个性化心理护理在老年脑梗死患者护理中的应用价值

Application Value of Personalized Psychological Nursing in the Nursing of Elderly Patients with Cerebral Infarction

目的探讨对老年脑梗死患者行个性化心理护理的临床效果。方法选取2018年4月至2019年4月到我院接受治疗的92例老年脑梗死患者进行对比研究,根据随机数表法将所有患者分为个性化组和对照组,46例个性化组给予个性化护理干预的措施,46例对照组给予常规护理干预措施,比较两组患者的治疗依从性、护理前后的心理情绪评分和护理前后的生活质量评分以及对护理的满意程度。结果个性化组完全依从性30例(65.22%),部分依从性12例(26.09%),不依从性4例(8.70%);对照组完全依从性10例(21.74%),部分依从性24例(52.17%),不依从性12例(26.09%)。个性化组的治疗依从性为91.30%(42/46),明显高于对照组的73.91%(34/46),差异有统计学意义,P<0.05。两组护理前的焦虑自评量表(SAS)评分以及抑郁自评量表(SDS)评分差异无统计学意义(P>0.05),护理后个性化组的SAS评分和SDS评分均明显低于对照组,P<0.05。护理前,个性化组和对照组的生活质量评分差异无统计学意义(P>0.05),经过护理之后,个性化组的生活质量评分要比对照组患者的分数更高(P<0.05)。在护理满意度的比较中,个性化组的满意度为95.65%,高于对照组的69.57%,差异有统计学意义(P<0.05)。结论对老年脑梗死患者给予个性化的护理干预措施,有助于改善患者的不良情绪状态,提高患者对于临床治疗的依从性,护理效果肯定。

Objective To explore the clinical effect of personalized psychological nursing for elderly patients with cerebral infarction.Methods Ninety-two elderly patients with cerebral infarction who were treated in our hospital from April 2018 to April 2019 were selected for comparative study.According to the method of digital random table,all patients were divided into personalized group and control group.The 46 cases of personalized group were given personalized nursing intervention measures.The 46 cases of control group was given routine nursing intervention measures.The treatment compliance rate of patients and psychological and emotional scores before and after nursing care,the quality of life scores before and after nursing care and the degree of satisfaction with nursing care were compared.Results In the personalized group,30 cases(65.22%)were completely compliant,12 cases(26.09%)were partially compliant,and 4 cases(8.70%)were non-compliant;in the control group,10 cases(21.74%)were completely compliant,and 24 cases were partially compliant(52.17%),12 cases of non-compliance(26.09%).The treatment compliance of the personalized group was 91.30%(42/46),which was significantly higher than 73.91%of the control group(34/46)(P<0.05).There was no significant difference in the self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score between the two groups before nursing(P>0.05),and the SAS score and SDS score of the personalized group after nursing were significantly lower than the control group,P<0.05.Before nursing,there was no significant difference in the scores of quality of life between the personalized group and the control group(P>0.05).After nursing,the scores of the quality of life in the personalized group were higher than those in the control group,and the difference was statistically significant(P<0.05).In the comparison of nursing satisfaction,the satisfaction rate of the personalized group was 95.65%,which was higher than 69.57%of the control group(P<0.05).Conclusion Individualized nursing intervention measures for elderly patients with cerebral infarction can help to improve the patient's negative emotional state,improve the patient's compliance with clinical treatment,and the nursing effect is positive.