Effect of integrated rehabilitation nursing on ability in activities of daily life and depressive symptoms in elderly bedridden patients
SHU Jiao-jiao1, SUN Jun-yu2, ZHOU Yan-yan1, Palida·Maimaiti1
1. School of Nursing, Xinjiang Medical University, Urumqi, Xinjiang 830011, China; 2. School of Nursing, Wuchang University of Technology, Wuhan, Hubei 430223, China
Abstract:Objective To explore the application effect of integrated rehabilitation nursing on improving the ability of activity of daily living and depressive symptoms of elderly bedridden patients. Methods A total of 128 elderly bedridden patients who were selected from a geracomium in Urumqi in June-September, 2018 were randomly divided into three grades (A, B and C) according to the bedridden diagnostic criteria. Patients with different bedridden grades were randomly divided into the observation groups and the control groups. The control groups were given conventional treatment and nursing, while the observation groups received integrated rehabilitation nursing intervention on the basis of the control groups. Before and 8 weeks after the intervention, we gathered general information and evaluated activities of daily living (ADL) by Barthel index and depressive symptoms by Geriatric Depression Scale-30 (GDS-30). Results No statistically significant differences were found in the scores of ADL and GDS between the control groups and the observation groups before the intervention (P>0.05). 8 weeks after the intervention, the scores of ADL in patients with bedridden grades A, B and C in the observation groups significantly increased (grade A: (68.70±5.68) vs. (83.69±8.29), t=11.247, P<0.001; grade B: (52.50±5.26) vs. (74.75±9.39), t=15.112, P<0.001; grade C: (31.36±5.81) vs. (34.32±5.19), t=2.891, P=0.009), while the scores of GDS significantly decreased (grade A: (13.39±4.08) vs. (10.04±4.33), t=-3.076, P=0.006; grade B: (15.51±4.83) vs. (11.90±4.29), t=-5.190, P<0.001; grade C: (18.23±4.93) vs. (14.50±5.46), t=-3.582, P=0.009), showing statistically significant differences (all P<0.05). Before and 8 weeks after the intervention, the scores of ADL and GDS in patients with bedridden grades A, B and C in the control groups were as follows: grade A: ((68.81±6.51) vs. (70.00±7.07), t=1.588, P=0.135)) and ((13.52±4.78) vs. (13.10±4.39), t=-1.752, P=0.095)); grade B: ((53.64±4.92) vs. (55.45±5.96), t=1.789, P=0.088)) and ((16.36±5.20) vs. (15.14±5.15), t=-1.618, P=0.121)), and grade C: ((30.75±5.45) vs. (31.25±4.55), t=0.567, P=0.577)) and ((19.10±5.95) vs. (19.30±6.03), t=1.453, P=0.163)), without statistically significant differences (all P>0.05). 8 weeks after the intervention, the above-mentioned indicators in patients with bedridden grades A, B and C in the observation groups were significantly superior to those in the control group, with statistically significant differences (all P<0.05). Conclusions Integrated rehabilitation nursing can improve elderly bedridden patients’ ability in activity of daily living, delay the bedridden process, and reduce the depression.
束娇娇, 孙骏玉, 周燕燕, 帕丽达·买买提. 综合康复护理对老年卧床患者日常生活能力及抑郁症状的影响[J]. 实用预防医学, 2019, 26(8): 927-931.
SHU Jiao-jiao, SUN Jun-yu, ZHOU Yan-yan, Palida·Maimaiti. Effect of integrated rehabilitation nursing on ability in activities of daily life and depressive symptoms in elderly bedridden patients. , 2019, 26(8): 927-931.