International Journal of Nursing Research

Objective: To explore the application effect of extended rehabilitation nursing in elderly chronic diseases in community. Methods: In charge of the community health service center, 172 cases of elderly patients with chronic diseases were selected in the community from January 2019 to May 2021, and the nursing intervention for elderly patients with chronic diseases in the community was carried out with the "many" type extended rehabilitation nursing method, including investigation and file establishment according to the elderly chronic patients within the community hospitals responsibility scope. According to the actual condition of the patients, targeted nursing work was carried out, and the patients regular medication, regular examination and functional exercise were analyzed and compared before and after the intervention. At the same time, ADL(Daily Living Ability Scale) and SDS(Self-Rating Depression Scale) were used to compare the patients life and mental state before and after the nursing. Results: From the perspective of regular medication, regular examination and functional exercise, among 172 elderly patients with chronic diseases, 69 cases (40.12%) took regular medication before nursing intervention; 42 cases (24.42%) were examined regularly. 39 cases of functional exercise, accounting for 22.67%. After nursing intervention, 154 patients took medication regularly, accounting for 89.53%; 89 cases were checked regularly, accounting for 51.74%; There were 143 cases of functional exercise, accounting for 83.14%. The difference of data before and after nursing intervention was statistically significant (P < 0.05). From the perspective of daily life and psychological state, the SDS scores of 172 elderly patients with chronic diseases before nursing intervention (47.31±2.75) were significantly higher than those after nursing intervention (39.82±2.34)(P < 0.05). ADL score before nursing intervention (18.29±3.46) was significantly lower than that after intervention (22.37±3.07), and the difference was statistically significant (P < 0.05). Conclusion: "People" type extended rehabilitation nursing in community elderly chronic disease nursing intervention can effectively improve the quality of life of patients, improve the adverse psychological mood of patients, promote the recovery of patients, so it is worthy of application and promotion.

Extension; Rehabilitation nursing; Community; Chronic geriatric disease