摘要
目的 研究分析个性化心理护理联合健康教育对老年冠心病的影响。方法 选取2022年1月-2024年1月期间于我院进行治疗的老年冠心病患者30例，采用计算机随机数字排序的方法将其分为联合组与常规组，每组各15例，予常规组患者常规护理干预，在常规护理基础上给予联合组患者个性化心理护理联合健康教育。比较护理效果。结果 （1）相较于常规组，联合组患者的焦虑（SAS）抑郁（SDS）心理状态评分明显更低，对比有统计学意义（P＜0.05）；（2）经过护理，联合组患者的ESCA量表各维度得分均较高，对比有统计学意义（P＜0.05）；（3）经护理，联合组患者的睡眠质量评分明显低于常规组，对比有统计学意义（P＜0.05）。结论 在常规护理基础上予老年冠心病患者个性化心理护理联合健康教育，临床效果良好，不仅能显著改善患者不良情绪与睡眠质量，还能明显提升患者自护能力水平，值得推广。
关键词： 个性化心理护理；健康教育；老年冠心病；自护能力
Abstract
Objective To study and analyze the effect of personalized psychological nursing combined with health education on elderly patients with coronary heart disease. Methods Thirty elderly patients with coronary heart disease who were treated in our hospital from January 2022 to January 2024 were selected and divided into a combined group and a conventional group by computer random number sorting, with 15 cases in each group. The conventional group was given routine nursing intervention, and the combined group was given personalized psychological nursing combined with health education on the basis of routine nursing. The nursing effects were compared. Results (1) Compared with the conventional group, the anxiety (SAS) and depression (SDS) psychological state scores of the combined group were significantly lower, and the comparison was statistically significant (P < 0.05); (2) After nursing, the scores of each dimension of the ESCA scale of the combined group were higher, and the comparison was statistically significant (P < 0.05); (3) After nursing, the sleep quality scores of the combined group were significantly lower than those of the conventional group, and the comparison was statistically significant (P < 0.05). Conclusion Based on routine nursing, personalized psychological care combined with health education for elderly patients with coronary heart disease has good clinical effect. It can not only significantly improve patients' negative emotions and sleep quality, but also significantly improve patients' self-care ability, which is worthy of promotion.
Key words： Personalized psychological care; Health education; Elderly coronary heart disease; Self-care ability
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