互动式小组娱乐活动在老年护理医院新入住患者心理干预中的应用

Application of interactive group recreation activities in psychological intervention of newly admitted patients in geriatric nursing hospital

目的:观察互动式小组娱乐活动在老年护理医院新入住患者心理干预中应用的疗效。方法:选取2022年6月至2023年6月新入住上海市金山区众仁老年护理医院的患者100例,平均年龄(74.7±10.2)岁。随机分为对照组和干预组各50例,两组患者均针对基础疾病采取规范化治疗和护理,干预组患者在对照组的基础上由社工组织开展互动式小组娱乐活动。记录两组病例治疗前后的汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)以及睡眠状况自评量表(SRSS)数据,并进行对比分析。结果:入组时,两组患者的各项评分差异无统计学意义(P>0.05);对照组患者治疗后的HAMD、HAMA、SRSS评分高于治疗前,差异均有统计学意义(均P<0.05);干预组患者治疗后的HAMD、HAMA、SRSS评分低于治疗前,差异均有统计学意义(均P<0.05)。干预组患者治疗后的HAMD、HAMA、SRSS评分低于对照组患者,差异均有统计学意义(均P<0.05)。结论:老年患者初次入住护理医院,精神、心理、睡眠发生改变。开展互动式小组娱乐活动能有效改善患者的焦虑、抑郁心境和睡眠质量。

Objective:To observe the therapeutic effect of interactive group recreational activities in psychological intervention of newly admitted patients in geriatric nursing hospitals.Methods:One hundred patients newly admitted to Zhongren Geriatric Nursing Hospital in Jinshan District of Shanghai from June 2022 to June 2023 were selected and the average age was(74.7±10.2)years.They were randomly divided into a control group and an intervention group with 50 cases each.Patients in both groups received standardized treatment for basic diseases,and nursing,and the intervention group developed the interactive group recreation activities organized by social workers on the basis of the control group.The data of Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)and sleep status self-rating scale(SRSS)before and after treatment were recorded in the two groups,and a comparative analysis was made.Results:At the time of admission,there was no statistical difference between the two groups(P>0.05);HAMD,HAMA and SRSS data in the control group after treatment were higher than those before treatment,with statistical significance(P<0.05);HAMD,HAMA and SRSS data in the intervention group after treatment were significantly lower than those before treatment,with statistical significance(P<0.05).HAMD,HAMA and SRSS data in the intervention group were significantly lower than those in the control group,with statistical significance(P<0.05).Conclusion:The mental,psychological and sleep change in the elderly patients when they first check into the nursing hospital.Interactive group recreational activities can effectively improve the anxiety,depression and the quality of sleep in the patients.