愉悦因子输入心理护理联合目标管理理论护理在老年急性脑梗死患者中的应用

Application of Pleasure Factor Input Psychological Nursing and Target Management Theory Nursing in Elderly Patients with Acute Cerebral Infarction

目的探讨老年急性脑梗死(acute cerebral infarction,ACI)患者采用愉悦因子输入心理护理联合目标管理理论护理的效果。方法方便选取2022年5月—2023年4月济南市第一人民医院收治的162例老年ACI患者为有研究对象,以不同护理方法分成对照组(n=81)和干预组(n=81)。对照组给予常规护理,干预组给予愉悦因子输入心理护理联合目标管理理论护理,比较两组患者的肢体功能[Fugl-Meyer运动功能评估量表(Fugl-Meye Assessment Scale,FMA)]、心理韧性[心理弹性量表(Connor-Davidson Resilience Scale,CD-RISC)]、生活质量[生活质量综合评定问卷(Generic Quality of Life Inventory-74,GQOL-74)]及护理满意度。结果干预后,两组患者的FMA上肢、下肢评分均高于干预前,干预组上肢FMA评分[(45.35±6.16)分vs(42.85±5.86)分]、下肢评分FMA评分[(25.16±4.28)分vs(20.88±4.03)分]均高于对照组,差异有统计学意义(t=2.646、6.552,P均<0.05)。干预后,两组患者的CD-RISC评分均高于干预前,干预组CD-RISC评分高于对照组,差异有统计学意义(P均<0.05)。干预后,两组患者的GQOL-74评分均高于干预前,干预组GQOL-74评分高于对照组,差异有统计学意义(P均<0.05)。干预组护理满意度为90.48%(78/81)高于对照组的86.42%(70/81),差异有统计学意义(χ^(2)=5.004,P<0.05)。结论愉悦因子输入心理护理联合目标管理理论护理应用于老年ACI患者中,可提高患者肢体功能及心理韧性,改善患者生活质量,提高护理满意度。

Objective To explore the effect of pleasure factor input psychological nursing combined with target management theory nursing in elderly patients with acute cerebral infarction(ACI).Methods A total of 162 elderly patients with ACI admitted to Jinan First People's Hospital from May 2022 to April 2023 were conveniently selected as the study objects and divided into control group(n=81)and intervention group(n=81)by difference nursing methods.The control group was given routine nursing,and the intervention group was given pleasure factor input psychological nursing combined with target management theory nursing.The limb function[Fugl-Meyer Assessment Scale(FMA)],psychological resilience[Connor-Davidson Resilience Scale(CD-RISC)],quality of life[Generic Quality of Life Inventory-74(GQOL-74)]and nursing satisfaction were compared between the two groups.Results After intervention,the FMA scores of upper and lower limbs in the two groups were higher than those before intervention,the FMA scores of upper limbs[(45.35±6.16)points vs(42.85±5.86)points]and lower limbs[(25.16±4.28)points vs(20.88±4.03)points]in the intervention group were higher than those in the control group,and the differences were statistically significant(t=2.646,6.552,both P<0.05).After intervention,the CD-RISC scores of the two groups were higher than those before intervention,and the CD-RISC score of the intervention group was higher than that of the control group,the differences were statistically significant(all P<0.05).After intervention,the GQOL-74 scores of the two groups were higher than those before intervention,and the GQOL-74 score of the intervention group was higher than that of the control group,differences were statistically significant(all P<0.05).The nursing satisfaction of the two groups was 90.48%(78/81)in the intervention group,which was higher than 86.42%(70/81)in the control group,and the difference was statistically significant(χ^(2)=5.004,P<0.05).Conclusion The application of pleasure factor input psychological nursing combined with target management theory nursing in elderly ACI patients can improve the limb function and psychological resilience of patients,improve the quality of life of patients,and improve nursing satisfaction.