Effect analysis of continuity of care in home care for elderly patients with indwelling gastric tubes
延续性护理在老年留置胃管患者居家护理中的效果分析

摘要

目的 主要研究老年留置管患者居家护理方法，详细探讨延续性护理的应用效果。方法 研究对象以本院接受治疗出院的老年留置胃管患者，随机选取2022.08~2023.08期间的患者，共计86例予以分组护理，对照组（43例）采取常规居家护理，观察组（43例）应用延续性居家护理，对比分析2组患者居家护理期间的情况。结果 护理前评估患者营养指标（TSF、MAC、ALB），2组数值相比差异性不大，（p＞0.05），经护理后再次评估，观察组上述三项指标均比对照组较优，（p＜0.05）；针对2组患者照顾者护理能力（胃管观察、鼻饲管理、管道固定、并发症处理），观察组四项评分相比对照组更优，（p＜0.05）；2组患者胃肠道症状（呕吐、腹胀腹泻、便秘）发生率相比，观察组为13.95%，对照组为41.86%，相较之下观察组显著更低，（p＜0.05）；统计2组患者的再入院、主动咨询情况，相比观察组再入院率低、主动咨询率高，（p＜0.05）。结论 对于老年留置胃管患者的居家护理，应用延续性护理的效果良好，可有效提高患者照顾者的护理能力，以此改善患者营养指标与胃肠道症状，降低再入院风险，值得推广。

Abstract

Objective To study the home care methods for elderly patients with indwelling catheters and to explore in detail the application effects of continuity of care.
Methods The study subjects were elderly patients with indwelling gastric tubes who received treatment and were discharged from our hospital. A total of 86 patients were randomly selected from August 2022 to August 2023, and were divided into two groups for nursing care. The control group (43 cases) received routine home care, while the observation group (43 cases) received continuous home care. The situation of the two groups of patients during home care was compared and analyzed.
Results The nutritional indicators (TSF, MAC, ALB) of the patients were evaluated before nursing, and there was no significant difference between the two groups (p>0.05). After nursing, the observation group was re evaluated and all three indicators were better than the control group (p<0.05); For the nursing abilities of caregivers in two groups of patients (gastric tube observation, nasogastric feeding management, tube fixation, and complication management), the four scores of the observation group were better than those of the control group (p<0.05); The incidence of gastrointestinal symptoms (vomiting, bloating, diarrhea, and constipation) was significantly lower in the observation group compared to the control group at 13.95% and 41.86%, respectively (p<0.05); The readmission rate and active consultation rate of two groups of patients were statistically analyzed. Compared with the observation group, the readmission rate was lower and the active consultation rate was higher (p<0.05).
Conclusion   The application of continuity nursing has a good effect on home care for elderly patients with indwelling gastric tubes, which can effectively improve the nursing ability of caregivers, improve patient nutritional indicators and gastrointestinal symptoms, and reduce the risk of readmission. It is worth promoting.