| Objectives According to the theories of human care and group dynamics,combined with the current state of the aged in our country,aiming at the disabled seniors in the pension institutions in Tangshan,Hebei Province,Human viable group care programs and evaluate the effect of the program on the quality of life and happiness of disabled seniors with a view to finding effective ways to improve the quality of life and improve their happiness for the elderly with disability.Methods Adopts the purpose-sampling method in Tangshan lubei district public pension institution,according to the hardware and software configuration of endowment institutions equal request selected 6 endowment institutions,randomly according to draw from 2 endowment institutions,and in accordance with the method of flip a coin to the 2 pension agency random set as intervention group and control group,According to the inclusion and exclusion criteria,the eligible elderly patients were selected from 2 pension institutions as the research object,126 in the intervention group,113 in the control group.On the basis of routine care in the nursing home,the intervention group carried out 4 hours each time,1~2 times a week,12 weeks of continuous care service based on the theory of human care and the theory of group dynamics,and the control group was given the regular care of the pension institution.Before the intervention,the general information and activity of daily living scale(ADL),quality of life scale(SF-36),Memorial University of Newfoundland scale of happiness(MUNSH)to assess the loss of baseline data of elderly,intervention after 6 weeks and 12 weeks after intervention by quality of life scale(SF-36)and the Memorial University of Newfoundland scale of happiness(MUNSH)to evaluate the medical students in community care service for pension institutions of disabled elderly people's quality of life and happiness of the intervention effect.The database was built by using Excel software,and the data were analyzed by SPSS22.0 statistical software.The data of normal distribution of data is expressed by mean plus minus standard deviation(sx ±).The two groups were compared by t test.A single factor analysis of variance was used to test multiple groups.The changes in the intervention of disabled elderly over time were analyzed by repeated measure ANOVA.The data of non normal distribution were expressed by median and four quantile [M(P25,P75)],and rank sum test was used.The percentage of classification by two and other count data(%)said that the ?2 Test.The difference was statistically significant with P<0.05,which is suitable for all tests.Results 1 Comparison of the general data of two groups of disabled elderly people.The age,sex,educational level,professional nature,marital status,economic source,income status,and chronic disease of the two groups of elderly people who were able to lose energy were compared.The results showed that the difference was not statistically significant(P>0.05),and the two groups were comparable.2 Comparison of quality of life(SF-36)before and after intervention of two groups of disabled elderly people.Before intervention,there were no significant differences in the scores of eight dimensions and total scores of quality of life(SF-36)between the two groups of elderly disabled people(P>0.05),After 6 weeks of intervention,the scores of eight dimensions of life quality(SF-36)and the total score of quality of life were improved in the elderly in the intervention group,and the difference was statistically significant(P<0.05).After 6 weeks intervention,intervention group of disabled elderly pension institutions compared with the control group,the quality of life(SF-36)of the physical functioning,role-physical,social function,mental health and general health scores in 5 dimensions and total score of life quality is increased.The different has statistically significant(P<0.05),After 12 weeks of intervention,the aged people in the intervention group were better than the eight dimensions of the quality of life(SF-36)before intervention and the total score of the quality of life.The difference was statistically significant(P<0.05).After 12 weeks intervention,intervention group of disabled elderly pension institutions compared with the control group,quality of life(SF-36)of the physical functioning,role-physical,body pain,emotional function,social function,mental health and general health scores in seven dimensions and total score of quality of life were improved,the difference between the two groups was statistically significant(P<0.05).Analysis of the overall effect of the quality of life of the elderly can group lost two pension institutions,pension institutions of disabled elderly people's quality of life scores in eight dimensions and total score of quality of life with the change of time trend affected by the intervention factors,pension institutions and the intervention group of disabled elderly life quality score and each dimension of quality of life in association with the change of time showed a rising trend.3 Comparison of happiness between the two groups of disabled elderly people before and after intervention Before the intervention,the scores of the four dimensions of the happiness of the Memorial University of Newfoundland and the total score of the total score of the Memorial University of Newfoundland were not statistically significant(P>0.05).After intervention for 6 weeks,the scores of negative emotion and general negative experience dimension of the elderly in the intervention group were lower than those before the intervention,and the scores of the general positive experience dimension and the total score increased,the difference between the two groups was statistically significant(P<0.05).After 6 weeks' intervention,the general negative experience scores of the elderly in the intervention group were lower than those in the control group,and the scores of the general positive experience dimension and total score increased,the difference was statistically significant(P<0.05).After 12 weeks of intervention,compared with the intervention group and the control group,the four dimension scores and total score differences of the elderly people in the intervention group were statistically significant(P<0.05).The score of four dimensions of happiness and the trend of the total score of happiness are influenced by the intervention factors,and the positive emotion,the score of the general positive experience dimension and the total score of happiness of the elderly in the intervention group are on the rise with the change of time,negative emotion,and the same.The score of negative experience dimension will decrease with time.Conclusions Under the guidance of the theory of human nature and group dynamics,group care service of college students can improve the quality of life and happiness of the disabled elderly. |
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