CAJ | 학술논문

目的：探讨早期心理护理对老年慢性心力衰竭患者不良情绪的影响。方法选取我院在2012年10月至2013年10月收治的148例老年慢性心力衰竭患者作为研究对象，随机分为干预组和对照组，每组74例，对照组实施常规护理，干预组在实施常规护理的同时，予以早期心理护理干预，对比两组患者干预前后的心理状态及心功能变化。结果两组患者干预前的SAS及SDS评分比较，差异无统计学意义（ P＞0.05）；干预组干预后的SAS、SDS评分均显著低于对照组，差异有统计学意义（ P＜0.05）；干预后，干预组的6MWT值显著高于对照组，差异有统计学意义（ P＜0.05）；干预组在定期检查、合理运动、定时服药、合理饮食方面的依从性均明显优于对照组，差异有统计学意义（ P＜0.05）。结论对老年慢性心力衰竭患者实施早期心理护理干预，能有效缓解患者的焦虑、抑郁等不良情绪，增强心功能，具有重要的应用推广价值。
목적：탐토조기심리호리대노년만성심력쇠갈환자불량정서적영향。방법선취아원재2012년10월지2013년10월수치적148례노년만성심력쇠갈환자작위연구대상，수궤분위간예조화대조조，매조74례，대조조실시상규호리，간예조재실시상규호리적동시，여이조기심리호리간예，대비량조환자간예전후적심리상태급심공능변화。결과량조환자간예전적SAS급SDS평분비교，차이무통계학의의（ P＞0.05）；간예조간예후적SAS、SDS평분균현저저우대조조，차이유통계학의의（ P＜0.05）；간예후，간예조적6MWT치현저고우대조조，차이유통계학의의（ P＜0.05）；간예조재정기검사、합리운동、정시복약、합리음식방면적의종성균명현우우대조조，차이유통계학의의（ P＜0.05）。결론대노년만성심력쇠갈환자실시조기심리호리간예，능유효완해환자적초필、억욱등불량정서，증강심공능，구유중요적응용추엄개치。
Objective To investigate the effects of early psychological care on bad mood of elderly patients with chronic heart fail -ure.Methods In our hospital from October 2012 to October 2013 treated 148 cases of elderly patients with chronic heart failure were ran-domly divided into two groups (n=74 cases), the control group received usual care , the intervention group received the early psychological nursing intervention , the psychological state and cardiac function of the two groups were compared.Results Before intervention , two groups of patients'SAS and SDS scores were compared , the differences were not statistically significant , P>0.05; After the intervention , SAS, SDS scores of the intervention group were significantly lower than those of the control group , P<0.05;In the intervention group 6MWT was significantly higher , P<0.05;in the intervention group regularly checked , reasonable exercise , regular medication , reasonable diet adher-ence were significantly better than those in the control group , P <0.05 , the differences were statistically significant.Conclusions Early in-tervention psychological care for the patients with chronic heart failure can effectively alleviate the negative emotions of anxiety , depression , enhance heart function .It has important application value .