目的 了解老年臥床患者社會活動情況及其影響因素。 方法 2009年12月－2011年2月應用社會功能評估量表對社區及醫院325例60歲以上老年臥床患者進行調查。 結果 老年臥床患者社會活動缺乏，主要社會活動為看表演或聽收音機、看電視，通過電話與鄰居、朋友、親戚交談等；較少有人參與宗教、社會事務聚會等活動；極少數人參加工作、做自愿者以及旅游的社會活動。不同的年齡、婚姻狀況、經濟收入、病情、臥床時間、臥床分級及家庭功能的老年患者社會活動評分差異有統計學意義（P＜0.05）。 結論 老年臥床患者社會活動缺乏，參與程度與年齡、婚姻狀況、經濟收入、病情、臥床時間及分級、家庭功能等多因素密切相關。需加大對老年臥床患者的關注力度，在為其疾癥治療提供幫助的同時，也需從精神、心理方面予以更多的關懷與疏導，為其能主動參與社會活動提供指導和支持。
目的:了解成都市住院老年男性尿失禁患者尿失禁處理用物的使用及并發癥發生情況。方法:用自行設計的量表對188位尿失禁老人的一般情況、尿失禁的分級及處理用物等進行調查。結果:隨著尿失禁的嚴重程度的增加,患者或其家人選擇的處理用物增加。男性尿失禁的不同處理用物被選用的多少依次為:尿布(585%)、尿壺(340%)、一次性尿墊(255%)、保鮮袋(186%)、避孕套式尿袋(69%)、留置導尿(37%)及假性尿器(27%),不同尿失禁分級的患者對處理用物的選擇差異有統計學意義(Plt;005);2周患者399%發生漏尿,133%局部皮膚發紅,27%皮膚糜爛及21%尿路感染。結論:臨床工作中應該根據尿失禁的不同分級及患者的綜合情況指導患者及其照顧者選擇合適的處理用物,目前老年男性尿失禁患者仍然欠缺舒適、經濟、實用的接尿設備。
Objective We searched the Cochrane Library（Issue 3, 2005 ）to identity evidence related to palliative treatment. We found that Opioids are effective for the palliation of breathlessness in terminal illness. Oral Morphine and hydromorphone is effective for cancer pain. Radiotherapy and Bisphosphonates can relief pain secondary to bone metastases. Corticosteroids can resolve malignant bowel obstruction in advanced gynaecological and gastrointestinal cancer.
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.
【摘要】 目的 評價撫觸對硬膜外麻醉穿刺疼痛的影響及效果。 方法 2009年1-12月，將485例行硬膜外麻醉穿刺患者隨機分為撫觸組（術中行撫觸干預）和對照組（常規護理），觀察兩組患者的穿刺程度、穿刺時間。 結果 撫觸組患者疼痛程度、穿刺時間較對照組有明顯改善，且差異有統計學意義（Plt;0.01）。 結論 撫觸可降低應激引起的硬膜外麻醉穿刺患者的疼痛程度，保持穿刺體位從而縮短穿刺時間，有利于麻醉操作順利進行。【Abstract】 Objective To evaluate the effect of touching on alleviating the pain in patients undergoing epidural anesthesia puncture. Methods A total of 485 patients who underwent epidural puncture from January to December 2009 were randomly divided into two groups: 259 in touching group and 226 in control group. In the touching group, the patients were touched and consoled while undergoing epidural puncture. The pain extent and time of puncture were observed and recorded. Results The level of pain and time of puncture were obviously alleviated and shortened in the touching group and the difference between the two groups was statistically significant. Conclusion Touching could reduce the stress and pain caused by epidural puncture, which may lead to maintain the puncture position and thereby shorten the puncture time. It helps to finish the narcotic operation favorably.
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.
