养老机构实施团队健康干预的效果评价

Evaluation on the effect of allied health intervention on the elderly in nursing home

摘要:

目的：探讨实施团队健康干预在提升养老机构老人生活质量的作用。方法：运用方便抽样对2所养老机构82位老人实施团队健康干预，分别在老人入住1周内与入住3个月后运用SF-36健康调查问卷（the Mos 36-item short form health survey，SF-36）和微型营养评估问卷（mini nutritional assessment，MNA）对养老机构老人进行生活质量评价。结果：养老机构老人实施3个月团队健康干预后老人SF-36总均分和个维度得分显著提高，较入住1周内比较，差异有统计学意义（P=0.000）。MNA得分差异比较无统计学意义（P >0.05），但MNA得分与SF-36总均值和其8个维度呈正相关性，其干预后相关系数分别为：总均分rs=0.684、生理机能（physical functioning，PF）rs=0.643、生理职能（role physical，RP）rs=0.439、躯体疼痛（bodily pain，BP）rs=0.551、一般健康状况（general health，GH）rs=0.602、精力（vitality，VT）rs=0.532、社会功能（social functioning，SF）rs=0.478、情感职能（role-emo－tional，RE）rs=0.333、精神健康（mental health，MH）rs=0.396。结论：对养老机构老人实施团队健康干预，能有效提高老人生活质量。

Abstract:

Objective：To explore the role of allied health intervention in improving the life quality of the elderly in nursing home. Methods：The 82 elderly were selected through convenience sampling from two nursing homes and allied health intervention was im－plemented. The Mos 36-item short form health survey（SF-36） and the mini nutritional assessment（MNA） were applied to evaluate the life quality at one week and three months after the check in. Results：After three months，the total mean score and eight dimensional scores of SF-36 were improved significantly and there were statistical differences in the scores of the SF-36（P=0.000） but no statis－tical difference in the scores of MNA between one week and three months（P >0.05）. There were positive correlation between the total mean score and eight dimensional scores of SF-36 and MNA score（the total mean score rs=0.684，physical functioning rs=0.643，role physical rs=0.439，bodily pain rs=0.551，general health rs=0.602，vitality rs=0.532，social functioning rs=0.478，role-emotional rs=0.333，mental health rs=0.396. Conclusion：Quality of life of the elderly in the nursing home can be effectively improved through the allied health intervention.