一体化健康管理和长期护理在住院老年衰弱患者中的应用效果  

Application effect of integrated health management and long-term care in elderly inpatients with frailty

作　　者：黄斌英[1] 李丽金 王美华 邹国娟 张婷婷 陈旸 HUANG Binying;LI Lijin;WANG Meihua;ZOU Guojuan;ZHANG Tingting;CHEN Yang(Guangzhou Twelfth People's Hospital,Guangzhou 510620,China)

机构地区：[1]广州市第十二人民医院,广东广州510620

出　　处：《临床医学研究与实践》2023年第20期142-145,186,共5页Clinical Research and Practice

基　　金：广东省护士协会科研课题(No.gdshsxh2021b034);广州市护理学会课题(No.A2021046)。

摘　　要：目的探讨一体化健康管理和长期护理在住院老年衰弱患者中的应用效果。方法选择2021年6月至2022年2月收治的119例住院老年衰弱患者,使用随机数字表法将其分为对照组(59例)与试验组(60例)。对照组采取常规护理,试验组在常规护理的基础上进行一体化健康管理和长期护理。比较两组的干预效果。结果出院后1个月,试验组的衰弱筛查量表(FRAIL)、简版老年抑郁量表(GDS-15)评分低于对照组(P<0.05)。试验组的Barthel指数(BI)、跌倒风险评分优于对照组(P<0.05)。结论一体化健康管理和长期护理可改善住院老年衰弱患者预后,降低跌倒风险,改善抑郁状况,延缓衰弱进程。Objective To explore the application effect of integrated health management and long-term care in elderly inpatients with frailty.Methods A total of 119 elderly inpatients with frailty admitted from June 2021 to February 2022 were selected and divided into control group(59 cases)and experimental group(60 cases)using random number table method.The control group received routine nursing,and the experimental group received integrated health management and long-term care on the basis of routine nursing.The intervention effects of the two groups were compared.Results One month after discharge,the Fatigue,Resistance,Ambulation,Illnesses and Loss of Weight Scale(FRAIL)and Geriatric Depressionscale-15(GDS-15)scores of the experimental group were lower than those of the control group(P<0.05).The Barthel Index(BI)and fall risk scores of the experimental group were better than those of the control group(P<0.05).Conclusion Integrated health management and long-term care can improve the prognosis of elderly inpatients with frailty,reduce the risk of falls,improve depression and delay the process of frailty.

关 键 词：一体化健康管理 长期护理 老年患者 衰弱 

分 类 号：R473[医药卫生—护理学]