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The Community Nursing And Home Health Services Research On The Quality Of Life Of The Elderly At Home

Posted on:2014-04-06Degree:MasterType:Thesis
Country:ChinaCandidate:Y XiaoFull Text:PDF
GTID:2284330467987950Subject:Nursing
Abstract/Summary:PDF Full Text Request
Background:With the development of Chinese population aging process,"empty nest" and single-parent families increased gradually, family endowment function is weakening, the pension issue has become a hot topic. Because of our country’s old-age care started late, the pension system is not perfect, pension Services Limited, nursing talents shortage, development to the high quality of nursing. How to promote the development of community nursing, mobilize the community nurses, nursing intervention is effective, help the elderly to establish good physiological, psychological, social adaptation ability, is also facing a big challenge. In order to further improve the quality of life of the elderly in community, community play a role of the nurse service in the elderly, need to explore the nursing service mode for community nursing.Objective:To explore the effect of community nursing home visits to the elderly people’s quality of life, and provide scientific basis for the implementation of effective community health and community nursing intervention in Neijiang city.Method:60years of age, daily living, conscious, cognitive (the the brief cognitive state questionnaire SPMSQL4≥7points), in good physical condition, with her consent, and are willing to participate in this older standard was selected to participate in the study community home research, and the exclusion of mental disorders, and awareness barriers, severe and end-stage disease patients. During the period from2012September to2013January,112cases of community elderly people will be selected in accordance with the streets were randomly divided to live as control group (55cases) and the intervention group (57cases),The control group received routine nursing service in community health service center of community nurses in the community, establishing health archives for the elderly, when there is a problem contact with the community nurses, no on-site service provision for periodic. The intervention group besides accept conventional nursing service for community nurses to give, also accept the community nursing staff every two Monday of the regular home visits, mainly from the old disease management, psychological guidance, daily care and guidance, safety education, health assessment of five aspects of nursing intervention. Community nurses before intervention,3months after the intervention of elderly people at home are evaluated, the general information questionnaire to collect respondents age, gender, residence, education level, cognitive status, economic level and prevalence situation; the general quality of life assessment questionnaire (GQOLI-74) assessed quality of life.Research instrument:1.The brief cognitive state questionnaire (SPMSQ)Brief cognitive state questionnaire for the measurement of cognitive function of the elderly, developed by Pfeiffer in1975, evaluation content includes four aspects of short-term memory, long-term memory, orientation, attention, a total of10simple cognitive problems, assessment of the first only needs3-5minutes, rapid screening for cognitive impairment groups.2.The general information questionnaireThe general information questionnaire designed by the researchers, including age, gender, marital status, living status, educational level, cognitive status, economic level, illness and other general information.3.General quality of life inventory-74(GQOLI74)General quality of life inventory-74is mainly used as the assessment of quality of life of ordinary people in the community, but also can be used as a specific group of people (such as the elderly) quality of life questionnaire has good reliability and validity. The questionnaire included material life, physical health, mental health, social function in4dimensions, a factor of20, a total of74entries, assessment ratee and health related quality of life.Results:1.The112community elderly people in this study, chronic disease has78people, accounting for the total number of69.64%, of which have2or more chronic diseases of the elderly has52people, accounting for46.42%of the total number. Community elderly health problems from varying degrees of impact on the quality of life of the elderly and life satisfaction.2.The intervention group observed indicators from the four dimensions of material life, physical health, mental health, social function, and healthy total satisfaction and overall quality of life assessment in the intervening three months later, the same level compared with the control group improved significantly, and intervention than beforesignificant improvement, the difference was statistically significant (P<0.01).3.The control group observed in the total satisfaction of the four dimensions of the material life, physical health, mental health, social function, and health and quality of life overall evaluation indicators before and after the intervention, no significant changes, the difference was not statistically significant (P>0.05).Conclusion:The community nurse home visitation services can effectively improve the quality of life of older people from the four aspects of the material life of the community home for the elderly, physical health, mental health, social function. This mode can help older people to establish good health behaviors, and promote physical and mental health improve social adaptability for the elderly. This mode not only saves the cost of medical care, but also rational use of community health human resources, to fully mobilize the enthusiasm of the work of the community nurses and play its initiative, Lay a foundation for the implementation of the Neijiang municipal community home care nursing and community elderly health intervention, provides health care community feasible, is worthy of application and promotion of community health service center.Further studies:1.The study sample size is small, but only choose a Neijiang city community elderly people, regional relative limitation, in the future, more city or region, a careful investigation sample selection more.2.The content of this research is not deep enough, the future can make research more perfect nursing intervention on the one hand.
Keywords/Search Tags:Community nursing, Home visitation services, Elderly Living at Home, Quality of life, Research
PDF Full Text Request
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