摘要
目的探究基于循证理念的精准护理在老年肌少症患者中的应用效果。方法选取2018年10月—2020年6月南京大学医学院附属鼓楼医院收治的老年肌少症患者177例为研究对象,按照随机数字表法分为对照组(89例)和观察组(88例)。对照组给予常规肌少症护理干预,观察组在对照组基础上给予基于循证理念的精准护理干预,干预时间均为12周。比较两组干预前后四肢骨骼肌质量指数(SMI)、肌肉功能等级及简易肌肉功能测试评分(SPPB)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及干预满意率。结果干预后,对照组SMI、肌肉功能等级及SPPB评分与干预前比较,差异无统计学意义(P>0.05);观察组SMI、肌肉功能等级及SPPB评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组SAS、SDS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组干预总满意率高于对照组,差异有统计学意义(P<0.05)。结论基于循证理念的精准护理能明显改善老年肌少症患者心理状况和肌肉功能衰减,提高干预满意率,值得推广应用。
Objective To explore the application effect of precision nursing based on evidence-based concept in elderly patients with sarcopenia.Methods From October 2018 to June 2020,a total of 177 elderly patients with sarcopenia who were admitted to the Affiliated Hospital of Nanjing University Medicine School were selected as the research subjects.According to random number table method,they were divided into control group(89 cases)and observation group(88 cases).The control group was given routine sarcopenia nursing intervention,and the observation group was given precision nursing intervention based on evidence-based concept on the basis of the control group,and the intervention time was 12 weeks.The skeletal muscle index(SMI),muscle function grade and short physical performance battery(SPPB),self-rating anxiety scale(SAS),self-rating depression scale(SDS)and intervention satisfaction rate of the two groups were compared before and after intervention.Results After intervention,there was no statistical significance in SMI,muscle function grade and SPPB score of control group compared with before intervention(P>0.05).SMI,muscle function grade and SPPB score of the observation group were higher than before intervention,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).SAS and SDS scores in both groups were lower than those before intervention,and observation group were lower than those of control group,the differences were statistically significant(P<0.05).The total satisfaction rate of intervention in the observation group was higher than that in the control group,with statistical significance(P<0.05).Conclusion Precision nursing based on the evidence-based concept can significantly improve the psychological status and muscle function attenuation of elderly patients with sarcopenia,and improve the satisfaction rate of intervention,which is worthy of promotion and application.
作者
许玲
邓小岚
张建薇
王旭
XU Ling;DENG Xiaolan;ZHANG Jianwei;WANG Xu(Department of Geriatric Medicine,the Affiliated Hospital of Nanjing University Medicine School,Jiangsu Province,Nanjing210008,China)
出处
《中国医药导报》
CAS
2021年第8期165-168,共4页
China Medical Herald
基金
江苏省卫生健康委科研课题(BJ18009)。
关键词
循证理念
精准护理
肌少症
老年患者
Evidence-based concepts
Precision nursing
Sarcopenia
Elderly patients
