Discussion on nursing management mode of elderly hospitalized patients with asthenia
老年住院衰弱患者护理管理模式的探讨

摘要

目的 探讨对老年住院衰弱患者实施ACE（急性期快速康复）护理管理模式的效用价值。方法 此次研究共选取112例老年衰弱患者进行对比实验，均在院内住院治疗，采取盲抽方式进行分组，对照组与观察组各56例患者，前者采用常规护理模式，后者实施ACE护理管理手段，对两组临床应用效果展开评价比较。结果 经实验中各项数据表明，干预前两组患者衰弱程度、日常生活能力、抑郁程度以及睡眠质量评分经对比无差异（P＞0.05），干预后相比对照组，观察组FP、BI、GDS-15、PSQI评分较优（P＜0.05）；与此同时，两组生活质量评分干预前较为均衡（P＞0.05），干预后观察组生活质量各维度评分明显高于对照组（P＜0.05）。结论 对于老年住院衰弱患者而言，实施ACE护理管理模式可有效减轻患者衰弱程度、提高其日常生活能力、改善其抑郁程度及睡眠质量，对患者日常生活质量水平的提升也起到积极促进作用。

Abstract

Objective To explore the effectiveness of ACE (acute phase rapid rehabilitation) nursing management mode for elderly hospitalized patients with asthenia.
Methods In this study, a total of 112 patients with senile frailty were selected for comparative experiment, all of whom were hospitalized in the hospital and divided into groups by blind sampling. 56 patients in each control group and observation group, the former followed the conventional nursing mode and the latter implemented ACE nursing management means, and the clinical application effects of the two groups were evaluated and compared.
Results The experimental data showed that there were no differences in the scores of fathenia, ability of daily living, depression and sleep quality between the two groups before intervention (P > 0.05). After intervention, FP, BI, GDS-15 and PSQI scores in the observation group were better than those in the control group (P < 0.05). At the same time, the quality of life scores of the two groups were more balanced before intervention (P > 0.05), and the quality of life scores of the observation group were significantly higher than those of the control group after intervention (P < 0.05).
Conclusion   For elderly hospitalized patients with asthenia, the implementation of ACE nursing management mode can effectively reduce the degree of asthenia, improve their daily living ability, improve their depression degree and sleep quality, and also play a positive role in promoting the level of patients' daily life quality.