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多量表评估对老年慢性疾病患者生命质量、营养状态及睡眠质量的影响
邓海婷      蔡晓艳
南京鼓楼医院老年科,江苏南京   210000
Effect of multi-scale evaluation on quality of life, nutritional status, and sleep quality in elderly patients with chronic diseases
DENG Haiting   CAI Xiaoyan
Department of Geriatric, Nanjing Drum Tower Hospital, Jiangsu Province, Nanjing   210000, China
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摘要 目的 观察多量表评估应用于老年慢性疾病患者的机体功能效果。 方法 选择2018年1月至2021年1月南京鼓楼医院老年科收治的100例老年慢性疾病患者作为研究对象,采取随机数字表法将其分为研究组和对照组,各50例。对照组单纯在生命质量测定量表(QLQ-C30)评估下给予患者护理,而研究组在对照组基础上采用营养风险量表(NRS2002)、匹兹堡睡眠质量指数(PSQI)众多量表对患者进行测评并给予相应护理措施。于入院时和入院1个月时,采取QLQ-C30量表、营养状态、免疫功能对患者进行测评。 结果 干预后,研究组躯体功能、角色功能、社会功能、认知功能、情绪功能、整体生活质量评分高于干预前,且高于对照组;倦怠、恶心呕吐、疼痛、呼吸困难、失眠、食欲丧失、便秘、腹泻评分低于干预前,且低于对照组,差异有统计学意义(P<0.05)。干预后,研究组体重指数、白蛋白、总蛋白水平高于干预前,且高于对照组,差异有统计学意义(P<0.05)。干预后,两组免疫球蛋白(Ig)G、IgM、IgA水平高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05)。 结论 多量表评估的护理干预可增强老年病科的慢性疾病患者的免疫功能和营养状态,在晚年生活中保持良好的生命质量。


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邓海婷 蔡晓艳
关键词 量表评估老年慢性疾病机体功能生命核心质量营养状态免疫功能    
Abstract:Objective To observe the effect of multiple scales evaluation on the functional of elderly patients with chronic diseases. Methods A total of 100 elderly patients with chronic diseases admitted to the Geriatric Department of Nanjing Drum Tower Hospital from January 2018 to January 2021 were selected as the research objects. Random number table method was adopted to divide them into study group and control group, with 50 cases in each group. The control group was given nursing care under the assessment of quality of life questionnaire-core 30 (QLQ-C30), while the study group was given nursing care based on the assessment of nutritional risk scale (NRS2002), and Pittsburgh sleep quality index (PSQI). At admission and one month after admission, QLQ-C30 scale, nutritional status, and immune function were used to evaluate the patients. Results After intervention, the scores of physical function, role function, social function, cognitive function, emotional function, and overall quality of life in the study group were higher than those before intervention, and higher than those in the control group; the scores of burnout, nausea and vomiting, pain, dyspnea, insomnia, loss of appetite, constipation, and diarrhea were lower than those before intervention, and the differences were statistically significant (P<0.05). After intervention, the body mass index, albumin, and total protein levels in the study group were higher than before intervention, and higher than those in the control group, with statistical significances (P<0.05). After intervention, the levels of immunoglobulin (Ig)G, IgM, and IgA in both groups were higher than before intervention, while those of the study group were higher than those of the control group, and the differences were statistically significant (P<0.05). Conclusion Intervention after the multi-scale assessment can enhance immune function and nutritional status of patients with chronic diseases in geriatrics department, and maintain good quality of life in later life.
Key wordsScale assessment    Elderly patients with chronic diseases in the old age    Body function    Core quality of life    Nutritional status    Immune function
    
基金资助:江苏省卫生和计划生育委员会科研课题(N201705)。
引用本文:   
邓海婷 蔡晓艳. 多量表评估对老年慢性疾病患者生命质量、营养状态及睡眠质量的影响[J]. 中国医药导报, 2023, 20(3): 143-146,151.
DENG Haiting CAI Xiaoyan. Effect of multi-scale evaluation on quality of life, nutritional status, and sleep quality in elderly patients with chronic diseases. 中国医药导报, 2023, 20(3): 143-146,151.
链接本文:  
https://www.yiyaodaobao.com.cn/CN/10.20047/j.issn1673-7210.2023.03.33     或     https://www.yiyaodaobao.com.cn/CN/Y2023/V20/I3/143

 

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