中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2014年
10期
1089-1092
,共4页
林妍%王雷懿%王震%王海峰%周琦
林妍%王雷懿%王震%王海峰%週琦
림연%왕뢰의%왕진%왕해봉%주기
老年人身心健康评价%干预性研究
老年人身心健康評價%榦預性研究
노년인신심건강평개%간예성연구
Geriatric assessment%Intervention studies
目的 探讨运用老年人综合评估方法(CGA)和干预措施对出院患者预后的影响.方法 选取我院老年科2012年5-7月符合条件的出院患者72例,随机分为对照组和干预组,每组患者36例.两组患者均在出院时给予老年人CGA评估,随访3个月内对对照组患者仅进行追踪随访,不给予任何干预措施,而对干预组患者则在出院时、出院后1周、3周和3个月均给予健康干预.比较3个月后两组患者的综合患病状况、生活能力指标、再次入院情况和生存情况. 结果 3个月后干预组患者综合患病状况改良老年疾病累计评分量表(MCIRS-G)评分(29.06±4.51)分、生活能力ADL和IADL评分(75.69±16.57)分和(11.72±3.20)分,较对照组(33.09±4.34)分、(63.86±19.37)分和(9.77±2.52)分明显好转(t=3.84、2.77、2.85,均P=0.010).干预组再次入院总次数3次,明显低于对照组17次(x2=8.79,P=0.020);干预组再次住院天数(1.94±6.68)d,明显低于对照组(8.81±14.09)d(t=2.64,P=0.010).对照组35例存活,1例死亡,干预组36例均存活,两组存活人数比较差异无统计学意义(x2=1.01,P=0.300). 结论 对老年人进行综合评估和健康干预可以缓解出院患者的疾病症状、改善生活能力.
目的 探討運用老年人綜閤評估方法(CGA)和榦預措施對齣院患者預後的影響.方法 選取我院老年科2012年5-7月符閤條件的齣院患者72例,隨機分為對照組和榦預組,每組患者36例.兩組患者均在齣院時給予老年人CGA評估,隨訪3箇月內對對照組患者僅進行追蹤隨訪,不給予任何榦預措施,而對榦預組患者則在齣院時、齣院後1週、3週和3箇月均給予健康榦預.比較3箇月後兩組患者的綜閤患病狀況、生活能力指標、再次入院情況和生存情況. 結果 3箇月後榦預組患者綜閤患病狀況改良老年疾病纍計評分量錶(MCIRS-G)評分(29.06±4.51)分、生活能力ADL和IADL評分(75.69±16.57)分和(11.72±3.20)分,較對照組(33.09±4.34)分、(63.86±19.37)分和(9.77±2.52)分明顯好轉(t=3.84、2.77、2.85,均P=0.010).榦預組再次入院總次數3次,明顯低于對照組17次(x2=8.79,P=0.020);榦預組再次住院天數(1.94±6.68)d,明顯低于對照組(8.81±14.09)d(t=2.64,P=0.010).對照組35例存活,1例死亡,榦預組36例均存活,兩組存活人數比較差異無統計學意義(x2=1.01,P=0.300). 結論 對老年人進行綜閤評估和健康榦預可以緩解齣院患者的疾病癥狀、改善生活能力.
목적 탐토운용노년인종합평고방법(CGA)화간예조시대출원환자예후적영향.방법 선취아원노년과2012년5-7월부합조건적출원환자72례,수궤분위대조조화간예조,매조환자36례.량조환자균재출원시급여노년인CGA평고,수방3개월내대대조조환자부진행추종수방,불급여임하간예조시,이대간예조환자칙재출원시、출원후1주、3주화3개월균급여건강간예.비교3개월후량조환자적종합환병상황、생활능력지표、재차입원정황화생존정황. 결과 3개월후간예조환자종합환병상황개량노년질병루계평분량표(MCIRS-G)평분(29.06±4.51)분、생활능력ADL화IADL평분(75.69±16.57)분화(11.72±3.20)분,교대조조(33.09±4.34)분、(63.86±19.37)분화(9.77±2.52)분명현호전(t=3.84、2.77、2.85,균P=0.010).간예조재차입원총차수3차,명현저우대조조17차(x2=8.79,P=0.020);간예조재차주원천수(1.94±6.68)d,명현저우대조조(8.81±14.09)d(t=2.64,P=0.010).대조조35례존활,1례사망,간예조36례균존활,량조존활인수비교차이무통계학의의(x2=1.01,P=0.300). 결론 대노년인진행종합평고화건강간예가이완해출원환자적질병증상、개선생활능력.
Objective To investigate the effects of comprehensive geriatric assessment (CGA) and health intervention on outcome in discharged patients.Methods Discharged patients in geriatric ward from May to July 2012 were randomly assigned to control (n=36) and intervention (n=36) groups.Patients in the two groups were given comprehensive geriatric assessment (CGA) before discharging from hospital.Both groups were followed up for 3 months.Patients in intervention group received health intervention when leaving hospital,at 1 week,3 weeks and 3 months after discharge from hospital,while patients in control group were not given any intervention.The comprehensive illness condition (MCIRS-G),ability of daily life (ADL and IADL),rehospitalization and survival rate were compared between the two groups 3 months after the intervention.Results After 3 months,the scores of MCIRS-G,ADL and IADL were significantly better in intervention group than in control group[(29.06±4.51) vs.(33.09±4.34),(75.69±16.57)vs.(63.86±19.37),(11.72±3.20) vs.(9.77±2.52),respectively,t=3.84,2.77,2.85,all P=0.01].The total times ofreadmission and readmission length were less in intervention group than in control group [3 vs.17,x2 =8.79,P=0.02; (1.94±6.68) days vs.(8.81±14.09) days,t=2.64,P=0.01].There was no difference in survival rate between the two groups [100％ (36/36) vs.97.2％ (35/36),x2=1.01,P=0.30].Conclusions Comprehensive geriatric assessment and health intervention can alleviate symptoms and improve the ability of daily life.
