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find Keyword "社区老年" 2 results
  • 社区老年慢性阻塞性肺疾病综合护理干预效果

    【摘要】 目的 了解成都市青羊社区卫生中心已建立健康档案的60岁以上老年慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者综合护理干预的效果。 方法 将2008年11月-2009年11月根据《中国COPD诊断指南》的诊断和严重程度分级标准确诊为COPD的老年患者100例(排除心脏并发症、肝肾功能不全者)纳入研究对象,作基线调查后随机分为试验组与对照组,每组各50例。对试验组患者通过定期家庭随访,针对性地作健康宣教、心理护理、营养指导,督导其参加定期举办的专题讲座,制订心肺功能康复训练计划,提倡戒烟,免费发放健康教育资料等综合护理;对照组患者主要沿袭以往的生活习惯,根据其病情需要作治疗。干预时间为1年。 结果 1年后,两组患者长期家庭氧疗的人数、COPD疾病急性发作次数、住院次数等差异均有统计学意义(P值lt;0.05)。 结论 坚持正确的综合护理干预,可明显减少老年COPD疾病急性发作次数、住院次数,提高生活质量。

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • Relationships between grip strength, monthly household income level, and depression in community-dwelling elderly female patients with type 2 diabetes

    ObjectiveTo explore the relationship between hand grip strength and depression and the moderating role of monthly household income level between grip strength and depression of community-dwelling female patients with type 2 diabetes.MethodsFrom March to June 2021, 3 communities in Chengdu were selected by convenience sampling method, and elderly female patients with type 2 diabetes were randomly selected from these communities. The patients were investigated through a self-made demographic and disease-related questionnaire and the Geriatric Depression Scale-15, and their grip strength was measured by a grip meter. The Process V3.3 plugin in SPSS 25.0 software was used to test the moderation effect.ResultsA total of 389 elderly female patients with type 2 diabetes were enrolled in this study. Spearman correlation analyses indicated that the grip strength was negatively correlated with the depression score (rs=−0.125, P=0.014), and positively correlated with the monthly household income level (rs=0.157, P=0.002); the depression score was negatively correlated with the monthly household income level (rs=−0.147, P=0.004). The results of the moderating effect showed that grip strength and monthly household income level could independently affect the patients’ depression scores [unstandardized partial regression coefficient (b)=−0.254, P=0.002; b=−1.552, P=0.009], and the interaction item of grip strength and monthly household income level was statistically significant for depression scores (b=0.065, P=0.031).ConclusionThe hand grip strength of community-dwelling elderly female patients with type 2 diabetes can negatively predict the level of depression, and the monthly household income level has a moderating effect between grip strength and depression.

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