Abstract:
Objective To investigate the effect of multidisciplinary integrated treatment and management model on the quality of life and prognosis in the elderly.
Methods A total of 168 geriatric patients admitted to Yuncheng Central Hospital from January 2012 to January 2015 were selected, of which 86 patients underwent multidisciplinary integrated management (observation group) and 82 patients underwent traditional medical management (control group). The average hospitalization days, disease improvement rate, complication rate, family satisfaction, the mini-mental state examination (MMSE) at admission, at discharge, and after 3 months of follow-up, activity of daily living scale (ADL), and Tinetti balance and gait scale to assess the mental state, daily living ability, and activity ability were recorded and compared.
Results The average length of stay of the observation group were significantly less than the control group, the disease improvement rate was significantly higher than that of the control group, and the complication rate was significantly lower than that of the control group, and the difference was statistically significant (t=3.689, χ2 =7.687, 6.233; P < 0.05 or 0.01). The satisfaction of family members in the observation group was significantly higher than that in the control group (χ2 =8.325, P < 0.05). Compared with admission, the MMSE, ADL, and Tinetti scores were significantly improved in the observation group at discharge and 3 months after discharge (at the time of discharge: t=11.564, 8.702, 15.929, and at 3 months follow-up: t=13.477, 10.633, 16.892, P < 0.01). MMSE, ADL, and Tinetti scores were significantly improved in the observation group at discharge and 3 months follow-up (at the time of discharge: t=7.609, 4.633, 13.427, at 3 months follow-up: t=7.521, 4.220, 15.347, both P < 0.01). Compared with the time of discharge, the MMSE, ADL, and Tinetti scores were significantly improved in the observation group at 3 months follow-up (t=2.262, 2.453, 2.243, P < 0.05). There was no significant improvement in the MMSE, BI, and Tinetti scores at 3-month follow in the control group (t=-0.469, -0.040, 0.516, both P > 0.05). There were no significant differences in MMSE, BI, and Tinetti scores between the two groups at time of hospitalization (t=0.276, -0.239, 0.003, P > 0.05). However, the MMSE, BI, and Tinetti scores of the observation group were higher than those of the control group at the time of discharge and 3 months follow-up (at the time of discharge: t=6.201, 5.164, 5.438, and 3 months follow-up: t=7.505, 11.869, 7.205; both P < 0.05).
Conclusion The multidisciplinary integrated treatment and management could improve the state of illness and life quality.
Key words:
Multidisciplinary integrated treatment and management,
Geriatrics,
Complication,
Satisfaction
Xia Li, Nianhuan Chang. The effect of multidisciplinary integrated treatment and management model on the quality of life and prognosis and medical management in the elderly[J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2018, 05(03): 33-36.