摘要
目的:观察知信行理论护理在老年脑梗死恢复期合并抑郁症患者中的应用效果。方法:回顾性分析2020年12月至2022年12月该院收治的60例老年脑梗死恢复期合并抑郁症患者的临床资料,按护理方法不同将其分为观察组和对照组各30例。对照组采用常规护理,观察组在对照组基础上采用知信行理论护理,比较两组负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、自我护理能力测定量表(ESCA)、美国国立卫生研究院卒中量表(NIHSS)评分和护理依从率。结果:护理后,两组HAMA、HAMD等负性情绪评分和NIHSS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组ESCA各维度评分高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05);观察组护理依从率为93.33%,高于对照组的66.67%,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用知信行理论护理可提高老年脑梗死恢复期合并抑郁症患者ESCA评分、护理依从率,降低HAMA、HAMD、NIHSS评分,效果优于单纯常规护理。
Objective:To observe application effects of knowledge-attitude-practice theory nursing in elderly patients with cerebral infarction in convalescent stage complicated with depression.Methods:The clinical data of 60 elderly patients with cerebral infarction in convalescent stage complicated with depression admitted to the hospital from December 2020 to December 2022 were retrospectively analyzed.According to different nursing methods,they were divided into observation group and control group,30 cases in each group.The control group was given routine nursing,while the observation group was given the knowledge-attitude-practice theory nursing on the basis of that of the control group.The scores of negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)]and self-care ability scale(ESCA),National Institutes of Health stroke scale(NIHSS),and the nursing compliance rate were compared between the two groups.Results:After the nursing,the scores of negative emotions such as HAMA and HAMD,NIHSS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of each dimension of ESCA in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing compliance rate of the observation group was 93.33%,which was higher than 66.67%of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the knowledge-attitude-practice theory nursing can improve the ESCA scores and the nursing compliance rate of the elderly patients with cerebral infarction in convalescent stage complicated with depression,and reduce their HAMA,HAMD and NIHSS scores.Moreover,it is superior to simple routine nursing.
作者
刘伟
LIU Wei(The Eighth Ward of Psychiatric Department of the Eighth People’s Hospital of Zhengzhou,Zhengzhou 450000 Henan,China)
出处
《中国民康医学》
2025年第20期162-164,共3页
Medical Journal of Chinese People’s Health
关键词
知信行理论护理
老年
脑梗死
恢复期
抑郁症
负性情绪
自我护理能力
Knowledge-attitude-practice theory nursing
Elderly
Cerebral infarction
Convalescent stage
Depression
Negative emotion
Self-care ability
