| 史文倩,陈莉,汪桂青,施红.老年人急性期快速恢复病房照护模式对衰弱患者干预的效果分析[J].中国临床保健杂志,2023,26(1):52-56. |
| 老年人急性期快速恢复病房照护模式对衰弱患者干预的效果分析 |
| Analysis of the effect of Acute care for the elderly unit care model on the intervention of frailty patients |
| 投稿时间：2022-09-23 |
| DOI：10.3969/J.issn.1672-6790.2023.01.011 |
| 中文关键词: 衰弱 病人医疗护理 病人再入院 生活质量 老年人 |
| 英文关键词: Frailty Patient care Patient readmission Quality of life Aged 〖FL |
| 基金项目:河南省医学科技攻关计划项目(2018020781) |
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| 中文摘要: |
| 目的 评价老年人急性期快速恢复病房(ACE unit)照护模式对衰弱患者干预的效果。方法 选取2019年1月至2021年6月在郑州大学附属郑州中心医院老年医学部住院的146例急性期衰弱患者为研究对象,完善老年综合评估(CGA),将患者分为ACE组(70例)和对照组(76例),分别入住老年科ACE病房和内科病房,ACE组给予多学科团队协作的照护模式,对照组给予常规医疗护理模式。比较2组患者入院与出院时CGA结果、平均住院时间、出院3个月内再入院率。结果 入院时CGA:2组除年龄外,其余CGA评估结果差异均无统计学意义(P>0.05)；出院时CGA:ACE组患者抑郁状态、营养不良、睡眠障碍、便秘及多重用药比例较入院时下降,握力、日常生活能力、步速及5次椅子坐立时间均较入院时改善,差异均有统计学意义(P<0.05)；对照组患者营养不良、睡眠障碍及便秘比例较入院时下降,差异有统计学意义(P<0.05),而握力及躯体功能较入院时差异无统计学意义(P>0.05)；出院时ACE组患者抑郁状态、睡眠障碍、握力、日常生活能力及躯体功能下降的比例低于对照组,差异有统计学意义(P<0.05)。ACE组与对照组的平均住院时间分别为(14.5±4.6)、(16.4±1.8)d,差异有统计学意义(t=3.195,P<0.05)。ACE组与对照组出院3个月内再入院率分别为:14.3%、28.9%,差异有统计学意义(χ2=4.577,P<0.05)。结论 ACE病房照护模式显著改善老年衰弱患者的日常生活能力及躯体功能,缩短了平均住院日,并且减少了患者出院3个月内的再入院率,是适合衰弱患者的管理模式。 |
| 英文摘要: |
| Objective To evaluate the effect of Acute care for the elderly(ACE unit) care mode on frailty patients.Methods A total of 146 patients with acute frailty hospitalized in the geriatric department of our hospital from January 2019 to June 2021 were selected as the research subjects,who were completed comprehensive geriatric assessment (CGA).The patients were divided into ACE group (70 cases) and control group (76 cases),and were admitted to ACE unit and medical ward respectively.The ACE group was given a multidisciplinary team care model,nevertheless,the medical ward was provided routine medical care.CGA results at admission and discharge,mean length of stay and readmission rate within 3 months after discharge were compared between the two groups.Results At admission:There were no significant differences in CGA results between the two groups except for age(P>0.05).At discharge,there were significant differences in the proportion of depression,malnutrition,sleep disturbance,constipation and multiple medication,the grip strength,daily living ability,leg speed and five sitting time of ACE group(P<0.05).In control group,the proportions of malnutrition,sleep disturbance and constipation were lower than those at admission,and the differences were statistically significant (P<0.05),while there were no significant differences in grip strength and body function (P>0.05).At discharge,the proportion of depression,sleep disorder,grip strength,daily living ability and physical function decline in ACE group was lower than that in control group,the difference was statistically significant (P<0.05).The average hospitalization time of ACE group and control group were (14.5±4.6)d and (16.4±1.8)d,respectively,with significant differences(t=3.195,P<0.05).The readmission of ACE group and control group within 3 months after discharge were 14.3% and 28.9%,respectively,with significant differences (χ2=4.577,P<0.05).Conclusions ACE unit care model can significantly improve the daily living ability and physical function of senile patients,reduce average hospitalization time and the readmission rate of patients within 3 months after discharge,which is a suitable management model for patients with senility. |
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