心血管疾病老年共病患者出院准备服务的应用效果

doi:10.3969/j.issn.1006-5725.2023.22.026

Abstract

Abstract:

Objective To explore the application effect of hospital discharge preparation service in elderly cardiovascular disease patients with comorbidity. Methods A total of 97 elderly cardiovascular disease patients with comorbidity in the geriatric ward of our center were selected as the study objects and divided into observation group （48 cases） and control group （49 cases）. The discharge readiness， discharge guidance quality， self-management capacity， complication rate and readmission rate of elderly cardiovascular disease patients with comorbidity were compared between these two groups. Results Compared with the control group， the three dimensions of personal status， adaptive ability and anticipatory support in the Readiness for Hospital Discharge Scale of the observation group significantly increased （P < 0.05）. The three dimensions of patients' needs， acquired contents， guidance skills and effects in the Quality of Discharge Teaching Scale also increased （P < 0.05）. Moreover， the three dimensions of the self-management ability evaluation scale of patients in the observation group were higher than those in the control group （P < 0.05）， and the complication rate and the readmission rate of patients were lower than the control group （P < 0.05）. Conclusion Discharge preparation service significantly improved the discharge readiness， self-management ability of elderly cardiovascular disease patients with comorbidity， the discharge guidance quality， and reduced the complication rate as well as the readmission rate of patients， which indicated the bright perspective of discharge preparation service in elderly cardiovascular disease patients with comorbidity.

Key words: cardiovascular disease, elderly patients with comorbidity, discharge preparation service

CLC Number:

R473.5

Xiaoxia WANG,Qiao HUANG,Min PENG,Tiemei. SHEN. Application of evidence⁃based standardized hospital discharge preparation service in elderly patients[J]. The Journal of Practical Medicine, 2023, 39(22): 3005-3009.

Figures/Tables 5

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References 25

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组别	观察组	对照组	P值
性别			0.58
男	32	30
女	16	19
年龄			0.17
60 ~ 87岁	12	21
88 ~ 91岁	17	12
≥ 92岁	19	16
婚姻状况			0.27
已婚	43	40
丧偶	5	9
文化程度			0.95
小学及以下	4	5
初中	11	9
高中	22	23
大专	7	9
本科及以上	4	3
居住方式			0.41
独居	2	4
非独居	46	45
住院时间			0.81
≤ 7 d	11	14
7 ~ 14 d	13	12
≥ 14 d	24	23

组别	例数	个人状态	适应能力	预期性支持	总分
观察组	48	24.31 ± 7.41	39.81 ± 15.19	33.10 ± 10.82	97.22 ± 28.97
对照组	49	18.18 ± 5.73	34.26 ± 11.43	27.89 ± 8.26	80.33 ± 22.93
t值		4.563	2.036	2.669	3.187
P值		< 0.001	0.045	0.009	0.008

组别	例数	需要的内容	获得的内容	指导技巧及效果	总分
观察组	48	51.10 ± 13.35	50.06 ± 14.36	101.29 ± 24.24	202.45 ± 40.85
对照组	49	42.53 ± 11.49	39.59 ± 12.54	88.53 ± 21.48	170.65 ± 36.49
t值		3.391	3.827	2.745	4.045
P值		0.001	< 0.001	0.007	<0.001

组别	例数	生活方式	遵医嘱用药	复查依从性	总分
观察组	48	42.63 ± 11.29	44.22 ± 13.62	45.99 ± 14.25	132.84 ± 34.28
对照组	49	37.75 ± 9.02	37.37 ± 11.68	40.12 ± 11.93	116.24 ± 29.43
t值		2.354	2.661	2.202	2.561
P值		0.021	0.009	0.030	0.012

组别	例数	并发症	非计划再住院
观察组	48	2（4.17）	18（37.50）
对照组	49	9（18.37）	29（59.18）
χ²值		4.863	4.565
P值		0.027	0.033

Application of evidence⁃based standardized hospital discharge preparation service in elderly patients

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