1例基于需求视角下老年共病患者的术后延续护理
An Elder with Multiple Comorbidity’s Postoperative Transitional Care from the Perspective of Needs

DOI: 10.12677/NS.2020.93034, PP. 216-222

Keywords: 老年共病，护理需求，延续护理
Multiple Comorbidity, Nursing Needs, Transitional Care

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的：总结1例老年共病患者胆囊切除、胆总管T管引流术后的延续护理经验。方法：对我科1例老年共病患者术后的延续护理方法进行总结和分析。结果：在全面评估患者及照护者需求后制定整体化的延续护理措施，经过2个月的延续护理干预，成功返院拔除留置T管，术口愈合良好，吞咽功能、躯体活动度好转，家属照护技巧改善，患者病情稳定。结论：居家患者的延续护理需求和住院患者的存在差异，通过充分评估居家患者的需求后制定相应的护理措施，不但能满足居家患者的居家护理需求，对于缓解患者病情、改善患者结局、提升家属照护技巧、减少医疗开支等有积极的意义。
Object: To summarize the care methods of an elder with multiple comorbidity who had cholecystectomy and Indwelled T tube. Methods: The transitional care methods of an elder with multiple capability who had cholecystectomy and Indwelled T tube in our department were summarized and analyzed. Results: According to the full-scale nursing evaluation results, individualized nursing measures were formulated and implemented for 2 months, then the patients who were in stable condition. T tube was pulled out safety, surgical incision healed in good condition, dysphagia and Physical activity level were improved, and family care skill was promoted. Conclusion: The patient’s home-based care need is different from the hospital, by evaluating the all-sided nursing needs at home and giving relevant nursing intervention can meet the home nursing needs to some extent. On the other hand, the transitional care is benefit for relieving the progression of disease, improving the outcome of patient, promoting family care skills and reducing medical expense and so on.

References

[1]	Boyd, C.M. and Fortin, M. (2010) Future of Multimorbidity Research: How Should Understanding of Multimorbidity Inform Health System Design. Public Health Reviews, 32, 451-474. https://doi.org/10.1007/BF03391611
[2]	黄晓凤. 老年共病患者多重用药指南解读[J]. 实用临床护理学电子杂志, 2017, 2(49): 219.
[3]	国务院. 中国老龄事业发展“十二五”规划[EB/OL]. http://www.chinanews.com/gn/2011/09-23/3349429.shtml
[4]	国家卫生健康委员会. 关于建立完善老年健康服务体系的指导意见[R]. 2019.
[5]	全国护理事业发展规划(2016~2020年) [J]. 中国护理管理, 2017, 17(1): 1-5.
[6]	国家卫生健康委员会. “互联网+护理服务”试点工作方案[R]. 2019.
[7]	武佳琳, 王君俏, 陆美玲, 等. 居家高龄老年人照护需求及满足情况调查[J]. 护理学杂志, 2013, 28(12): 89-91.
[8]	孙超, 奚恒, 李峥, 等. 老年患者出院准备服务专家共识(2019版) [J]. 中华护理杂志, 2020, 55(2): 220-227.
[9]	Reynolds, T., Thorcicroft, G., Abas, M., et al. (2000) Camberwell Assessment of Need for the Elderly. British Journal of Psychiatry, 176, 444-452. https://doi.org/10.1192/bjp.176.5.444
[10]	马晓雯, 谢红. 国外居家环境适老化评估工具介绍及其对我国的启示[J]. 中国护理管理, 2016, 16(3): 381-384.
[11]	吕露露, 郭红, 胡力云, 等. 脑卒中患者照顾者综合照顾能力现状及影响因素分析[J]. 护理学杂志, 2016, 31(11): 1-4.
[12]	卢少萍, 徐永能, 任晓晓, 等. 出院家庭康复计划在老年卧床病人居家康复中的应用[J]. 护理研究, 2014, 28(11): 3965-3968.
[13]	胡敏. 临床营养学[M]. 北京: 化学工业出版社, 2018.
[14]	中国营养学会老年营养分会. 老年营养研究进展[J]. 营养学报, 2015, 37(2): 119-121.
[15]	徐虎, 范利, 曹丰. 老年共病管理的临床挑战与应对策略[J]. 中华老年多器官疾病杂志, 2019, 18(12): 942-946.
[16]	贾会英, 孙璐璐, 曲茹虹, 等. 老年慢性病共病患者护理的研究进展[J]. 解放军护理杂志, 2019, 36(8): 51-54.

Full-Text