Evaluation and cultivation of patients' self-care ability in the management of chronic diseases in the elderly
老年慢性疾病管理中的患者自我护理能力评估与培养

摘要

目的 讨论及研究老年慢性疾病管理中的患者自我护理能力评估与培养。方法 选择2025年1月-2025年12月于我院接受治疗的80例患者进行研究，随机数字表法分成对照组和实验组，每组40例，对照组为常规管理，实验组为综合管理，对比两组患者的自我护理能力，采用自我护理能力测定量表（Exercise of Self-Care Agency Scale, ESCA）、生活质量（World Health Organization Quality of Life-BREF, WHOQOL-BREF）进行评估。结果 实验组患者自我护理能力高于对照组，p<0.05，评估患者生活质量，实验组高于对照组，p<0.05。结论 对老年慢性疾病患者开展自我护理能力评估与培养的综合干预，使得患者的自我护理能力增加，同时提升了患者的生活质量，值得提倡。

Abstract

Objective To discuss and study the assessment and cultivation of patients’ self-care abilities in the management of chronic diseases in the elderly.
Methods A total of 80 patients treated in our hospital from January to December 2025 were selected for the study. They were randomly divided into a control group and an experimental group using a random number table, with 40 cases in each group. The control group received routine management, while the experimental group received comprehensive management. The self-care abilities assessed using the Self-Care Ability Scale (ESCA) and quality of life (WHOQOL-BREF) were evaluated between the two groups.
Results The self-care abilities of the experimental group were significantly higher than those of the control group (p<0.05). Similarly, the quality of life in the experimental group was significantly better than that in the control group (p<0.05).
Conclusion   Comprehensive intervention involving the assessment and cultivation of self-care abilities in elderly patients with chronic diseases has led to an increase in their self-care abilities and an improvement in their quality of life, which is worthy of promotion.