时效性激励护理对老年急性脑梗死患者心理状况及自护能力的影响

Effect of Time-Effective Incentive Nursing on Psychological Status and Self-Care Ability of Elderly Patients with Acute Cerebral Infarction

目的探究时效性激励护理对老年急性脑梗死(ACI)患者心理状况及自护能力的影响.方法选取2020年9月至2022年11月南昌大学第二附属医院收治的87例老年ACI患者,根据随机数字表法分为对照组(n=44)和观察组(n=43).对照组进行常规护理,观察组在常规护理基础上进行时效性激励护理.于护理前、后分别评估2组心理状况[汉密顿抑郁量表(HAMD)、焦虑自评量表(SAS)]、自护能力[自护能力测定表(ESCA)]、心理韧性[心理弹性量表(CD-RISC)]水平.结果护理后,2组HAMD、SAS评分均下降,CD-RISC评分及ESCA各维度得分升高(均P<0.05).且护理后观察组HAMD、SAS评分低于对照组,CD-RISC评分及ESCA各维度得分高于对照组(P<0.05或P<0.001).结论时效性激励护理能够改善老年ACI患者焦虑、抑郁心理,提高其心理韧性及自护能力.

Objective To explore the effect of time-effective incentive nursing on the psychological status and self-care ability of elderly patients with acute cerebral infarction(ACI).Methods Eighty-seven elderly patients with ACI admitted to our hospital from September 2020 to November 2022 were randomly given routine nursing alone(control group,n=44)or in combination with time-effective incentive nursing(observation group,n=43).The scores of Hamilton Depression Scale(HAMD),Self-Rating Anxiety Scale(SAS),Self-Care Ability Scale(ESCA)and Psychological Resilience Scale(CD-RISC)were compared between the two groups.Results After nursing,the scores of HAMD and SAS decreased,while the scores of CD-RISC and ESCA in all dimensions increased in both groups(P<0.05).Furthermore,compared with the control group,the scores of HAMD and SAS decreased and the scores of CD-RISC and ESCA increased in the observation group(P<0.05 or P<0.001).Conclusion Time-effective incentive nursing can relieve anxiety and depression and improve psychological resilience and self-care ability in elderly patients with ACI.