Research on the Application of "Crowd" Extended Rehabilitation Nursing in Community Chronic Elderly Diseases
“众”型延伸康复护理在社区老年慢性病中的应用研究

摘要

目的 探讨“众”型延伸康复护理在社区老年慢性病中的应用效果。方法 在本社区卫生服务中心负责管辖社区内于2019年1月-2021年5月选取172例老年慢性病患者，使用“众”型延伸康复护理方法对社区老年慢性病患者实施护理干预，包括根据社区医院负责范围内的老年慢性病患进行调查和建档，结合患者实际病况实施有针对性的护理工作，对干预前后的患者规律用药、定期检查、功能锻情况进行进行分析和比较，同时采用ADL(日常生活能力量表)和SDS(抑郁自评量表)对患者护理前后的生活与心理状态进行对比。结果 从规律用药、定期检查及功能锻炼角度出发，172例老年慢性病患者中，护理干预前规律用药69例，占比40.12%；定期检查42例，占比24.42%；功能锻炼39例，占比22.67%。护理干预后规律用药154例，占比89.53%；定期检查89例，占比51.74%；功能锻炼143例，占比83.14%.护理干预前后数据比较差异具有统计学意义(P＜0.05)。从日常生活及心理状态角度出发，172例老年慢性病患者护理干预前SDS评分(47.31±2.75)明显高于干预后的(39.82±2.34)(P＜0.05)；护理干预前ADL评分(18.29±3.46)明显低于干预后的(22.37±3.07)，差异具有统计学意义(P＜0.05)。结论 “众”型延伸康复护理在社区老年慢性病护理干预工作中能够有效提高患者生活品质，改善患者不良心理情绪，促进患者恢复，因此值得应用与推广。

Abstract

Objective: To explore the application effect of extended rehabilitation nursing in elderly chronic diseases in community.
Methods: In charge of the community health service center, 172 cases of elderly patients with chronic diseases were selected in the community from January 2019 to May 2021, and the nursing intervention for elderly patients with chronic diseases in the community was carried out with the "many" type extended rehabilitation nursing method, including investigation and file establishment according to the elderly chronic patients within the community hospital's responsibility scope. According to the actual condition of the patients, targeted nursing work was carried out, and the patients' regular medication, regular examination and functional exercise were analyzed and compared before and after the intervention. At the same time, ADL(Daily Living Ability Scale) and SDS(Self-Rating Depression Scale) were used to compare the patients' life and mental state before and after the nursing.
Results: From the perspective of regular medication, regular examination and functional exercise, among 172 elderly patients with chronic diseases, 69 cases (40.12%) took regular medication before nursing intervention; 42 cases (24.42%) were examined regularly. 39 cases of functional exercise, accounting for 22.67%. After nursing intervention, 154 patients took medication regularly, accounting for 89.53%; 89 cases were checked regularly, accounting for 51.74%; There were 143 cases of functional exercise, accounting for 83.14%. The difference of data before and after nursing intervention was statistically significant (P < 0.05). From the perspective of daily life and psychological state, the SDS scores of 172 elderly patients with chronic diseases before nursing intervention (47.31±2.75) were significantly higher than those after nursing intervention (39.82±2.34)(P < 0.05). ADL score before nursing intervention (18.29±3.46) was significantly lower than that after intervention (22.37±3.07), and the difference was statistically significant (P < 0.05).
Conclusion  : "People" type extended rehabilitation nursing in community elderly chronic disease nursing intervention can effectively improve the quality of life of patients, improve the adverse psychological mood of patients, promote the recovery of patients, so it is worthy of application and promotion.