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老年慢性病患者的心理状态及护理应对措施 被引量:28

Psychological state and nursing measures of elderly patients with chronic diseases
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摘要 目的探讨老年慢性病患者的心理问题,总结此类患者的护理策略,以提高护理效果。方法选取100例慢性病老年患者作为观察对象,采用访谈法和问卷调查法对其心理状况(包括焦虑型、孤独型、恐惧型、悲观型、情绪不稳定型5个方面)进行调查与统计,分析其产生原因并实施相应的护理措施,比较护理干预前后老年慢性病患者心理状况。结果护理干预前,观察对象存在焦虑型、孤独型、恐惧型、悲观型、情绪不稳定型心理问题的比例分别为21.00%、16.00%、12.00%、17.00%、14.00%,护理干预后,这一比例分别降至8.00%、6.00%、5.00%、6.00%、5.00%,前后差异有统计学意义(P<0.05)。干预后,患者人际关系、生理状况与心理状态评分均较干预前显著上升(P<0.01),且干预后患者总满意度较干预前显著上升(P<0.01)。结论对老年慢性病患者存在的心理问题进行针对性护理干预,可有效提高护理效果,改善患者心理状态。 Objective To investigate the psychological problems of elderly patients with chronic diseases,and to summarize nursing strategies so as to improve nursing efficacy. Methods A total of 100 elderly patients with chronic diseases were recruited as research objects. The mental conditions( including anxiety,loneness,fear,and unstable emotion) were investigated and statistical analyzed using interviews and questionnaires,the causes were found out and the appropriate care measures were taken. The psychological status of elderly patients with chronic diseases before and after intervention was compared. Results Before nursing intervention,the proportion of patients with anxiety,loneness and fear,and unstable emotion were 21. 00%,16. 00%,12. 00%,17. 00%,and14. 00%,respectively. After nursing intervention,it decreased to 8. 00%,6. 00%,5. 00%,6. 00%,and 5. 00%,respectively. And the difference was statistically significant( P 〈 0. 05). After intervention,the patients had increased scores in interpersonal relationship,physical and mental state,as well as higher satisfaction compared with the intervention before( P 〈 0. 01). Conclusion Targeted nursing intervention for elderly patients with chronic psychological problems can effectively enhance nursing efficacy,and improve patient’s mental state.
作者 黄丽娟
出处 《实用临床医药杂志》 CAS 2016年第4期37-39,共3页 Journal of Clinical Medicine in Practice
关键词 老年患者 慢性病 心理护理 elderly patients chronic diseases psychological care
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