摘要
目的 研究分析心理护理结合认知行为护理应用于老年慢性病患者中的价值。方法 选择我院2021年3月至2023年10月期间收治的60例老年慢性病患者，随机数字表法分为研究组、对照组，各30例。两组患者均接受慢性病常规护理，研究组同时实施心理护理结合认知行为护理，持续干预6个月，就两组患者慢性病控制效果、心理状况、生活质量等进行评定对比。结果 护理6个月后，研究组患者病情控制总有效率高于对照组，SAS、SDS评分低于对照组，WHOQOL-BREF各领域评分高于对照组，差异有统计学意义（P＜0.05）。结论 对老年慢性病患者开展心理护理结合认知行为护理干预，可以提升患者慢性病控制效果，同时改善焦虑、抑郁等负性心理，提升生活质量。
关键词： 老年慢性病；心理护理；认知行为护理；生活质量；心理状况
Abstract
Objective To study and analyze the value of psychological nursing combined with cognitive behavioral nursing in elderly patients with chronic diseases. Methods 60 patients with chronic diseases in our hospital from March 2021 to October 2023 were selected and divided into study group and control group with 30 cases in each group by random number table method. Patients in both groups received routine care for chronic diseases. The research group simultaneously implemented psychological nursing combined with cognitive behavioral nursing and continued intervention for 6 months, and evaluated and compared the chronic disease control effect, psychological status and quality of life of patients in the two groups. Results After 6 months of nursing, the total effective rate of disease control in the study group was higher than that in the control group, the scores of SAS and SDS were lower than those in the control group, and the scores of WHOQOL-BREF in various fields were higher than those in the control group, with statistical significance (P < 0.05). Conclusion Psychological nursing combined with cognitive behavioral nursing intervention for elderly patients with chronic diseases can improve the control effect of chronic diseases, improve the negative psychology such as anxiety and depression, and improve the quality of life.
Key words： Chronic diseases of the elderly; Psychological nursing; Cognitive behavioral nursing; Quality of life; Psychological status
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