老年精神病患者护理中应用个性化护理的效果

The Effect of Applying Personalized Nursing in the Nursing of Elderly Mental Patients

目的探讨个性化护理在老年精神病患者临床护理中的应用效果。方法从2018年4月—2019年10月阶段在该院治疗的老年精神病患者中方便选取96例,以随机原则将入组患者分成两组,包括观察组(n=48)和对照组(n=48)。观察组和对照组分别配合个性化护理干预和常规护理干预。比较两组患者护理前后的NOSIE评分、ADL评分改善情况及其护理后的生活质量。结果观察组与对照组护理前的NOSIE评分为(135.22±20.19)分、(137.58±20.54)分,ADL评分为(31.53±5.89)分、(30.98±5.92)分,两组相比差异无统计学意义(t=0.657、1.267,P>0.05)。观察组与对照组护理后的NOSIE评分为(183.53±21.28)分、(140.92±20.53)分,较护理前有明显升高,且升高幅度显著大于对照组,差异有统计学意义(t=11.538,P<0.05);而观察组与对照组护理后的ADL评分为(24.35±5.37)分、(30.85±5.16)分,较护理前明显降低,降低幅度显著大于对照组,差异有统计学意义(t=6.836,P<0.05)。观察组和对照组的职业功能、父母职能、婚姻职能、社交能力、家庭职能、兴趣活动、责任心以及总分等各项SDSS评分,观察组患者显著低于对照组,差异有统计学意义(t=3.785、3.859、3.626、4.733、3.607、4.065、3.746、6.052,P<0.05)。结论对老年精神病患者实施个性化护理,能够有效改善患者的治疗效果和行为障碍程度,从而提高患者的生活质量,应用效果显著。

Objective To explore the effect of personalized nursing in the clinical nursing of elderly mental patients.Methods From April 2018 to October 2019,96 cases of elderly mental patients treated in the hospital were convenient selected,and the enrolled patients were divided into two groups based on random principle,including observation group(n=48)and control group(n=48).The observation group and the control group cooperated with personalized nursing intervention and routine nursing intervention,respectively.The improvement of NOSIE score,ADL score before and after care between the two groups of patients and the quality of life after nursing were compared.Results The observation group and the control group had NOSIE scores of(135.22±20.19)points,(137.58±20.54)points,and ADL scores of(31.53±5.89)points,(30.98±5.92)points before the nursing,the difference was not statistically significant(t=0.657,1.267,P>0.05).The NOSIE scores of the observation group and the control group after care were(183.53±21.28)points and(140.92±20.53)points,which were significantly higher than before the care,and the increase was significantly greater than the control group,the difference was statistically significant(t=11.538,P<0.05);the ADL scores of the observation group and the control group after care were(24.35±5.37)points and(30.85±5.16)points,which were significantly lower than before the care,and the decrease was significantly greater than the control group,the difference was statistically significant(t=6.836,P<0.05).The SDSS scores of the occupational function,parental function,marriage function,social ability,family function,interest activity,responsibility and total score of the observation group and the control group were significantly lower in the observation group than the control group,and the difference was statistically significant(t=3.785,3.859,3.626,4.733,3.607,4.065,3.746,6.052,P<0.05).Conclusion The implementation of personalized care for elderly patients with mental illness can effectively improve the treatment effect and behavioral disorder of patients,thereby improving the quality of life of patients,and the application effect is remarkable.