全科护理
全科護理
전과호리
FAMILY NURSE
2015年
12期
1074-1076
,共3页
刘英慧%杨珊%马会娟%臧渝梨
劉英慧%楊珊%馬會娟%臧渝梨
류영혜%양산%마회연%장투리
急性心肌梗死%社会适应性%老年护理%量性研究%质性研究
急性心肌梗死%社會適應性%老年護理%量性研究%質性研究
급성심기경사%사회괄응성%노년호리%량성연구%질성연구
acute myocardial infarction%social adaptation%elderly care%quantitative research%qualitative research
[目的]探讨老年急性心肌梗死(AMI)后的社会适应状况,为促进照护质量和健康结局奠定基础。[方法]采用质性与量性结合法,对18例符合标准的老年 AMI 病人于患病入院1周及出院1个月时各访谈1次,并以世界卫生组织残障评定量表Ⅱ评价其健康相关功能障碍或困难程度,对访谈笔录和障碍程度分别进行内容分析和统计分析。[结果]老年 AMI 急性期社会适应主要表现为社交适应、心理适应、学习适应、生活方式调整及遵医行为,出院后1个月与住院7 d 时相比,在生活活动、社区参与、四处走动及自我照顾方面的困难有差异(P <0.05)。[结论]老年 AMI 急性期面临复杂的社会生活适应挑战,亟需获得有针对性的支持以尽快适应疾患状态。
[目的]探討老年急性心肌梗死(AMI)後的社會適應狀況,為促進照護質量和健康結跼奠定基礎。[方法]採用質性與量性結閤法,對18例符閤標準的老年 AMI 病人于患病入院1週及齣院1箇月時各訪談1次,併以世界衛生組織殘障評定量錶Ⅱ評價其健康相關功能障礙或睏難程度,對訪談筆錄和障礙程度分彆進行內容分析和統計分析。[結果]老年 AMI 急性期社會適應主要錶現為社交適應、心理適應、學習適應、生活方式調整及遵醫行為,齣院後1箇月與住院7 d 時相比,在生活活動、社區參與、四處走動及自我照顧方麵的睏難有差異(P <0.05)。[結論]老年 AMI 急性期麵臨複雜的社會生活適應挑戰,亟需穫得有針對性的支持以儘快適應疾患狀態。
[목적]탐토노년급성심기경사(AMI)후적사회괄응상황,위촉진조호질량화건강결국전정기출。[방법]채용질성여량성결합법,대18례부합표준적노년 AMI 병인우환병입원1주급출원1개월시각방담1차,병이세계위생조직잔장평정량표Ⅱ평개기건강상관공능장애혹곤난정도,대방담필록화장애정도분별진행내용분석화통계분석。[결과]노년 AMI 급성기사회괄응주요표현위사교괄응、심리괄응、학습괄응、생활방식조정급준의행위,출원후1개월여주원7 d 시상비,재생활활동、사구삼여、사처주동급자아조고방면적곤난유차이(P <0.05)。[결론]노년 AMI 급성기면림복잡적사회생활괄응도전,극수획득유침대성적지지이진쾌괄응질환상태。
Objective:To deeply explore the status of social adaptation of elderly patients with acute myocardial infarction (AMI),so as to lay the foundation for promoting the care quality and health outcomes.Methods:A to-tal of 18 elderly AMI patients who met the standard received twice interviews respectively at a week after ad-mission and a month later after discharge by using qualitative and quantitative combination method,then to e-valuate their health related dysfunctional or difficulty degree by using the World Health Organization Disability Rating Scale 2.0.The content analysis and statistical analysis were respectively carried out for interview tran-scripts and obstacle degree.Results:The main manifestations of social adaptation of elderly patients with AMI in the acute stage included social adaptation,psychological adaptation,learning adaptation,lifestyle changes and medical compliance behaviors.Compared with that on 7th day,the difficulties were different in life activities, community involvement,walking around and self care at 1 month later after discharge (P <0.05).Conclusion:The elderly patients with AMI in the acute stage are faced with the challenges of adaption of the complex social life.They need to get the targeted support to adapt to the disease state as soon as possible.