Research on the Application of Continuing Care Mode in the Home-Based Care of the Elderly with Chronic Renal Failure

摘要

In this study, effects of continuing care mode in elderly patients with chronic renal failure were studied. 84 elderly patients with chronic renal failure were randomly divided in an experimental group (41 cases) and a control group (43 cases). Patients in both the experimental group and the control group were comprehensively assessed in nursing, and hospital nursing plans for them were developed within 24 hours after they were admitted. The patients in the control group were given the conventional discharge guidance and health education, and those in the experimental group were given continuing care by the continuing care group. Patients with chronic renal failure in the two groups were compared in their self-care ability and quality of life between before and after discharge. The experimental group patients with chronic renal failure before discharge compared with the self-nursing ability of patients after discharge showed that self-care skills, sense of responsibility, self-concept and health knowledge score were significantly improved (P<0.01). The research showed that there were no obvious difference between the dimensions of the SF-36 scale of two groups were enrolled in (P>0.05), 3 months after the scales in two groups were higher than that of SF-36 group, there was significant difference (P<0.05), and the scores of experimental group in each dimension were higher than that of the control group (P<0.05). Continuing care can effectively improve the self-care ability of elderly patients with chronic renal failure, and the patients can actively cooperate with doctors and nurses in the treatment and nursing, thereby effectively controlling the progression of the disease, reducing the patients' suffering and economic burden, and improving their quality of life.