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目的:观察老年慢性病患者采用出院前综合评估干预和出院后连续护理对于患者健康知识和自理能力的影响分析。方法:将在我院就诊近期(2016年01月-2017年07月时期)收治以慢性病为诊断的老年患者95例患者,按照护理方案的区别随机分为护理组与对照组。对照组常规护理方式,护理组采用出院前综合评估干预和出院后连续护理的护理方式。将两组患者对健康知识和自理能力的影响分析,并调查患者满意度。结果:护理组健康知识掌握及自理能力评分明显优于对照组,具有统计学意义(P<0.001)。护理组满意率为100%,对照组满意率为64.58%,护理组明显优于对照组。差异有统计学意义(P<0.001)。结论:对于老年慢性病患者,采用出院前综合评估干预和出院后连续护理,可有效提高患者对于健康知识的掌握能力与自理能力,效果理想,值得临床研究与推广。
OBJECTIVE: To observe the effects of comprehensive pre-discharge intervention and post-discharge continuous nursing care on the health knowledge and self-care ability of elderly patients with chronic diseases. Methods: A total of 95 elderly patients with chronic diseases diagnosed in our hospital from January 2016 to July 2017 were randomly divided into nursing group and control group according to the nursing plan. In the control group, the nursing group adopted the pre-discharge comprehensive assessment intervention and the continuous nursing care after discharge. Analysis of the impact of both groups on health knowledge and self-care ability and investigation of patient satisfaction. Results: The score of health knowledge and self-care ability of nursing group was significantly better than that of control group (P <0.001). The satisfaction rate was 100% in the nursing group and 64.58% in the control group, which was significantly better in the nursing group than in the control group. The difference was statistically significant (P <0.001). Conclusion: For elderly patients with chronic diseases, comprehensive assessment of discharge before discharge and continuous nursing after discharge can effectively improve patients’ ability to master and self-care for health knowledge. The results are satisfactory and worthy of clinical study and promotion.