摘要
目的:研究基于体质辨识中医老年综合评估(CGA)在养老照护中的应用效果。方法:选取2017年1月至2018年3月于成都康馨缘颐养中心、成都静雅养老服务中心、成都市遐龄居颐养生态园三家养老院入住的老年人180例,随机分为干预组、对照组、空白组,每组60例。3组均开展基于体质辨识的中医CGA,干预组:向评估对象及照护人员公开全部评估结果,并在常规医养照护基础上根据基于体质辨识的中医CGA结果进行综合干预;对照组:隐藏中医体质辨识评估结果,仅在常规医养照护基础上根据评估结果进行综合干预;空白组:隐藏全部评估结果,仅给予常规医养照护,3组均连续养护12个月。分别在入组时、入组第3个月、第6个月和第12个月评估3组干预效果,比较其生命质量(WHOQOL)评分、日常生活能力(ADL)评分、血糖、血脂及血压水平,并统计12个月内3组住院率及体质辨识情况。结果:与入组时比较,入组第3个月、第6个月干预组WHOQOL评分及入组第12个月时3组WHOQOL评分均显著升高,且干预组各时间点均显著高于对照组与空白组(P<0.05);与入组时比较,入组第3个月、第6个月和第12个月后3组ADL评分均显著升高(P<0.05),且干预组在入组第6个月和第12个月的评分均显著高于对照组与空白组(P<0.05);与入组时比较,入组第12个月3组收缩压、TC、TG、FBG及干预组舒张压均显著下降,且干预组各指标水平显著低于对照组与空白组(P<0.05),且对照组收缩压、TG及FBG水平显著低于空白组(P<0.05);12个月内干预组住院率显著低于对照组及空白组(P<0.05),但对照组与空白组住院率差异无统计学意义(P>0.05)。结论:基于体质辨识的中医CGA可有效控制老年人群疾病进展,提升其生命质量与生活能力,在养老照护中应用效果显著。
Objective： To study the application effects of Traditional Chinese Medicine（ TCM） Comprehensive Geriatric Assessment（ CGA） based on constitution identification in elderly care.Methods： A total of 180 cases elderly people in Chengdu Kangxinyuan maintenance center,Chengdu Jingya pension service center,Chengdu Xialingju maintenance of Ecological Park were selected and randomly divided into intervention group,control group and blank group,with 60 cases in each group.All the groups conducted TCM CGA based on constitution identification,intervention group： all the assessment results were released to the evaluated subjects and the caregivers,and the results were adjusted based on the TCM CGA results on the basis of routine medical care;control group： the evaluation results of TCM constitution were hidden,comprehensive intervention based on the evaluation results only on the basis of conventional nursing care; blank group： all the hidden evaluation results,only given routine care.At the time of enrollment,at the 3 rd month,the 6 th month and the 12 th month of enrollment,the effects of intervention were evaluated,and the WHOQOL,ADL scores of 3 groups were compared.The hospitalization rate within 12 months of 3 groups was counted.Results： Compared with the time of enrollment,the WHOQOL score of intervention group at the 3 rd month and the 6 th month and the WHOQOL scores of the 3 groups at the 12 th month significantly increased,and intervention group were significantly higher than that of control group and blank group at all time points（ P〈0.05 or P〈0.01）.Compared with the time of enrollment,the ADL scores of 3 groups at the 3 rd month,the 6 th month and the 12 th month significantly increased（ P〈0.01）,and the scores of intervention group at the 6 th month and the 12 th month were significantly higher than that of control group and blank group（ P〈0.05 or P〈0.01）.Compared with the time of enrollment,the systolic blood pressure,TC,TG,FBG of 3 groups and the diastolic pressure of intervention group significantly decreased at 12 th month of enrollment,and the above indexes in intervention group were significantly lower than those in control group and blank group（ P〈0.05 or P〈0.01）; the systolic blood pressure,TG and FBG levels in control group were significantly lower than those in blank group（ P〈0.05）.The hospitalization rate in intervention group was significantly lower than that of control group and blank group within 12 months（ P〈0.05 or P〈0.01）,but there was no significant difference between control group and blank group（ P〉0.05）.Conclusion： TCM CGA based on constitution identification can effectively control the progress of the disease in the elderly,improve their life quality and ability to live,and the application effect is remarkable in the elderly care.
作者
袁野
杨威英
龙驹
陈梦君
贾华楠
Yuan Ye;Yang Weiying;Long Ju;Chen Mengjun;Jia Huanan(Geriatrics Department/Cadre Administration Section,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610072,China)
出处
《世界中医药》
CAS
2018年第7期1782-1785,共4页
World Chinese Medicine
基金
成都中医药大学校基金项目(ZRQN1752)
关键词
体质辨识
中医
老年综合评估
养老照护
Constitution identification
Traditional Chinese medicine
Comprehensive Geriatric Assessment
Elderly care
