摘要
目的改善老年患者出院结局,提高患者满意度。方法将入住老年科的440例慢性疾病急性加重老年患者按入住病区分为对照组182例、干预组258例。对照组按常规治疗护理;干预组采取老年人急性期快速恢复(ACE)照护模式,即构建ACE照护病区,在治疗急性疾病的同时,注重康复护理及功能维护,早期进行出院规划等。结果干预组衰弱及日常生活活动能力改善程度显著优于对照组,跌倒发生率、住院时间及医疗费用显著少于对照组(P<0.05,P<0.01),患者满意度显著高于对照组(均P<0.01)。结论ACE照护模式较常规诊疗护理能更有效改善老年患者出院结局,从而提高护理满意度。
Objective To improve the outcomes and satisfaction of elderly patients.Methods A total of 440 elderly patients with exa-cerbation of chronic disease were divided into a control group(n=182)and an intervention group(n=258)according to the admission unit.The control group received routine nursing care,while the intervention group were subjected to the Acute Care of the Elderly(ACE)unit model of care,including constructing ACE unit,providing restorative and rehabilitation care,maintaining functional status,and implementing well planned early discharge.Results Compared with the control group,the intervention group had greater improvement in frailty and activities of daily living agency,lower incidence of falls,shorter hospital stays,less medical cost and higher patient satisfaction(P<0.05,P<0.01).Conclusion ACE unit model of care is superior to conventional care in promoting the outcomes of the elderly patients,thus to enhance their satisfaction with nursing service.
作者
赖荣美
汪必会
罗庆
Lai Rongmei;Wang Bihui;Luo Qing(Department of Geriatrics,The Fifth People′s Hospital of Chengdu,Chengdu 611130,China)
出处
《护理学杂志》
CSCD
北大核心
2020年第3期4-7,共4页
Journal of Nursing Science
