老年卧床患者出院后压力性损伤的预防及管理

发布时间：2019-01-24 18:17

【摘要】：目的探讨医护康一体化延续管理模式在预防老年卧床患者出院后家居压力性损伤中的应用效果。方法将120例老年卧床患者按出院时间顺序分为实验组和对照组,分别由医护康组成的外展小组于出院前两天评估患者并制订家庭康复计划。实验组按照医护康一体化延续管理模式,由医护康组成的外展小组对出院后老年卧床患者进行压力性损伤高危因素评估、制订针对性预防压力性损伤康复计划、群组管理、远程护理联合家庭访视,适时跟进措施落实并进行效果检查。对照组给予常规出院宣教及出院后的电话随访。采用压力性损伤管理和生存质量量表,比较两组出院时、出院后6个月、出院后12个月的生活质量及1年的压力性损伤发生率。结果实验组压力性损伤发生率较对照组低,差异有统计学意义(P0.05);出院后6个月、12个月生活质量的生理领域、心理领域得分均高于对照组,差异有统计学意义(P0.05);两组环境领域、社会领域得分比较无统计学意义(P0.05)。结论医护康一体化延续管理可有效降低老年卧床患者居家压力性损伤发生率,提高其生活质量。
[Abstract]:Objective to explore the effect of continuous management mode of health care in prevention of stress injury in elderly bedridden patients after discharge from hospital. Methods 120 elderly bedridden patients were divided into experimental group and control group according to the order of discharge time. In the experimental group, according to the continuous management model of integrated health care, the outreaching team composed of health care and health care was used to assess the high risk factors of stress injury in elderly bedridden patients after discharge, and to formulate the rehabilitation plan for prevention of stress injury and group management. Combined home visit, timely follow-up measures and effect check. The control group was given routine discharge education and telephone follow-up after discharge. Stress injury management and quality of life scale were used to compare the quality of life (QOL) and the incidence rate of 1 year stress injury between the two groups at discharge, 6 months after discharge and 12 months after discharge. Results the incidence of stress injury in the experimental group was lower than that in the control group (P0.05). Six months after discharge, 12 months after discharge, the scores of physical and psychological areas were higher than those of the control group, the difference was statistically significant (P0.05); there was no significant difference between the two groups in the environmental field and social field score (P0.05). Conclusion the continuous management of health care can effectively reduce the incidence of family stress injury and improve the quality of life of elderly patients with bed rest.
【作者单位】：广东省人民医院广东省老年医学研究所;
【基金】：广东省科技计划项目(2012B040301039) 广东省医学科学技术研究基金(A2012004)
【分类号】：R473.2

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