Effect of healthcare instructions outside the hospital on the quality of life and psychology of elderly patients with chronic diseases
10.3760/j.issn.1674-2907.2014.14.014
- VernacularTitle:院外健康护理指导对老年慢性病患者生活质量及心理的影响
- Author:
Yue QI
1
;
Hong SUN
;
Shanshan SU
;
Di LIU
;
Anna LIU
;
Guizhi SUN
Author Information
1. 150001 哈尔滨医科大学附属第四医院消化内科
- Keywords:
Elder patients;
Chronic disease;
Nursing;
Quality of life;
SF-36;
SCL-90
- From:
Chinese Journal of Modern Nursing
2014;20(14):1651-1655
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of on the healthcare instructions outside the hospital on the quality of life and psychology of elderly patients with chronic diseases .Methods A total of 300 patients over 60 years old suffering from chronic diseases without mental illness and obvious damage to the memory and intelligence , with the ability of taking care of themselves and the expected survival of greater than 12 months were recruited.Research subjects were randomly divided into the control group and the intervention group .After discharge , maintaining the communication with the participants and their families and the healthcare instructions were given every half month .Then the Short Form 36 ( SF-36 ) and the Symptom Checklist ( SCL-90 ) were used to assess the quality of life and the situation of mental at 3 month and 6 month after discharge .Results The scores of SF-36 had no difference between groups before discharge (P>0.05).3 month after discharge, the scores of SF-36 on Physical Functioning, General Health Perception, Vitality, Social Functioning, Role Function-Emotional and Mental Health were (76.8 ± 9.81), (63.4 ±8.6), (65.2 ±9.2), (59.1 ±14.3), (59.1 ±8.21) and (64.2 ±11.3) in the intervention group, which were significantly higher than (60.4 ±9.6), (53.3 ±11.8), (54.8 ±15.3), (54.3 ±11.3), (44.4 ±9.8) and (55.3 ±15.9) in the control group (t=14.63,8.47,7.13,3.23,14.08,5.59, respectively;P<0.01).6 month after discharge, the scores of SF-36 on Physical Functioning, General Health Perception, Vitality, Social Functioning, Role Function-Emotional and Mental Health were (73.5 ±11.4), (63.8 ± 10.9), (64.1 ±17.3), (60.1 ±11.7), (58.3 ±8.7), (64.3 ±15.1) in the intervention group, which were significantly higher than (63.3 ±11.1), (56.7 ±14.7), (54.2 ±14.4), (59.1 ±10.2), (45.9 ±10.5), (57.1 ±18.7) in the control group (t=7.85,4.75, 5.39, 3.79, 11.10, 3.67, respectively;P<0.01).The scores of SL-90 had no difference between groups before discharge ( P>0.05).3 month after discharge, the somatization and depression scores of SCL-90 were (1.79 ±0.32) and (1.78 ±0.34), which were significantly higher than (1.89 ±0.34) and (1.89 ±0.41).The differences were significant (t=2.62,2.53, respectively;P<0.01).6 month after discharge, the somatization and depression scores of SCL-90 were (1.73 ±0.52) and (1.76 ±0.44), which were significantly higher than (2.02 ±0.51) and (1.98 ±0.32).The differences were significant (t=4.88,4.95, respectively;P<0.01).3 month and 6 month after discharge, the readmission in the intervention group were (0.20 ±0.04) and (0.33 ±0.11), which were significantly lower than (0.37 ± 0.07) and (0.42 ±0.10) in the control group (t =25.82,7.41, respectively; P <0.01).3 month and 6 month after discharge, the medical costs in the intervention group were (450.00 ±125.14) and (1 000.00 ± 300.11) RMB, which were significantly lower than (600.78 ±120.67) and (1 500.00 ±205.56) RMB in the control group (t=25.82,7.41, respectively;P<0.01).Conclusions The nursing intervention of healthcare instructions outside the hospital can improve patients'quality of life and the psychological state of some patients . On the whole, it can reduce the healthcare costs and social burden of patients , and save the medical resource for the society.
