CAJ | 학술논문

目的：探讨综合护理干预及病情评估对减少急诊科老年患者出院后再住院率的意义。方法选取我院急诊科出院的300例老年患者为研究对象，分为干预组和对照组。对干预组进行为期半年的综合护理干预及病情评估，分别于30 d和180 d时统计患者再入院率并评估患者生活质量。结果30 d和180 d时干预组患者的再入院率均明显低于对照组，差异有统计学意义（ P ＜0.05）。30 d和180 d干预组的心理健康、身体疼痛评分均高于对照组，差异有统计学意义（ P均＜0．05）；180 d时干预组躯体健康评分高于对照组，差异有统计学意义（ P ＜0.05）；180 d时干预组躯体功能评分无明显变化，差异无统计学意义（ P ＞0.05）；对照组躯体功能及身体疼痛评分均显著降低，差异有统计学意义（P ＜0.05），而心理健康无显著变化，差异无统计学意义（P ＞0.05）。结论对急诊科老年患者出院后进行综合护理干预及病情评估可有效降低其半年内再入院率，节约急诊资源，并能明显提高患者的生活质量。
목적：탐토종합호리간예급병정평고대감소급진과노년환자출원후재주원솔적의의。방법선취아원급진과출원적300례노년환자위연구대상，분위간예조화대조조。대간예조진행위기반년적종합호리간예급병정평고，분별우30 d화180 d시통계환자재입원솔병평고환자생활질량。결과30 d화180 d시간예조환자적재입원솔균명현저우대조조，차이유통계학의의（ P ＜0.05）。30 d화180 d간예조적심리건강、신체동통평분균고우대조조，차이유통계학의의（ P균＜0．05）；180 d시간예조구체건강평분고우대조조，차이유통계학의의（ P ＜0.05）；180 d시간예조구체공능평분무명현변화，차이무통계학의의（ P ＞0.05）；대조조구체공능급신체동통평분균현저강저，차이유통계학의의（P ＜0.05），이심리건강무현저변화，차이무통계학의의（P ＞0.05）。결론대급진과노년환자출원후진행종합호리간예급병정평고가유효강저기반년내재입원솔，절약급진자원，병능명현제고환자적생활질량。
Objective To investigate the significance of comprehensive nursing intervention plus condition assessment on decreasing rehospitalizations for geriatric patients post discharged from emergency department . Methods Three hundreds of geriatric patients discharged from our emergency department were chosen and divided into intervention group and control group .The intervention group accepted half‐year comprehensive nursing inter‐vention plus condition assessment .The rehospitalizations and quality of life were calculated and evaluated.Results The rehospitalizations of intervention group at 30 d and 180 d were both obviously lower than those of control group .The differences were significant ( P<0.05) .The assessment of life quality showed the mental health and body pain of intervention group were significantly higher than those of control group at 30 d and 180 d .The differ‐ences were significant ( P < 0.05) .The physical health of intervention group was higher than that of control group at 180 d .The differences were significant ( P<0.05) .Before and 180 days after intervention ,there was no obvious difference for physical health in intervention group .The differences were of no significance ( P >0.05) . The physical health and body pain of control group decreased significantly after 180 days ,the difference was sig‐nificant ( P <0.05) .The mental health didn't change obviously ,and the difference was not significant ( P >0.05) .Conclusion Comprehensive nursing intervention plus condition assessment for geriatric patients discharged from emergency department can effectively decrease rehospitalizations ,save emergency resources and increase the life quality of older patients at the same time .