智慧医养照护团队服务模式对居家老年人生活质量的影响  

Impact of Smart Medical Care Team Service Model on the Quality of Life of Home-Based Older Adults

作　　者：吴欣怡 张静 蒋瑶 张旭 石雪梅 邓海英 张聂 Wu Xinyi;Zhang Jing;Jiang Yao;Zhang Xu;Shi Xuemei;Deng Haiying;Zhang Nie(Chinese Medicine Hospital of Chenghua Chengdu,Chengdu 610051,China;Sichuan Provincial Key Laboratory of Nursing,Chengdu 610041,China)

机构地区：[1]成都市成华区中医医院,成都610051 [2]护理学四川省重点实验室,成都610041

出　　处：《成都医学院学报》2024年第4期723-727,共5页Journal of Chengdu Medical College

基　　金：护理学四川省重点实验室开放课题资助[No:HLKF2023(F)-2];四川省社会科学重点研究基地——四川省老龄事业与产业发展研究中心课题基金资助(No:XJLL2022024)。

摘　　要：目的探讨智慧医养照护团队服务模式对居家老年人生活质量的影响,为未来智慧医养照护团队服务模式的优化和推广提供科学依据。方法选取2021年5月至2022年4月参与成都市成华区健康敲门行动上门服务的100例居家老年人为研究对象,采用便利抽样法根据老年人入组顺序随机分为对照组和观察组,每组50例。两组老年人均给予常规干预,观察组在常规干预基础上予以智慧医养照护团队服务模式进行居家照护。两组干预前后采用老年人能力评估标准表[日常生活活动能力评分表(ADL)、精神状态与社会参与能力评分表(PAP)、感知觉与沟通能力评分表(SCAA)]评定老年人的生活质量,根据老年人能力评估标准表和老年综合征罹患情况表的评估结果,对照护理需求等级评定表,将研究对象分为轻度失能(1级)、中度失能(2级)、重度失能(3级)3个等级,评定干预前后老年人失能改善情况。结果干预后,观察组ADL、PAP、SCAA评分均低于干预前(P<0.05);且观察组PAP、SCAA评分均低于对照组(P<0.05)。干预后,观察组罹患老年综合征分布与干预前和对照组比较,差异均有统计学意义(P<0.05)。经过智慧医养照护团队服务干预后,观察组1、2、3级护理需求等级比较,差异有统计学意义(P<0.05)。其中1级人数无变化;2级人数由13例(26.0%)增至35例(70.0%),3级人数由29例(58.0%)减少至7例(14.0%)(P<0.05)。结论运用智慧医养照护团队服务模式可有效提升居家老年人的生活能力,降低老年人护理需求等级,提高居家老年人的生活质量。Objective To explore the impact of smart medical care team service model on the quality of life of home-based older adults,so as to provide a scientific basis for the optimization and promotion of smart medical care service model in the future.Methods A total of 100 home-based older adults who received door-to-door healthcare service in Chenghua District of Chengdu from May 2021 to April 2022 were selected as the research objects by convenience sampling.They were randomly divided into the control group(n=50)and the observation group(n=50)according to the order of enrollment.Both groups were given routine intervention,and the observation group were additionally given in-home healthcare based on the smart medical care team service mode.Before and after the intervention,the quality of life of the older adults was assessed by ability assessment scales such as Activities of Daily Living(ADL),Psychosocial Adjustment and Participation(PAP),and Sensory and Communication Abilities Assessment(SCAA).According to the results of ability assessment and Geriatric Syndrome Incidence Form(GSIF),the older adults were divided into three grades:mild disability,moderate disability and severe disability based on the Nursing Needs Assessment Scale.And the improvement of disability before and after the intervention was evaluated.Results After the intervention,the scores of ADL,PAP and SCAA in the observation group were lower than those before the intervention(P<0.05).And the scores of PAP and SCAA in the observation group were lower than those in the control group(P<0.05).After the intervention,there was significant difference in the distribution of geriatric syndromes between the two groups(P<0.05).And there was significant difference in the distribution of geriatric syndromes in the observation group before and after the intervention(P<0.05).There were significant differences in the number of older adults in disability grade 1,2 and 3 in the observation group(P<0.05).In the observation group,the number of older adults with mild disabi

关 键 词：智慧医养照护团队服务模式 居家老年人 生活质量 

分 类 号：R197.1[医药卫生—卫生事业管理]