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目的探讨老年介护服务在社区护理中的推广及运用研究。方法选取2015年6月—2016年5月上海市闵行区华漕社区200名居家卧床老人的照护者,随机划分为对照组和观察组各100名,观察组在给予被照顾者日常生活照护的基础上,由社区介护团队对介护员进行科学有效的针对性培训,对照组给予被照顾者日常生活照护,干预时间为12个月,比较两组被照顾者及其家属对介护技能使用的满意度、心理状态评估量表(metal state assessment scale,MSSNS)评分及观察组培训效果;采用SPSS17.0对数据进行统计学分析。结果观察组被照顾者及其家属对介护技能使用的满意度高与对照组,且MSSNS评分低于对照组,比较差异均有统计学意义(均P<0.05);观察组被照顾者介护技能使用及完成情况明显优于对照组,差异有统计学意义(均P<0.05)。结论社区护理中开展老年介护护理模式可以提高患者及其家属对社区护理工作的满意度,是一项推进老年优质护理服务行之有效的社区护理工作模式。
Objective To explore the promotion and application of elderly care service in community nursing. Methods From June 2015 to May 2016, 200 caregivers of home bed elderly in Huacao community in Minhang District of Shanghai were randomly divided into control group and observation group of 100 each. The observation group was given daily care of the caregivers On the basis of the community nursing team to carry out scientific and effective targeted training of caregivers, the control group was given daily care of caregivers, the intervention time was 12 months, compared two groups of caregivers and their families on nursing skills The satisfaction of using, the score of MSSNS and the training effect of observation group. The data were analyzed by SPSS17.0. Results The satisfaction rate of caregivers and their relatives in the observation group was significantly higher than that in the control group, and the MSSNS score was lower than that of the control group (all P <0.05). In the observation group, The use of nursing skills and the completion status were significantly better than the control group, the difference was statistically significant (P <0.05). Conclusions The development of nursing-care model for the elderly in community nursing can improve the satisfaction of patients and their families in community nursing work. It is an effective community nursing work mode to promote quality nursing services for the elderly.