连续性护理对老年慢性病患者知识掌握、自理能力及焦虑情绪的影响

摘要

目的:探讨连续性护理对老年慢性病患者知识掌握、自理能力及焦虑情绪的影响.方法:选取2015年2月 ～2016年8月我院收治的老年慢性病患者100例,按照入院前后顺序等分为观察组和对照组,对照组予以常规护理干预;观察组则予以连续性护理干预.比较两组患者知识掌握情况,护理前后自理能力情况,护理前后焦虑自评量表(SAS)评分情况以及生活质量变化情况.结果:观察组疾病知识、药物知识、饮食知识、自我防护、遵医行为人数明显高于对照组,两组比较有统计学意义(均P<0.05).护理后观察组与对照组生活自理能力评分均明显低于护理前,而观察组又明显低于对照组,差异有统计学意义(P<0.05).护理后观察组与对照组SAS评分均明显低于护理前,但观察组明显低于对照组,两组比较差异具有统计学意义(P<0.05).护理后观察组的各项生活质量评分均较对照组明显更高,差异均有统计学意义(P<0.05).结论:连续性护理可有效提高老年慢性病患者知识掌握率,同时有利于增强患者自理能力,缓解其心理焦虑等负性情绪,且能显著改善患者生活质量.%Objective:To explore the effect of continuous nursing on knowledge acquisition,self-care ability and anxious emotion for elderly patients with chronic disease. Methods:To select 100 cases of elderly patients with chronic disease cured in our hospital from February 2015 to August 2016,and divide them into observation group and control group according the sequence in hospital. Control group was given routine nursing intervention,while observation group was given continuous nursing intervention. Compare knowledge acquisition condition,self-care ability before and after nursing,score of self-rating anxiety scale(SAS)before and after nursing,and quality change of life for patients between the two groups. Results:Knowledge acquisition about disease, medicine,diet,self-protection and quantity of treatment compliance in observation group were obviously higher than those in control group,and compari-son between the two groups was statistically significant(all P<0. 05). Score of self-care ability for observation group and control group after nursing was obviously lower than that before nursing,and score of self-care ability in observation group was obviously lower than that in control group,and the differ-ence was statistically significant(P<0. 05). SAS score for observation group and control group after nursing were obviously lower than those before nursing, and SAS score in observation group was obviously lower than that in control group,and comparison between the two groups was statistically significant(P<0. 05). Score of each item related to quality of life in observation group after nursing was obviously higher than that in control group,and the difference was statistically significant(P<0. 05). Conclusion:Continuous nursing could effectively increase knowledge acquisition of elderly patients with chronic dis-ease,and be conducive to improve patients'self-care ability,alleviate their negative emotion of anxiety and significantly promote patients'quality of life.