Search

Analysis of the Survey on Social Activities of Elderly Bedridden Patients

目的　了解老年卧床患者社会活动情况及其影响因素。 方法　2009年12月－2011年2月应用社会功能评估量表对社区及医院325例60岁以上老年卧床患者进行调查。 结果　老年卧床患者社会活动缺乏，主要社会活动为看表演或听收音机、看电视，通过电话与邻居、朋友、亲戚交谈等；较少有人参与宗教、社会事务聚会等活动；极少数人参加工作、做自愿者以及旅游的社会活动。不同的年龄、婚姻状况、经济收入、病情、卧床时间、卧床分级及家庭功能的老年患者社会活动评分差异有统计学意义（P＜0.05）。 结论　老年卧床患者社会活动缺乏，参与程度与年龄、婚姻状况、经济收入、病情、卧床时间及分级、家庭功能等多因素密切相关。需加大对老年卧床患者的关注力度，在为其疾症治疗提供帮助的同时，也需从精神、心理方面予以更多的关怀与疏导，为其能主动参与社会活动提供指导和支持。

老年慢性病患者跌倒风险及相关因素分析

目的了解老年慢性病患者跌倒发生情况及其相关因素，为临床预防跌倒提供依据。 方法运用自行设计的问卷量表，对2014年3月-5月住院的236例老年患者近3个月跌倒发生情况及相关因素进行调查和分析。 结果老年慢性病患者近3个月跌倒发生率为36.4%，年龄、健康状况、行走能力、锻炼情况、尿失禁、患多种疾病等是老年患者发生跌倒的相关因素；高龄、健康状况差、行走能力差、不坚持锻炼、有尿失禁和患有多种疾病的患者跌倒发生率高。 结论防范住院老年慢性病患者跌倒，应着力于老年高危人群跌倒的危险评估、早期预防、锻炼干预以及针对跌倒危险因素进行的多因素干预措施。

The Investment and Analyses about the Advanced Ages Choose of the Hospice Treatment and Place

目的：探讨高龄老人临终治疗方式和地点需求的选择，为临床更好的开展临终关怀护理服务，提高患者生存质量，建立完善的临终关怀服务体系提供科学依据。方法：结合相关量表自行设计问卷对204名80岁以上的住院患者进行调查。结果：在选择临终治疗方式时，依次为对症治疗、听取医生的安排、选择不治疗、希望继续高技术治疗、听取子女们的安排。选择临终地点时，依次为愿意在医院、在家中和在养老院渡过生命的最后时光。结论：高龄老人的临终需求是多元化的，因此，在临床工作中应针对不同的需求提供个性化护理。

体验式教学结合案例教学法在老年专科护士培训中的应用研究

目的研究应用体验式教学结合案例教学法进行老年专科护士培训的效果。 方法对2013年9月－2015年4月参加四川省老年专科护士培训的110名学员应用体验式教学结合案例教学法进行培训，分别于培训前后采用老年知识问卷（FAQ1）和老年人态度量表（KAOP）来调查学员老化知识水平和对老年人的态度。同时在培训结束后采用四川大学临床医学院课堂教学质量学生评价表评价教学效果，并与2012年首届专科护士培训学员评教水平进行比较。 结果培训后学员的老化知识得分和对老年人的态度得分均较培训前提高，差异有统计学意义（P＜0.05），且教学效果高于2012年首届专科护士培训学员评教水平。 结论应用体验式教学结合案例教学法进行老年专科护士培训，可有效提高学员老化知识水平，改善学员对老年人的态度，提高学习积极性，提高教学质量。

Willingness of elderly patients to use artificial intelligence robots and its influencing factors

