中西医结合护理 (Sep 2021)
Application of doctor-nurse cooperation model in health management of community-dwelling elderly patients with chronic diseases (医护联合健康管理在社区老年慢性病患者中的应用研究)
Abstract
Objective To explore the effect of combined health care management by doctor-nurse cooperation in community-dwelling elderly patients with chronic diseases. Methods A total of 80 community-dwelling elderly patients with chronic diseases were selected as the research objects, and were given health management based on a doctor-nurse cooperation model. After 1 year of intervention, patient anxiety status, quality of life and medical compliance behavior were evaluated. The blood glucose level, blood pressure and body mass index were measured. Results The Self-rating Anxiety Scale sore dropped form (40. 31±8. 34) before intervention to (37. 93±6. 29) after intervention, with a significant difference (P＜0. 05). The scores of medical compliance behaviors including dietary, exercise and lifestyle increased significantly after intervention (P＜0. 05). Patients achieved higher dimensional scores and total score of SF-36 after intervention (P＜0. 05). The blood glucose level, blood pressure and body mass index were improved after intervention. Conclusion The health management based on doctor-nurse cooperation model is potentially effective to relieve the anxiety status of community-dwelling elderly patients with chronic diseases, improve their treatment compliance and quality of life. (目的 探讨医护联合健康管理在社区老年慢性病患者中的应用效果。方法 选取2019年4月—2020年4月收治的80例老年慢性病患者为研究对象, 均予以医护联合健康管理。比较患者干预前后焦虑程度、遵医行为变化以及生活质量, 记录干预前后患者的血糖、血压以及体质量指数变化。结果 干预后, 本组患者焦虑自评量表(SAS)评分为(37. 93±6. 29)分, 低于干预前的(40. 31±8. 34)分, 差异有统计学意义(P＜0. 05)。干预后, 患者饮食、运动、生活方式3个维度的遵医行为评分及总分均高于干预前, 差异有统计学意义(P＜0. 05)。干预后患者SF-36量表各维度评分以及总分均高于干预前, 差异有统计学意义(P＜0. 05)。干预后患者的血糖水平、血压以及体质量指数较干预前均有改善。结论 医护联合对社区老年慢性病患者进行健康管理, 能够缓解老年慢性病患者的焦虑状况, 提高患者治疗依从性, 改善患者生活质量。)
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