正念心理干预在老年高血压脑出血患者护理中的应用价值  

The value of mindfulness psychological intervention in the care of elderly patients with hypertensive intracerebral hemorrhage

作　　者：陈雨秋 张佳佳[1] 吴苏 CHEN Yuqiu;ZHANG Jiajia;WU Su(Affiliated Hospital of Nantong University,Nantong 226000,China)

机构地区：[1]南通大学附属医院,江苏南通226000

出　　处：《心理月刊》2024年第24期140-142,共3页

基　　金：2019年度南通市市级科技计划项目(JCZ19055)

摘　　要：目的 探究正念心理干预在老年高血压脑出血患者护理中的应用价值。方法 选取南通大学附属医院2020年5月~2022年5月期间收治的86例老年高血压脑出血患者作为研究对象,通过随机抽样方法将其分为两组,每组43例,分别作为对照组和观察组。对照组采用常规护理措施,观察组采用正念心理干预。干预后第6个月开展随访工作,观察焦虑评分、抑郁评分、护理依从性、并发症发生情况,检测患者干预前后收缩压、舒张压状态变化,采用美国国立卫生研究院卒中量表(NIHSS)评分、健康调查简表(SF-36)评分、舒适状况量表(GCQ)评分、症状自评量表(SCL-90)评分对患者预后进行评定。正态计量资料采用t检验,计数资料采用x^(2)检验。结果干预后,观察组焦虑、抑郁评分低于对照组(P<0.05);观察组护理依从性高于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05);观察组收缩压及舒张压均低于对照组(P<0.05);干预后,观察组NIHSS评分、SF-36评分、GCQ评分、SCL-90评分优于对照组(P<0.05)。结论 正念心理干预在老年高血压脑出血患者中具有显著效果,能够有效降低患者并发症发生风险,提高依从性,改善其心理及预后状态。Objective To explore the application value of mindfulness psychological intervention in the nursing of elderly patients with hypertensive cerebral hemorrhage.Methods In the Affiliated Hospital of Nantong University,86 elderly patients with hypertensive cerebral hemorrhage treated from May 2020 to May 2022 were included as study subjects and were divided into two groups by random sampling,with 43 cases in each group as control group and observation group.Routine care measures were used in the control group and mindfulness psychological intervention in the observation group.Follow-up at 6 months after intervention,anxiety scores,depression scores,nursing compliance,complications,and changes of systolic and diastolic blood pressure before and after intervention,the National Institutes of health stroke scale(NIHSS)score,health survey(SF-36)score,comfort scale(GCQ)score and the symptom self-rating scale(SCL-90)score.Normal measurement data were tested by t test and x^(2) test for counting data.Results After the intervention,the anxiety and depression scores were lower than the observation group(P<0.05);nursing compliance was higher than the control group(P<0.05);the observation group was lower(P<0.05);the systolic and diastolic BP(P<0.05);after the intervention,the NIHSS,SF-36,GCQ,and SCL-90 scores were better than the control group(P<0.05).Conclusion Mindfulness psychological intervention has a significant effect in elderly patients with hypertensive cerebral hemorrhage,which can effectively reduce the risk of complications,improve compliance,and improve their psychological and prognosis status.

关 键 词：正念心理干预 老年 高血压脑出血 并发症 收缩压 舒张压 

分 类 号：R47[医药卫生—护理学]