对居家失能老人开展综合家庭病床管理模式的效果评价  

Evaluation on the effect of comprehensive family sick bed management model for the home-based disabled elderly

作　　者：袁园 李斌[1] YUAN Yuan;LI Bin(Community Health Service Center of Lujiazui town,Pudong New District,Shanghai 200120,China)

机构地区：[1]上海市浦东新区陆家嘴社区卫生服务中心全科,200120

出　　处：《中国老年保健医学》2023年第4期63-65,共3页Chinese Journal of Geriatric Care

基　　金：上海市浦东新区优势全科学科建设项目(编号:PWYq2020-06)。

摘　　要：目的探讨对居家失能老人开展综合家庭病床管理模式的建设,分析其对居家失能老人的管理效果。方法选取2020年6月至12月在建家庭病床中符合本研究的居家失能老人98例为本次研究对象,根据抽签法随机分为干预组和对照组,每组49例,对照组给予辖区传统家庭病床管理,干预组给予综合家庭病床管理。比较两组在干预期间的年门诊率、急诊率,两组干预前后居家老人的生活自理能力评分及心理状态评分。结果干预组门诊率为51.02%,急诊率为18.37%,低于对照组(分别为73.47%34.69%,P<0.05);在干预后,干预组自理能力评分较对照组高(P<0.05);干预组SAS和SDS评分较对照组低(P<0.05)。结论对居家失能老人开展综合家庭病床管理,可降低居家失能老人年门诊率和急诊率,改善其心理状态,提高居家失能老人的自理能力。Objective To explore the construction of comprehensive family sickbed management model for the home-based disabled elderly,and analyze its management effect on the home-based disabled elderly.Methods This study selected 98 elderly patients with home-based disability who met the requirements of this study during the period from June 2020 to December 2020.They were randomly divided into intervention group and control group with 49 patients in each group.The control group was given the traditional family sick bed management mode in the jurisdiction,and the intervention group was given the comprehensive family sick bed management mode.Compare the annual outpatient rate,emergency rate,self-care ability score and psychological state score of the elderly at home before and after intervention.Results The outpatient rate and emergency rate in the intervention group were 51.02%and 18.37%,which were lower than 73.47%and 34.69%in the control group(P<0.05).After intervention,the score of self-care ability in the intervention group was higher than that in the control group(P<0.05).The SAS and SDS scores in the intervention group were lower than those in the control group(P<0.05).Conclusion The comprehensive family sickbed management model for the disabled elderly at home can make full use of the service skills of family doctors,reduce the annual outpatient rate and emergency rate of the disabled elderly at home,improve their psychological status,and improve the self-care ability of the home-based disabled elderly.

关 键 词：家庭病床 居家失能老人 社区康复 焦虑 抑郁 

分 类 号：R473.2[医药卫生—护理学]