Objective To broaden the current understanding of the usage willingness about artificial intelligence (AI) robots and relevant influence factors for elderly patients. Methods The elderly patients in the inpatient ward, outpatient department and physical examination of the Department of Geriatrics, West China Hospital of Sichuan University were selected by convenient sampling for investigation between February and April 2020, to explore the willingness of elderly patients to use AI robots and related influencing factors. Results A total of 446 elderly patients were included. There were 244 males and 202 females. The willingness to use AI robots was (14.40±3.62) points. There were statistically significant differences among the elderly patients with different ages, marital status, living conditions, educational level, current health status, current vision status, current hearing status, self-care ability and family support in their willingness to use AI robots (P<0.05). Multiple linear regression analysis showed that age, education level and family support were the influencing factors of use intention (P<0.05). Among the elderly patients, 60.76% had heard of AI robots, but only 28.03% knew the medical application of AI robots, and only 13.90% had used AI robot services. Most elderly patients (>60%) thought that some adverse factors may reduce their usage willingness, like “the price is too expensive” and “the use is complex, or I don’t know how to use”. Conclusions Elderly patients’ cognition of AI robots is still at a low level, and their willingness to use AI robots is mainly affected by age, education level and family support. It is suggested to consider the personalized needs of the elderly in terms of different ages, education levels and family support, and promote the cheap and user-friendly AI robots, so as to improve the use of AI robots by elderly patients.

The Investigation of the Appliances for Urinary Incontinence in Elderly Male Patients

目的:了解成都市住院老年男性尿失禁患者尿失禁处理用物的使用及并发症发生情况。方法:用自行设计的量表对188位尿失禁老人的一般情况、尿失禁的分级及处理用物等进行调查。结果:随着尿失禁的严重程度的增加,患者或其家人选择的处理用物增加。男性尿失禁的不同处理用物被选用的多少依次为:尿布(585%)、尿壶(340%)、一次性尿垫(255%)、保鲜袋(186%)、避孕套式尿袋(69%)、留置导尿(37%)及假性尿器(27%),不同尿失禁分级的患者对处理用物的选择差异有统计学意义(Plt;005);2周患者399%发生漏尿,133%局部皮肤发红,27%皮肤糜烂及21%尿路感染。结论:临床工作中应该根据尿失禁的不同分级及患者的综合情况指导患者及其照顾者选择合适的处理用物,目前老年男性尿失禁患者仍然欠缺舒适、经济、实用的接尿设备。

成都市社区卧床老年人抑郁状况调查分析

【摘要】　目的　了解成都市社区卧床老年人抑郁的发生情况及影响因素。　方法　2009年12月—2011年2月对成都市5个社区卧床时间gt;1个月的131例老年人采用老年抑郁量表进行调查。　结果　社区卧床老年人的抑郁发生率为76.3%，年龄、医疗费用报销程度、病情状况、卧床级数、卧床时间、生活自理能力和社会活动等不同的卧床老年人抑郁发生率差异有统计学意义（Plt;0.05）；年龄gt;80岁，且医药费自理、全天及大部分时间卧床、病情较重、卧床时间gt;12个月的患者、自理能力评分较高及没有社会交往的卧床老年人抑郁发生率较高。　结论　社区卧床老年人的抑郁检出率高，应加强对卧床老年人，特别是自费、全天及大部分时间卧床、病情较重、卧床时间长、自理能力差、缺乏社会活动的卧床老年人的抑郁情况予以特别关注，增进其心理健康。

Application of quality control circle in improvement of activities of daily living in Barthel Index in older inpatients

ObjectiveTo improve activities of daily living (referring to Barthel Index) in the older inpatients.MethodsIn January 2016, a quality control circle (QCC) was established. According to 10 steps in activity of QCC, we figured out the causes of low Barthel Index score in older inpatients by using Plato method and Fishbone Diagram which were common methods of QCC. In addition, we designed and implemented a rectification program to improve Barthel Index score.ResultsAfter intervention of QCC, the average Barthel Index score of the older inpatients increased from 72.40±6.42 to 89.30±5.87 with a statistical difference (P<0.01); the satisfaction percent of hospitalized patients increased from 94.5% to 98.7% with a statistical difference (P<0.01). The percentage of registered nurses whose theoretical test score were over 90 increased from 57% to 88% (P<0.01) and the satisfaction percent of nurses increased from 90.5% to 95.6% (P<0.01). Moreover, the member’s ability of learning, discovery, analysis and problem solving, communication, application of QCC skills were improved.ConclusionThe application of QCC activities will increase older inpatients’ Barthel Index score, improve the satisfaction of patients and nursing staff, and enhance the members’ ability of solving problems by using QCC skills.

一种多腔气管导管介绍

简易加取液护理托盘的研制