CAJ | 학술논문

目的：探讨延续护理在老年慢性病患者出院后疾病转归中的作用。方法选取2014年6~12月老年慢性病出院患者72例,随机分为对照组和干预组各36例。2组出院时进行综合护理评估,对照组在出院后3个月进行常规护理指导,干预组在常规护理的基础上实施延续护理服务。比较3个月后2组病情变化、日常生活能力、再次住院情况和生存情况。结果干预组病情好于对照组,再次住院次数低于对照组(χ2=-11.70,P <0.01),日常生活活动能力好于对照组(Z =-3.675,P <0.01)。结论延续护理可以改善老年慢性病患者的病情、减少再次住院次数、提高生活活动能力。
목적：탐토연속호리재노년만성병환자출원후질병전귀중적작용。방법선취2014년6~12월노년만성병출원환자72례,수궤분위대조조화간예조각36례。2조출원시진행종합호리평고,대조조재출원후3개월진행상규호리지도,간예조재상규호리적기출상실시연속호리복무。비교3개월후2조병정변화、일상생활능력、재차주원정황화생존정황。결과간예조병정호우대조조,재차주원차수저우대조조(χ2=-11.70,P <0.01),일상생활활동능력호우대조조(Z =-3.675,P <0.01)。결론연속호리가이개선노년만성병환자적병정、감소재차주원차수、제고생활활동능력。
Objective To investigate the effect of continuing nursing intervention on prognosis of elderly patients with chronic diseases after their discharges.Method Seventy-two elderly discharged patients with chronic diseases,hospitalized in our hospital from June to December 2014 were chosen and divided randomly into a control group and an intervention group,with each group of 36 patients.The control group was given the routine nursing guidance during 3 months after their discharges, while the intervention group was provided with continuing nursing guidance, namely telephone interviews and family nursing guidance in addition to the routine nursing guidance. The illness condition,activities of daily living (ADL),re-hospitalization and survival rate for both groups were compared before and after 3 months of their discharge.Results The illness condition and ADL of the intervention group was significantly better than those of the control group (Z =-3.675,P <0.01),while the re-hospitalization rate of the intervention group was significantly lower than that of the control group(χ2 =-1 1.70,P <0.01).Conclusions The continuing nursing can alleviate the illness of the elderly patients with chronic diseases, reduce their times of re-hospitalization,and improve their ability of life,which in turn enhances their quality of life.