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目的探讨家庭医生团队护理模式对社区老年居民生活质量的影响。方法选取2012年7月—2013年7月翠海社区健康服务中心老年居民150名作为研究对象,随机分为对照组和观察组各75名。对照组采用普通护理模式。观察组采用家庭医生团队护理模式。采用WHO所制定的生存质量检表中文版对患者进行生活质量的评价。采用匹兹堡睡眠质量指数量表进行患者睡眠质量的评价。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果观察组在心理领域、环境领域以及社会关系领域评分[(13.49±1.97)、(12.10±2.30)、(13.27±1.99)分]均较对照组[(10.64±2.02)、(10.87±2.20)、(11.66±1.70)分]有改善,两组比较差异均有统计学意义(t=8.747、3.347、5.327,均P<0.05);两组在生理领域方面比较,差异无统计学意义(P>0.05)。观察组睡眠时间、入睡时间、睡眠效率、睡眠质量、睡眠障碍等评分[(0.62±0.18)、(0.49±0.20)、(0.51±0.31)、(0.43±0.08)、(0.38±0.11)分]上均优于对照组[(1.90±0.25)、(1.80±0.24)、(1.69±0.32)、(1.66±0.12)、(1.72±0.29)分],两组比较差异均有统计学意义(t=35.984、36.314、22.937、73.859、37.415,均P<0.05)。结论家庭医生团队护理模式可有效提高患者的生存质量以及睡眠质量,值得在临床上推广。
Objective To explore the influence of family doctor team nursing mode on the quality of life of community residents. Methods A total of 150 elderly residents from Tsui Hai Community Health Service Center from July 2012 to July 2013 were selected as study subjects and randomly divided into 75 control and observation groups. The control group adopted the common nursing model. The observation group used the family doctor team nursing model. The quality of life of the patients was evaluated by Chinese version of the quality of life checklist developed by WHO. The Pittsburgh Sleep Quality Index was used to evaluate the patient’s sleep quality. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results Compared with the control group [(10.64 ± 2.02), (10.87 ± 2.20)], the score of the observation group in the field of psychology, environment and social relations [(13.49 ± 1.97), (12.10 ± 2.30), (13.27 ± 1.99) , (11.66 ± 1.70) points], there was significant difference between the two groups (t = 8.747,3.347,5.327, all P <0.05). There was no significant difference between the two groups in physiological field (P > 0.05). (0.62 ± 0.18), (0.49 ± 0.20), (0.51 ± 0.31), (0.43 ± 0.08), (0.38 ± 0.11) in the observation group were significantly higher than those in the control group (1.90 ± 0.25), (1.80 ± 0.24), (1.69 ± 0.32), (1.66 ± 0.12), (1.72 ± 0.29) points respectively in the control group, the differences between the two groups were statistically significant (t = 35.984, 36.314, 22.937, 73.859, 37.415, all P <0.05). Conclusion Family doctor team nursing model can effectively improve the quality of life of patients and the quality of sleep, it is worth in the clinical promotion.