基于新媒体CGA的协同护理对老年慢性病患者躯体功能及认知衰弱的影响  

Effect of collaborative nursing based on new media CGA on somatic function and cognitive frailty in elderly patients with chronic diseases

作　　者：李艳丽 刘晓君 方立[1] 雷雪 石霖 张俊丽 周艳丽 张淑玲[1] LI Yanli;LIU Xiaojun;FANG Li;LEI Xue;SHI Lin;ZHANG Junli;ZHOU Yanli;ZHANG Shuling(Zhengzhou People's Hospital,Zhengzhou,450000,China)

机构地区：[1]郑州人民医院神经内科,河南省郑州市450000

出　　处：《护理实践与研究》2023年第11期1644-1649,共6页Nursing Practice and Research

基　　金：河南省医学科技攻关计划(编号:LHGJ20200693)。

摘　　要：目的探讨基于新媒体老年综合评估(CGA)的协同护理模式对回归社区老年慢性病患者躯体功能及认知衰弱的影响。方法选取2019年6月—2021年3月郑州人民医院神经内科住院并出院后回归社区的慢性病患者150例为研究对象。按组间基本资料匹配原则分为观察组61例和对照组89例。观察组接受新媒体CGA的协同护理模式护理,对照组给予常规护理。比较1年后两组患者的躯体功能、认知功能、认知衰弱的发生情况。结果护理干预后,观察组的6 min步行距离较对照组长,观察组的10 m步行时间短于对照组,观察组的握力、MMSE评分高于对照组,差异均有统计学意义(P<0.05)。护理干预前,观察组的衰弱程度与对照组比较,差异无统计学意义(P>0.05);护理干预后,观察组的衰弱程度低于对照组,差异均有统计学意义(P<0.05)。结论回归社区的老年慢病患者应用基于新媒体CGA的协同护理策略,可改善躯体功能及认知功能,减少认知衰弱发生率。Objective To study the effect of collaborative nursing model based on new media comprehensive geriatric assessment(CGA)on physical function and cognitive weakness in returning community elderly patients with chronic diseases.Methods 150 patients with chronic diseases who returned to the Department of Neurology of Zhengzhou People's Hospital from June 2019 to March 2021 were selected as the research subjects.According to the principle of basic data matching between groups,61 cases were divided into the observation group and 89 cases in the control group.The observation group received the cooperative nursing model care of the new media CGA,and the control group gave the usual nursing.The occurrence of somatic function,cognitive function and cognitive weakness was compared between the two groups after 1 year.Results After the nursing intervention,the 6 min walking distance of the observation group was longer than that of the control group,the 10 m walking time of the observation group was shorter than that of the control group,and the grip strength and MMSE score of the observation group were higher than that of the control group,and the difference was statistically significant(P<0.05).Before nursing intervention,the weakness of the observation group was compared with the control group(P>0.05);after nursing intervention,the weakness of the observation group was lower than that of the control group,and the proportion of the observation group was significantly reduced compared with the control group,and the difference was statistically significant(P<0.05).Conclusion The collaborative nursing strategy based on the new media CGA can improve the physical function and cognitive function,and reduce the incidence of cognitive weakness.

关 键 词：新媒体 老年综合评估CGA 协同护理模式 老年慢性病 躯体功能 认知衰弱 

分 类 号：R473.5[医药卫生—护理学]