老年脑血栓患者的心理分析及护理

摘要

目的：探究并分析老年脑血栓患者的心理状况及心理护理干预方法与效果。方法将2013年5月-2014年5月120例入住该院心血管病区的老年脑血栓患者按照随机平均分组原则分为对照组和观察组,对照组采用常规护理方法；观察组则在对照组基础上针对患者心理状况实施对应的心理护理策略。分析并比较两组患者的住院时间及出院1月后的QOL-UCC评分。结果①经过住院护理,两组患者的MRI/CT影像学指标均有改善,临床症状及体征均较前明显减轻或消失,精力与体力较之前充沛,生活自理能力较之前明显提高,心态显著乐观,护理干预前后比较差异有统计学意义(P<0.05)；②观察组患者住院时间(7.5±1.92)d较对照组明显缩短(11.2±1.75)d,差异有统计学意义(P<0.01)；③1个月后随访,观察组QOL-UCC评分(37.5±1.92)低于对照组评分(51.8±6.71),两组患者QOL-UCC评分比较差异有统计学意义(P<0.01)。结论以心理护理为主的人性化护理干预模式可以改善老年脑血栓患者的心理状况,促进患者早日康复,值得推广。%Objective To explore and analyze the psychological status of elderly patients with cerebral thrombosis and the methods and effects of psychological nursing intervention. Methods 120 elderly patients with cerebral thrombosis admitted in the cardio-vascular ward of our hospital from May 2013 to May 2014 were divided into the control group and the observation group and con-trol group randomly and equally. Both groups were given the conventional nursing method, in addition, the observation group was given the corresponding psychological nursing strategy based on the psychological status of the patients. The length of stay and QOL-UCC score 1 month after the discharge of the two groups were analyzed and compared. Results ① After hospital care, the MRI/CT imaging indicators of both groups improved, the clinical symptoms and signs significantly alleviated or disappeared, self-care ability enhanced obviously, the patients were more energetic and vigorous and optimistic compared with the status before nursing, the difference before and after the nursing intervention was statistically significant (P<0.05); ②The length of stay of the observation group was (7.5±1.92) d, obviously shorter than (11.2 ± 1.75) d of the control group, the difference was statistically significant (P<0.01); ③ The follow-up 1 month later showed that the QOL-UCC score of the observation group was (37.5 ± 1.92) points, significantly lower than (51.8±6.71) points of the control group, the difference in QOL-UCC score between the two groups was statistically significant (P<0.01). Conclusion Humanized nursing intervention mode mainly characterized by psychological nursing can improve the mental status of the elderly patients with cerebral thrombosis significantly and promote the recovery of the patients as soon as possible, which is worth promoting.