【摘要】 目的探讨医护康一体化延续管理模式在预防老年卧床患者出院后家居压力性损伤中的应用效果。方法将120例老年卧床患者按出院时间顺序分为实验组和对照组,分别由医护康组成的外展小组于出院前两天评估患者并制订家庭康复计划。实验组按照医护康一体化延续管理模式,由医护康组成的外展小组对出院后老年卧床患者进行压力性损伤高危因素评估、制订针对性预防压力性损伤康复计划、群组管理、远程护理联合家庭访视,适时跟进措施落实并进行效果检查。对照组给予常规出院宣教及出院后的电话随访。采用压力性损伤管理和生存质量量表,比较两组出院时、出院后6个月、出院后12个月的生活质量及1年的压力性损伤发生率。结果实验组压力性损伤发生率较对照组低,差异有统计学意义(P<0.05);出院后6个月、12个月生活质量的生理领域、心理领域得分均高于对照组,差异有统计学意义(P<0.05);两组环境领域、社会领域得分比较无统计学意义(P>0.05)。结论医护康一体化延续管理可有效降低老年卧床患者居家压力性损伤发生率,提高其生活质量。更多还原

【Abstract】 Objective Discuss medical health integration continuance management mode in the prevention of elderly patients after discharge in bed household application effect of pressure ulcers.Methods To 120 cases of elderly patients in bed in hospital time order is divided into control group and experimental group,by the medical health outreach group respectively in the hospital two days before the assessment of patients and family rehabilitation plan,the control group given conventional discharge and telephone follow-up after discharge,the experimental group according to the medical health integration management mode,made up of medical health outreach team to stay in bed for elderly patients after discharge pressure ulcer risk factors assessment,targeted prevention of pressure sores rehabilitation plan,group management,remote care joint family supervision,timely follow up the capa and the examination of the effect,the pressure ulcer management and quality of life scale to compare two groups of patients at discharge,6 months after hospital discharge,the quality of life of 12 months after discharge and the incidence of pressure ulcers in a year.Results The experimental group was lower than those of control group,the incidence of pressure ulcers was statistically significant difference(P<0.05);6 months and 12 months after discharge physiological field,psychological field in the quality of life score were higher than control group,the difference was statistically significant(P<0.05);Score compared two groups of environmental and social sciences has no statistical significance(P>0.05).Conclusion Medical health integration continuance management can effectively reduce the incidence of pressure ulcers that occupy the home stay in bed for elderly patients,improve their quality of life.更多还原