医养结合模式在骨科老年患者术后康复中的应用研究

目的 探讨医养结合模式在骨科老年患者术后康复中的应用及对老年患者生活质量、幸福指数的影响。 方法 选择2016年2月-2017年2月蚌埠医学院第一附属医院骨科收治的老年手术患者80例,按随机数字表法分为研究组和对照组各40例。研究组应用医养结合模式为主的术后康复,对照组采用常规模式,比较2组患者术后康复1、3、6个月的自护能力、简明健康测量表(SF-36)的评估;测量其总体幸福感量表(GWB)、孤独感自评量表(UCLA)得分,以及患者对术后康复的满意度。 结果 实施医养结合模式康复1、3、6个月术后自护能力、SF-36评估,2组比较差异有统计学意义(P<0.05)。研究组老年患者的总体幸福感得分均高于对照组(P<0.05),研究组患者对术后康复的满意度为95%,对照组为89%,明显高于对照组。 结论 医养结合模式在骨科老年患者术后康复中的应用是现有模式的延伸和升级,更突出的是强调养老服务的特殊性,更注重的是老年人的生活照料和健康保健,是集医疗康复服务、健康检查咨询、大病康复以及临终关怀为一体的养老服务模式,医养结合模式为主的术后康复能大大降低术后并发症发生率,有效提高骨科老年患者自护能力,全面改善老人的生活质量,提高患者的满意度,减轻其孤独感,提升老人的幸福指数。 

Application of medical and nursing combination mode in postoperative rehabilitation of elderly patients in orthopedics department

Objective To explore the application of the mode of combination of medical care and rehabilitation in elderly patients in orthopedics department and its influence on the quality of life and well-being index of elderly patients. Methods Eighty cases of elderly patients operated in orthopedics department from February, 2016 to February, 2017 were randomly divided into the study group and the control group with 40 cases in each group. The study group received medical support combined with rehabilitation mode after operation, while the control group received the conventional mode of rehabilitation. One months, 3 months and 6 months later, postoperative self-care ability, score by simple health measurement scale (SF-36), overall well-being scale (GWB loneliness) and UCLA Loneliness Scale, and satisfaction of patients on postoperative rehabilitation were compared between the two groups. Results After the implementation of mode of combination of medical care and rehabilitation for 1 months, 3 months and 6 months, medical self-care ability and SF-36 evaluation between the two groups (P<0.05).The overall well-being scores in the study group were higher than those in the control group (P<0.05). The satisfaction to postoperative rehabilitation in the study group was 95%, which was significantly higher than that of the control group (89%). Conclusions The application of medical and nursing combination mode in postoperative rehabilitation of elderly patients in orthopedics department is an extension and upgrade of existing models, which pays more attentions to particularity of pension services and life care and health care of the aged patients. This mode is an endowment service model integrating medical rehabilitation service, health examination consultation, rehabilitation of large diseases and hospice care. The postoperative rehabilitation based on combination of medical care model can greatly reduce the incidence of postoperative complications in elderly patients in orthopedics department, improve self-care ability, the quality of life and patients' satisfaction, reduce their loneliness, and enhance the happiness index of the elderly patients.