心理护理干预对老年慢性心力衰竭患者治疗依从性及SAS、SDS评分的影响

Effect of psychological nursing intervention on the treatment compliance and SAS,SDS scores in elderly patients with chronic heart failure

目的探讨和分析心理护理干预对老年慢性心力衰竭患者治疗依从性及SAS、SDS评分的影响。方法选取2015年12月~2016年12月100例老年慢性心力衰竭患者作为研究对象,年龄≥60岁。根据护理方法不同随机分为干预组、对照组,每组各50例。对照组应用常规护理,干预组在对照组的基础上采取心理护理干预,比较两组患者的治疗依从率、两组患者干预前后的SAS、SDS评分变化、两组患者对护理人员工作的护理满意度。结果干预组患者的治疗依从率达96%,显著高于对照组的76%,差异有统计学意义(P<0.05)。干预组与对照组患者干预后的SAS评分分别为(32.5±8.1)分、(42.8±6.2)分,差异有统计学意义(P<0.05)。干预组与对照组患者干预后的SDS评分分别为(31.3±9.2)分、(41.2±6.5)分,差异有统计学意义(P<0.05)。干预组患者对护理人员工作的护理满意度达98%,显著高于对照组的76%,两组患者对护理人员工作的护理满意度比较,差异有统计学意义(P<0.05)。结论心理护理干预能显著提高老年慢性心力衰竭患者的治疗依从性,降低SAS、SDS评分,减轻患者的焦虑、紧张、抑郁等负性心理,提高对护理人员工作的护理满意度。

Objective To explore and analyze the effect of psychological nursing intervention on the treatment compliance and SAS and SDS scores in the elderly patients with chronic heart failure. Methods A total of 100 elderly patients with chronic heart failure from December 2015 to December 2016 were selected as the research subjects, aged ≥60 years old. According to the different nursing methods, they were randomly divided into the intervention group and the control group, with 50 cases in each group. The control group was given routine nursing care, and the intervention group was given psychological nursing care intervention on the basis of the control group. The treatment compliance rate was compared between the intervention group and the control group, the changes of SAS and SDS scores in the two groups before and after the intervention was compared, and the nursing satisfaction with the nursing staff was compared between the two groups. Results The treatment compliance rate was 96% in the intervention group, which was significantly higher than that of 76% in the control group, there was statistically significant difference between the two groups （P〈0.05）. The SAS scores after the intervention in the intervention group and the control group were（32.5±8.1） and （42.8±6.2） respectively, there was statistically significant difference between the two groups （P〈0.05）. The scores of SDS after the intervention in the intervention group and the control group were （31.3±9.2） and （41.2±6.5）, there was statistically significant difference between the two groups （P〈0.05）. The satisfaction rate with the nursing works in the intervention group was 98%, which was significantly higher than that of 76% in the control group, there was statistically significant difference between the two groups（P〈0.05）. Conclusion Psychological nursing care intervention can significantly improve the treatment compliance of elderly patients with chronic heart failure, reduce the SAS and SDS scores, reduce the anxiety, tension, depression and other negative emotions, and improve the satisfaction degree with nursing works.