首页|老年综合评估对慢性共病衰弱患者生活质量的影响分析及护理体会

老年综合评估对慢性共病衰弱患者生活质量的影响分析及护理体会

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目的 探讨老年综合评估对慢性共病衰弱患者生活质量的影响及护理体会。方法 选取贵州医科大学附属医院120例老年慢性共病衰弱患者(2021年7月—2022年7月)作为研究对象,并将患者随机分为非综合组和综合评估组,每组60例。其中,非综合组采用常规护理干预,综合评估组在护理中应用老年综合评估及对应干预措施,对比两组干预后衰弱症状改善情况,并监测患者躯体症状控制效果,评估患者生活质量。结果 综合评估组干预后Fried量表体重减轻、疲乏感、握力下降、走路速度减慢\身体活动量下降维度评分和总分均显著低于非综合组(P<0。05)。综合评估组躯体症状SSI量表评估总分显著低于非综合组(P<0。05)。综合评估组干预后生活质量WHOQOL-BREF总分显著高于非综合组(P<0。05)。结论 老年综合评估可全面分析患者慢性病病情及衰弱症状,有助于改善患者的躯体症状,纠正其衰弱状态,有助于提升其生理、心理等多方面健康水平,进而改善患者预后生活质量,临床应用效果可靠,值得推广借鉴。
Effect Analysis and Nursing Experience of Elderly Comprehensive Evaluation on Life Quality of Patients with Chronic Comorbidity and Frailty
Objective To explore effect of comprehensive evaluation of the elderly on life quality and nursing experience of patients with chronic comorbidities.Methods The paper chose 120 elderly patients with chronic comorbidity and frailty admitted to a certain hospital from July 2021 to July 2022,and divided them into non comprehensive group and comprehensive evaluation group randomly,with 60 cases in each group.Non comprehensive group was treated with routine nursing intervention,comprehensive evaluation group with elderly comprehensive evaluation and corresponding intervention measures based on routine nursing.Improvement of frailty symptoms after intervention was compared between two groups,effect of physical symptom control of patients was monitored to evaluate their life quality.Results After intervention,comprehensive evaluation group showed significantly lower weight loss,fatigue,decreased grip strength,decreased walking speed,and decreased physical activity dimension scores and total scores than non comprehensive group(P<0.05).Total scores of SSI scale for physical symptoms in comprehensive evaluation group were significantly lower than non comprehensive group(P<0.05).Total scores of WHOQOL-BREF for life quality after intervention in comprehensive evaluation group were significantly higher than non comprehensive group(P<0.05).Conclusion Comprehensive evaluation of the elderly can comprehensively analyze chronic disease condition and frailty symptoms,improve physical symptoms,correct frailty status,and enhance physiological,psychological,and other health levels,improve prognosis and life quality of patients,with reliable clinical application effect,which is worthy of promotion and reference.

Comprehensive evaluation of the elderlyChronic comorbidity weaknessLife qualityNursing experiencePhysical symptomsFatigue

白长会、张思慧、钟敬兰、杨春琼、陈琳

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贵州医科大学护理学院,贵州 贵阳 550000

贵州医科大学附属医院,贵州 贵阳 550000

老年综合评估 慢性共病衰弱 生活质量 护理体会 躯体症状 疲乏感

贵州医科大学护理专项(2021)

YJ21062

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(6)
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