摘要
目的研究延续性护理干预对出院老年人生活质量、满意度及再人院率的影响。方法在武汉市2家三级甲等医院选择92名预出院的老年人，利用随机数表随机将其分为2组，对照组46人，实验组46人，2组统一采用一般出院护理，实验组在此基础上于出院后第1、2、4、6个月通过电话随访的形式根据老年人的康复情况增加个体化的延续性护理措施，并在出院当天及出院后第2、6个月采用生存质量测定简表（QOL—BREF）及护理工作满意度调查表进行总体评估，最终采用t检验、χ^2检验进行分析。结果2组老年患者在出院当天的生活质量（t=-1．199，P=0．234）、护理工作满意度评价的得分（t=0．803，P=0．424）及再入院率（0，0）和出院第2个月这些指标（t：-1．695，P=0．100；t=-0．143，P=0．887；t=3．079，P=0．079）的差异均无统计学意义（P〉0．05），出院第6个月2组的得分（t=-6．893，P=0．000；t=-3．499，P=0．001；t=7．397，P=0．007）差异有统计学意义（P〈0．05），实验组的得分高于对照组。结论延续性护理可以有效地提高出院后老年患者的生活质量，降低患者再次人院率，减少医疗资源的使用量，同时提高患者对护理工作的满意度，值得临床推广。
Objective To explore the effect of transition care for discharged elderly patientson their quality of life, satisfaction and readmission rates. Methods Total 92 old patientsin two tertiary hospitals inWuhan were chosen and divided into two groups according to the random number table before the discharge. There were 46 people in control group and 46 people in experimental group. Both groups received the same general nursing, while the experimental group received addit-ionalindividual transition care according to the situation of the rehabilitation through telephone follow-up on 1 st, 2nd ,4th and 6th after the discharge. All participants were investigated by the questionnaire of quality of life scale （QOL-BREF） and the nurse satisfaction on the discharge day and the second and sixth mouth after the discharge. All the data were analyzed by using t test and χ^2 test. Results There were no significant difference in the scores of the elderly＇ s quality of life （t = -1. 199,P=0.234）, the satisfaction of the nursing（ t = 0. 803,P = 0. 424） and the rate of readmission（0,0） on the discharge clay and so did the second mouth（ t = -1. 695 ,P = 0. 100;t = -0. 143, P = 0. 887;t = 3. 079, P = 0. 079 ）, between the two groups, but the scores on the sixth mouth after the discharge in the experimental group were significantly higher than those in the control group （ t = - 6. 893, P = 0. 000 ; t = - 3. 499, P = 0. 001 ; t = 7. 397, P = 0. 007 ）, P 〈 0.05. Conclusion Transitionaleare can effectively improve the quality of life in elderly after discharge, decrease the re- admission rates, reduce the use of medical resources, andincrease patients satisfaction with the nursing care.
出处
《中华全科医学》
2016年第5期850-853,共4页
Chinese Journal of General Practice
基金
湖北省自然科学基金(2015CKB754)
关键词
延续性护理
出院老年人
生活质量
满意度
再入院率
Transitional care
Discharged elderly patients
Quality of life
Satisfaction
Readmission rates
