志愿者参与的奥马哈系统干预防范社区老年人失能风险研究
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女,硕士在读,学生

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国家社会科学基金项目(20BSH121)


Volunteer-based Omaha systematic intervention to prevent risk of disability among older adults in the community
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    摘要:

    目的 探讨志愿者参与的奥马哈系统干预对社区老年人失能风险的影响。方法 2022年3~9月,将120例社区老年人随机分为对照组、观察组和志愿者组。对照组为空白对照,观察组给予基于奥马哈系统的综合干预,志愿者组引入志愿者参与综合干预,共干预3个月。分别于干预前、干预3个月后采用奥马哈结局评价表、老年人失能风险评价量表、世界卫生组织生活质量测定简表评价干预效果。结果 干预后,志愿者组和观察组健康行为领域的各项目得分均高于对照组,其中志愿者组营养、身体活动、个人照料得分更高(均P<0.05);志愿者组和观察组的失能风险评价量表总分显著低于对照组(均P<0.05);志愿者组和观察组生活质量得分显著高于对照组(P<0.05)。结论 志愿者参与基于奥马哈系统的综合干预,能够改善老年人的健康行为,降低老年人的失能风险,提高其生活质量。

    Abstract:

    Objective To explore the effects of volunteer-based Omaha System intervention on disability risk and quality of life of elderly people in the community. Methods From March to September 2022,120 elderly people who met the criteria in the community were selected as research objects and randomly divided into control group,intervention group and volunteer group.The control group was a blank control,the intervention group was given comprehensive intervention based on the Omaha system,and the volunteer group was introduced to participate in the comprehensive intervention for a length of 3 months. The effects of the intervention were evaluated by the Omaha Problem Rating Scale for Outcomes, the Disability Risk Assessment Scale for the Elderly and the WHO Brief Quality of Life Measurement Table (WHOQOL-BREF) before and after the intervention,respectively. Results After intervention,the scores of health behaviors in both the intervention group and the volunteer group were higher than those in the control group,and the scores of nutrition, physical activity and personal care in the volunteer group were more significant(P<0.01). The total score of disability risk assessment scale in intervention group and volunteer group was lower than that before intervention and control group, the difference was statistically significant (P<0.05). The score of quality life of intervention group and volunteer group was higher than that of control group, the difference was statistically significant (P<0.05). Conclusion The comprehensive intervention and volunteer participation based on the Omaha system can effectively reduce the risk of disability and improve the quality of life of the elderly.

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卢孟倩,杜晓菲,张艳,汪凤兰,邢凤梅.志愿者参与的奥马哈系统干预防范社区老年人失能风险研究[J].护理学杂志,2023,38(10):112-117

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  • 收稿日期:2022-12-20
  • 最后修改日期:2023-02-26
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  • 在线发布日期: 2023-12-29