The impact of home care based on information management platform on the quality of life of the elderly with dementia
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摘要: 目的 我国老龄化步伐逐渐加快,失智老人已经成为社会、家庭的重要负担。现代科技的发展为失智老人的管理提供便利的条件,本研究通过建立失智老人信息化管理平台,旨在减少居家失智老人的安全隐患,提高其生活质量。 方法 选取浙江医院2018年7—12月收治的符合病例入选标准的40例失智老人为观察组,通过成立专业团队,建立信息化管理平台对患者实施远程健康管理。选取该院2018年1—6月的符合病例入选标准的35例失智老人为对照组,采用常规干预,主要通过电话随访或上门服务。干预6个月后,采用老年痴呆患者生活质量量表(QOL-AD)调查2组患者的生命质量,并比较2组患者出现的安全隐患。 结果 2组患者干预前的QOL-AD总分及均分的差异均无统计学意义(均P>0.05)。观察组干预6个月后QOL-AD总分及均分分别为(28.56±4.21)分、(2.16±0.42)分,均高于对照组的(25.29±4.82)分、(1.92±0.47)分,差异有统计学意义(t=3.136、2.335,P=0.002、0.022)。观察组干预6个月内发生跌倒、坠床、走失、烫伤等安全隐患的总发生率为40.0%,低于对照组的68.6%,差异有统计学意义(χ2=6.122,P=0.013)。 结论 信息化管理利用现代化科技平台,改善了失智老人的就医体验,能够提高居家照顾失智老人的生活质量,减少安全隐患的发生,具有较高的应用价值。Abstract: Objective The pace of aging in our country is gradually accelerating, and the elderly with dementia has become an important burden to the society and family. The development of modern science and technology provides convenient conditions for the management of the mentally retarded elderly. This study aims to reduce the hidden danger of the safety of the mentally retarded elderly at home and improve their quality of life by establishing an information management platform for the mentally retarded elderly. Methods Forty cases of the elderly with dementia who met the criteria of case selection in Zhejiang Hospital from July to December 2018 were selected as the observation group, they were established a professional team and an information management platform to implement remote health management, 35 cases of the elderly with dementia who met the criteria of case selection in our hospital from January to June 2018 were selected as the control group, and they were given routine intervention, mainly through telephone follow-up or door-to-door service. After 6 months of intervention, QOL-AD was used to investigate the quality of life of the two groups of patients, and potential safety hazards in the two groups was counted. Results There was no significant difference in QOL-AD total score and mean score between the two groups(P>0.05).The total score and mean score of QOL-AD in the observation group were respectively 28.56±4.21 and 2.16±0.42, which were higher than 25.29±4.82 and 1.92±0.47 in the control group(t=3.136, 2.335, P=0.002, 0.022). The incidence of falls, falling to bed, loss and scald in the observation group was 40.0% lower than 68.6% in the control group, the difference was statistically significant(χ2=6.122, P=0.013). Conclusion Information management using modern technology platform can improve the medical experience of the elderly with dementia, improve the quality of life in home care for the elderly with dementia, reduce the occurrence of security risks, and has high application value.
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Key words:
- Information management /
- Nursing guidance /
- Home care /
- Mentally retarded elderly /
- Quality of life
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