智随访平台居家衰弱管理方案在老年术后患者中的应用  

Application of home frailty management program based on intelligent follow-up platform in senile postoperative patients

作　　者：权月[1] 张瑞华 姜虹[1] 张锦锦[1] 程畅 汪子寒 田丽[2] QUAN Yue;ZHANG Ruihua;JIANG Hong;ZHANG Jinjin;CHENG Chang;WANG Zihan;TIAN Li(Department of Hepatobiliary Surgery,Tianjin Third Central Hospital,Tianjin,300170,China)

机构地区：[1]天津市第三中心医院肝胆外科,天津市300170 [2]天津市第三中心医院护理部,天津市300170 [3]天津医科大学三中心临床学院

出　　处：《中国护理管理》2023年第7期1084-1089,共6页Chinese Nursing Management

基　　金：天津市卫生健康科技项目(ZC20004,TJWJ2021QN024);天津市医学重点学科(专科)建设项目(TJYXZDXK-025A)。

摘　　要：目的:评价智随访平台居家衰弱管理方案在老年术后患者中的应用效果,为老年人手术衰弱患者居家管理提供参考。方法:运用文献研究和德尔菲法构建居家衰弱管理方案。采用便利抽样方法,以2022年2月—4月在天津市某三级甲等医院收治的82例老年手术患者为研究对象,其中2022年2月1日至3月15日收治的患者为对照组(41例),2022年3月16日至4月30日的患者为干预组(41例)。对照组根据居家衰弱管理方案进行常规出院宣教,干预组采用智随访平台实施居家衰弱管理方案,干预周期为6个月。比较两组患者的健康行为能力、衰弱状态、握力、步速、身体功能和生活质量评分差异。结果:干预组患者的衰弱评分低于对照组(P<0.05),干预组患者的握力、步速、身体功能评分、健康行为能力评分和生活质量评分均高于对照组(P<0.05)。结论:智随访平台居家衰弱管理方案对提高老年术后患者健康行为能力、改善衰弱状态和生活质量有积极作用,具有临床应用价值。Objective:To explore the application effect of home frailty management program based on the intelligent follow-up platform in elderly patients after surgery.Methods:The home frailty management program based on the intelligent follow-up platform in elderly patients after surgery was constructed by literature research and Delphi method.A total of 82 postoperative patients admitted to a tertiary grade A hospital in Tianjin from February to April 2022 were included by convenience sampling method,and 41 patients admitted from February 1 to March 15,2022 were in the control group,41 patients admitted from March 16 to April 30,2022 were in the intervention group.Those in the control group adopted the conventional frailty management scheme,and those in the intervention group adopted the home frailty management program based on the intelligent follow-up platform,and the intervention period was 6 months.The differences in health behavior ability,frailty,hand grip strength,gait speed,physical function and quality of life were compared between the two groups.Results:The frailty score of the intervention group was lower than that of the control group(P<0.05).The health behavior ability score,grip strength,gait speed,physical function and quality of life of the intervention group were higher than those of the control group(P<0.05).Conclusion:The home frailty management program based on the intelligent follow-up platform has positive effects on improving health behavior ability,frailty,and quality of life of elderly patients after operation with great clinical application value.

关 键 词：智随访 老年人 衰弱 居家管理 德尔菲法 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]