目的：探討高齡老人臨終治療方式和地點需求的選擇，為臨床更好的開展臨終關懷護理服務，提高患者生存質量，建立完善的臨終關懷服務體系提供科學依據。方法：結合相關量表自行設計問卷對204名80歲以上的住院患者進行調查。結果：在選擇臨終治療方式時，依次為對癥治療、聽取醫生的安排、選擇不治療、希望繼續高技術治療、聽取子女們的安排。選擇臨終地點時，依次為愿意在醫院、在家中和在養老院渡過生命的最后時光。結論：高齡老人的臨終需求是多元化的，因此，在臨床工作中應針對不同的需求提供個性化護理。
【摘要】 目的 了解老年糖尿病患者運動鍛煉情況。 方法 以成都某教學醫院2009年2-8月住院的老年糖尿病患者106例為調查對象，采用自行設計的問卷對老年糖尿病患者進行運動鍛煉和相關知識及自我效能調查。 結果 35.8%的患者近1個月有運動鍛煉，僅有25.5%堅持運動鍛煉，43.4%的患者運動鍛煉效能低，不同年齡、性別、文化水平、婚姻狀況、收入、糖尿病病程與是否有鍛煉行為無明顯差異。 結論 老年糖尿病患者運動鍛煉行為較差，運動鍛煉相關知識缺乏，需要提高老年糖尿病患者對運動鍛煉相關知識的認識，增加患者運動鍛煉行為，提高患者的自我效能，提高老年人的生活質量。【Abstract】 Objective To understand the situation of exercise in the elderly diabetic patients. Methods At a teaching hospital in Chengdu, adopting the self-designed questionnaire, we investigated 106 elderly diabetic patients on their situation of doing exercises, the related knowledge and the self-potency, from February to August 2009. Results A total of 35.8% of the elderly diabetic patients did exercises within the recent month. Only 25.5% insisted doing exercises, and 43.4% of the patients’ exercise potency was low. There was no correlation between the exercise situation and age, sex, educational level, marital status, income, and duration of diabetes (Pgt;0.05). Conclusions The elderly diabetic patients′ exercise behavior is poorer, and they lack the related knowledge. Consequently, they need to enhance their exercise related knowledge, increase their exercise behavior to improve their self-efficacy and the quality of life.
目的 了解成都市臥床老年人的抑郁發生情況及影響因素。 方法 對2009年12月－2011年2月臥床時間＞1個月的325例臥床老年人采用老年抑郁量表、焦慮自評量表、生活滿意度指數A進行調查，并對影響的抑郁的相關因素進行統計分析。 結果 成都市臥床老年人抑郁的發生率為57.5%。不同病情、生活自理能力、焦慮情況、社會交往情況、生活的滿意度和家庭功能的老年人，其抑郁評分差異有統計學意義（P＜0.05）。多重線性回歸分析發現影響老年人抑郁的主要因素有病情、臥床分級、焦慮、社會活動、滿意度、文化程度，其中對生活滿意、有社會活動、文化程度高是保護因素，而焦慮、病情較重、臥床等級高是抑郁的危險因素。 結論 臥床老年人的抑郁發生率較高，應加強對臥床老年人，特別是病情重、焦慮、大部分或者全天臥床、低文化的臥床老人抑郁發生的關注，鼓勵老年人增加社會活動、提高老年人對生活的滿意度和增進他們的心理健康。
目的 了解老年臥床患者營養狀況及其相關因素，為臨床治療及健康宣教提供依據。 方法 采用簡易營養評價精法（MNA-SF）簡化量表調查2010年11月－2012年3月成都市住院老年臥床患者的營養狀況，同時采用自行設計的問卷調查其相關因素。 結果 老年臥床患者82.4%營養不良，而且不同文化程度、年齡、性別及病情的患者營養狀況不同，差異有統計學意義（P＜0.05），多因素分析發現，年齡、病情、臥床分級、抑郁是影響老年臥床患者營養的主要因素，病情重，年齡大、抑郁得分高、臥床分級高的老年臥床患者營養狀況越差。 結論 老年臥床患者營養狀況受多種因素影響，應根據患者不同情況進行營養相關知識宣教，改善患者的健康狀況。