取北京市房山区精神卫生保健院、北京金海中医医院、北京颐慈园养老照料中心3所医养结合机构的80例失智老年人为研究对象,2021年5—8月入组的失智老年人为对照组,2021年9—12月入组的失智老年人为试验组,每组40例。对照组采用常规管理方法,试验组采用基于互联网的医院-机构联动养护管理模式实施干预。于干预前、干预3个月后,采用简易智力状况检查表(MMSE)、Barthel指数和科恩-曼斯菲尔德激越情绪行为量表(CMAI)评价失智老年人认知功能、日常生活能力和激越行为。结果最终纳入78例,试验组、对照组各39例。干预前2组失智老年人MMSE、Barthel指数、CMAI评分比较差异均无统计学意义(均P>0.05)。干预3个月后,试验组MMSE得分为(17.36±5.67)分,高于对照组的(15.05±2.70)分,差异有统计学意义(t=-2.13,P<0.05);试验组CMAI得分为(34.18±4.37)分,低于对照组的(37.13±5.06)分,差异有统计学意义(t=2.76,P<0.05);Barthel指数得分2组比较差异无统计学意义(t=0.13,P>0.05)。结论基于互联网的医院-机构联动养护管理模式能改善医养结合机构失智老年人的认知功能、激越行为。Objective To explore the application effect of Internet-based hospital-institution linkage care management model in elderly care for the elderly of dementia.Methods The research was a quasi-experiment study.A total of 80 elderly people of dementia from three combined medical and nursing institutions,Beijing Fangshan District Mental Health Care Hospital,Beijing Jinhai Hospital of Traditional Chinese Medicine,and Beijing Yiciyuan Nursing Care Center,were selected as the research objects by convenient sampling.The elderly people of dementia enrolled from May to August 2021 served as the control group,and elderly people of dementia enrolled from September to December 2021 served as the experimental group,with 40 cases in each group.Conventional management methods were taken in the control group,while Internet-based hospital-institution linkage care management model was taken in the experimental group.Before the intervention,at 3 months of intervention,the Mini-Mental State Examination(MMSE),Barthel index(BI)and Cohen Mansfield agitation behavior inventory(CMAI)were used to evaluate the cognitive function,activities of daily living and agitation behavior of two groups.Results A total of 78 cases were included,including 39 cases in the experimental group and 39 cases in the control group,respectively.Before intervention,there was no significant difference in scores of MMSE,BI,and CMAI in the two groups of elderly people with dementia(P>0.05).After 3 months of intervention,the score of MMSE in the experimental group was(17.36±5.67)points,which was higher than(15.05±2.70)points of the control group,and the difference was statistically significant(t=2.13,P<0.05).The score of CMAI in the experimental group was(34.18±4.37)points,which was lower than(37.13±5.06)points of the control group,and the difference was statistically significant(t=2.76,P<0.05).There was no significant difference in BI scores(t=0.13,P>0.05).Conclusions The Internet-based hospital-institution linkage care management model improves the cognitive fun

关 键 词：互联网 老年人 失智 管理模式 联动 

分 类 号：R197.1[医药卫生—卫生事业管理]