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智能医疗系统与跨学科护理团队相结合对居家老年人群生活质量的影响。

The Impact of Intelligent Medical Systems Combined with Interdisciplinary Care Teams on Home-Based Elderly Population's Quality of Life.

作者信息

Song Chong, Huang Yongpan, Zhan Wei, Liu Zhuhui, Yao Shiqing

机构信息

School of Medicine, Changsha Social Work College, Changsha, Hunan, 410004, People's Republic of China.

Xiangya School of Nursing, Central South University, Changsha, Hunan, 410013, People's Republic of China.

出版信息

J Multidiscip Healthc. 2025 Aug 22;18:5161-5172. doi: 10.2147/JMDH.S542529. eCollection 2025.

Abstract

BACKGROUND

This study examines the efficacy of an intelligent medical-elderly care integration model for improving quality of life among homebound seniors in Yuhua District, Changsha, China.

METHODS

A randomized controlled trial was conducted from May 2022 to April 2024 with 100 participants allocated equally to control and intervention groups through convenience sampling. While both groups received standard care, the intervention group additionally received intelligent care services. Outcomes were assessed using Activities of Daily Living (ADL), Physical Activity Performance (PAP), and Social-Cognitive Adaptation Assessment (SCAA) scales.

RESULTS

The intervention group demonstrated statistically significant improvements across all measures (P<0.05), with particularly notable outcomes in disability level transitions: moderate disability cases increased from 26% to 70%, while severe cases decreased from 58% to 14% (P<0.05). Comparative analysis revealed the intervention group significantly outperformed controls in PAP and SCAA scores (P<0.05).

CONCLUSION

The intelligent care model proves effective in enhancing functional capacity and reducing care dependency among homebound elderly, offering valuable insights for elderly care service optimization. Further research should explore long-term sustainability and cost-effectiveness.

摘要

背景

本研究旨在探讨智能医养结合模式对提高中国长沙雨花区居家老年人生活质量的效果。

方法

于2022年5月至2024年4月进行了一项随机对照试验,通过便利抽样将100名参与者平均分配到对照组和干预组。两组均接受标准护理,干预组额外接受智能护理服务。使用日常生活活动(ADL)、身体活动表现(PAP)和社会认知适应评估(SCAA)量表评估结果。

结果

干预组在所有指标上均显示出统计学上的显著改善(P<0.05),在残疾水平转变方面的结果尤为显著:中度残疾病例从26%增加到70%,而重度病例从58%下降到14%(P<0.05)。比较分析显示,干预组在PAP和SCAA评分方面显著优于对照组(P<0.05)。

结论

智能护理模式被证明在提高居家老年人的功能能力和减少护理依赖方面有效,为优化老年护理服务提供了有价值的见解。进一步的研究应探索长期可持续性和成本效益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8460/12379985/dfd6bfbf440b/JMDH-18-5161-g0001.jpg

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