首页|心理护理对老年慢性心力衰竭患者的效果

心理护理对老年慢性心力衰竭患者的效果

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目的 探讨对老年慢性心力衰竭患者开展心理护理干预的临床价值及对心理状态的改善效果.方法 于2019年5月~2022年4月阶段采集病例展开研究,纳入90例老年慢性心力衰竭患者为研究对象,以系统抽样法分2组,对照组(45例)实行常规护理、观察组(45例)实行心理护理干预;评估对比患者干预前后心理状态和心理弹性,同时比较两组心功能指标.结果 干预前,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、心理弹性量表(CD-RISC)评分比较无统计学差异(P>0.05),观察组干预后SAS、SDS评分较对照组显著低,CD-RISC评分高于对照组(P<0.05);干预前两组左心室射血分数(LVEF)、6分钟步行距离无统计学差异(P>0.05),干预后,观察组LVEF、6分钟步行距离显著高于对照组(P<0.05).结论 心理护理干预实施于老年慢性心力衰竭患者护理中,可明显缓解患者负性情绪,并实现心理弹性的提升,从而促进患者心功能改善,取得良好的生活质量.
The effect of psychological nursing intervention on the elderly patients with chronic heart failure
Objective To explore the clinical value of psychological nursing intervention in elderly patients with chronic heart failure and the improvement effect on their psychological status.Methods From May 2019 to April 2022,90 elderly patients with chronic heart failure who were admitted to the hospital and treated by strict admission and dis-charge standards were enrolled in the study.They were divided into two groups by systematic sampling method.They were divided into control group(45 cases)and observation group(45 cases)for routine nursing and observation group(45 cases)for psychological nursing intervention.The mental state and resilience of the patients before and after the in-tervention were evaluated and compared,and the cardiac function indexes of the two groups were compared.Results Before intervention,Self-Rating Anxiety Scale(SAS),Self-rating depression scale(SDS)and Connor-Davidson re-silience scale(CD-RISC)scores of the two groups were compared(P>0.05).After intervention,SAS and SDS scores of the observation group were significantly lower than those of the control group,while CD RISC scores were higher than those of the control group(P<0.05).Before intervention,the left ventricular ejection fraction(LVEF)and 6-minute walking distance of the two groups were compared(P>0.05).After intervention,LVEF and 6-minute walking dis-tance of the observation group were significantly higher than those of the control group(P<0.05).Conclusion Psy-chological nursing intervention implemented in the nursing of elderly patients with chronic heart failure can significantly eliminate the negative emotions of patients and improve their psychological resilience,thus promoting the improvement of patients'cardiac function and achieving good quality of life.

Psychological nursing interventionChronic heart failure in the elderlyApplication effectMentality

池莹莹、陈伟、王丹、杨扬

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驻马店市中心医院心血管内一科(驻马店,463000)

心理护理干预 老年慢性心力衰竭 应用效果 心理状态

河南省科技发展计划

182102310536

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(4)