医院-社区-家庭一体化康复模式对老年衰弱综合征患者的影响

doi:10.16352/j.issn.1001-6325.2022.04.005

基础医学与临床 ›› 2022, Vol. 42 ›› Issue (4): 640-645.doi: 10.16352/j.issn.1001-6325.2022.04.005

医院-社区-家庭一体化康复模式对老年衰弱综合征患者的影响

努尔曼·阿卜杜克力木, 韩正风, 马艳^*

新疆医科大学第一附属医院老年科, 新疆乌鲁木齐 830000

收稿日期:2020-10-29 修回日期:2021-07-02 出版日期:2022-04-05 发布日期:2022-04-01
通讯作者: * cmy10201020@163.com
基金资助:
新疆维吾尔自治区卫生健康青年医学科技人才专项(WJWY-202148)

Impact of hospital-community-family integrated rehabilitation model on elderly patients with debilitating syndrome

ABDUKLIMU Nurman, HAN Zheng-feng, MA Yan^*

Department of Geriatrics, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China

Received:2020-10-29 Revised:2021-07-02 Online:2022-04-05 Published:2022-04-01
Contact: * cmy10201020@163.com

摘要/Abstract

摘要： 目的探讨医院-社区-家庭一体化康复模式对老年人衰弱状态、生活质量和炎性因子表达水平的影响。方法选择新疆医科大学第一附属医院2019年1月至2020年7月住院的衰弱综合征患者116例,随机分为对照组和干预组,各58例。干预组在基础康复基础上进行“医院-社区-家庭”一体化系统康复干预,对照组采用基础康复护理。观察、测定并记录两组患者衰弱状态、生活质量和炎性因子表达水平。结果干预3个月后,干预组Fried 衰弱表型得分,生活质量的生理职能、躯体疼痛和一般健康3个维度及炎性因子C反应蛋白(CRP)和白介素6(IL-6)表达水平均较干预前差异显著(P＜0.05)。干预6个月后,除以上项目,精力、社会功能、情感智能和精神健康4个维度也较干预前差异显著(P＜0.05)。结论医院-社区-家庭一体化精神康复模式能有效改善老年衰弱患者的生存质量,对其康复具有积极促进作用。

关键词: 社区护理, 老年衰弱, 生活质量, 炎性因子

Abstract: Objective To explore the impact of the integrated rehabilitation model of hospital-community-family on the debilitating state, quality of life and the expression level of inflammatory factors in the elderly. Methods A total of 116 patients with debilitating syndrome who were hospitalized from January 2019 to July 2020 in the First Affiliated Hospital of Xinjiang Medical University were selected and randomly divided into a control group and an intervention group, 58 cases in each group. The intervention group carried out “hospital-community-family” integrated system rehabilitation intervention on the basis of basic rehabilitation, and the control group adopted basic rehabilitation nursing. The debilitating state, quality of life and expression levels of inflammatory factors in two groups were recorded. Results After 3 months of intervention, the scores of Fried frailty phenotype, the three dimensions of physiological functions of life quality, physical pain and general health the level of inflammatory factors CRP and IL-6 in the intervention group were significantly different from those before the intervention (P＜0.05). After 6 months of intervention, in addition to the above items, the four dimensions of energy, social function, emotional intelligence and mental health were also significantly different from those before the intervention (P＜0.05). Conclusions The integrated hospital-community-family integrated mental rehabilitation model can effectively improve life quality of frail elderly patients and facilitate their rehabilitation.

Key words: community care, frail elderly, quality of life, inflammatory factors

中图分类号:

R471

努尔曼·阿卜杜克力木, 韩正风, 马艳. 医院-社区-家庭一体化康复模式对老年衰弱综合征患者的影响[J]. 基础医学与临床, 2022, 42(4): 640-645.

ABDUKLIMU Nurman, HAN Zheng-feng, MA Yan. Impact of hospital-community-family integrated rehabilitation model on elderly patients with debilitating syndrome[J]. Basic & Clinical Medicine, 2022, 42(4): 640-645.

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医院-社区-家庭一体化康复模式对老年衰弱综合征患者的影响

Impact of hospital-community-family integrated rehabilitation model on elderly patients with debilitating syndrome

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