全程护理联合心理干预应用在老年脑梗死患者长期药物治疗期间的效果  

Effect of Whole Course Nursing Combined with Psychological Intervention on Elderly Patients with Cerebral Infarction During Long-term Drug Treatment

作　　者：程贺勤 姚明松 马爱勤 CHENG Heqin;YAO Mingsong;MA Aiqin(Nursing Department,Zhumadian Traditional Chinese Medicine Hospital,Zhumadian 463000,Henan,China;Outpatient Department,Zhumadian Traditional Chinese Medicine Hospital,Zhumadian 463000,Henan,China)

机构地区：[1]驻马店市中医院护理部,河南驻马店463000 [2]驻马店市中医院门诊部,河南驻马店463000

出　　处：《中国药物滥用防治杂志》2024年第9期1743-1746,共4页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省中医药科学研究专项课题(编号:20-21ZY2286)。

摘　　要：目的:探讨全程护理联合心理干预对老年脑梗死长期服药患者的影响。方法:选择2020年2月—2023年1月我院收治的老年脑梗死患者106例作为研究对象,随机分为心理组与对照组,各53例。对照组在服药期间给予全程护理,心理组给予全程护理联合心理干预,比较两组护理总有效率、服药依从性、心理状况及生活质量。结果:护理3个月后,心理组总有效率为98.11%,高于对照组的84.91%(P<0.05);心理组服药依从性为100.00%,高于对照组的88.68%(P<0.05);心理组SAS、SDS评分低于对照组(P<0.05);心理组精力、社会职能、情感职能、精神健康、生理机能、生理职能、躯体疼痛、一般健康状况等生活质量评分高于对照组(P<0.05)。结论:全程护理联合心理干预能改善老年脑梗死长期服药患者总体预后,缓解患者的焦虑与抑郁情绪,提高服药依从性和生活质量。Objective:To explore the effect of whole course nursing combined with psychological intervention on elderly patients with cerebral infarction and long-term medication.Methods:A total of 106 elderly patients with cerebral infarction admitted to our hospital from February 2020 to January 2023 were randomly divided into psychological group and control group,with 53 patients in each group.The control group was given whole-course nursing during the medication,and the psychological group was given wholecourse nursing combined with psychological intervention.The total effective rate of nursing,medication compliance,psychological status and quality of life were compared between the two groups.Results:After 3 months of nursing,the total effective rate of the psychological group was 98.11%,which was higher than 84.91%of the control group(P<0.05).The medication compliance of the psychological group was 100.00%,which was higher than 88.68%of the control group(P<0.05).The scores of SAS and SDS in the psychological group were lower than those in the control group(P<0.05).The quality of life scores of energy,social function,emotional function,mental health,physiological function,physiological function,physical pain and general health status in the psychological group were higher than those in the control group(P<0.05).Conclusion:Whole course nursing combined with psychological intervention can improve the overall prognosis of elderly patients with long-term medication for cerebral infarction,relieve anxiety and depression,and improve medication compliance and quality of life.

关 键 词：全程护理 心理干预 老年人 脑梗死 生活质量 

分 类 号：R473.74[医药卫生—护理学]