基于无望自尊理论的护理联合多维度强化护理对老年急性脑梗死合并抑郁症患者的影响
Effect of nursing based on the hopeless self-esteem theory plus multi-dimensional intensive nursing for elderly patients with acute cerebral infarction complicated with depression.
作者信息
Li Zhiru, Shang Ning, Fan Guihong, Li Meng, Zang Zhaoping
机构信息
Neurology Department, The First Affiliated Hospital of Qiqihar Medical University Qiqihar, China.
Nursing Department, The First Affiliated Hospital of Qiqihar Medical University Qiqihar, China.
出版信息
Am J Transl Res. 2021 Jul 15;13(7):8450-8457. eCollection 2021.
PURPOSE
To explore the effect of nursing based on the hopeless self-esteem theory plus multi-dimensional intensive nursing on the self-esteem level and prognosis of elderly patients with acute cerebral infarction (ACI) complicated with depression.
METHODS
Eighty patients with ACI complicated with depression who were treated in our hospital from September 2018 to September 2020 were selected and randomized into the observation group and the control group (n = 40 each). The observation group received the model of hopeless self-esteem theory combined with multi-dimensional intensive nursing, while the control group received conventional nursing. The clinical efficacy, depression degree, self-esteem level, living ability, quality of life, and attribution mode were compared.
RESULTS
The overall effective rate was reported at a notably higher rate in the observation group (90.00%) compared to the control group (65.00%) (P < 0.05); After intervention, the observation group had a markedly lower Geriatric Depression Scale (GDS) score than the control group (P < 0.05); After intervention, the observation group showed appreciably higher Rosenberg Self Esteem Scale (RSES) score and Barthel index compared to the control group (P < 0.05); After intervention, the observation group had a remarkably higher level of the quality of life in all dimensions than the control group (P < 0.05); After intervention, there were more positive events in the observation group as compared to the control group (P < 0.05), whereas there were more negative events in the control group as compared to the observation group (P < 0.05).
CONCLUSION
The hopeless self-esteem theory combined with multi-dimensional intensive nursing can apparently increase the self-esteem level of patients, establish a positive attribution mode, beef up their self-confidence, reduce the degree of depression, upgrade their postoperative living ability and quality of life, and improve prognosis and clinical efficacy.
目的
探讨基于无望自尊理论的护理联合多维度强化护理对老年急性脑梗死（ACI）合并抑郁症患者自尊水平及预后的影响。
方法
选取2018年9月至2020年9月在我院治疗的80例ACI合并抑郁症患者，随机分为观察组和对照组（各40例）。观察组采用无望自尊理论模型联合多维度强化护理，对照组采用常规护理。比较两组的临床疗效、抑郁程度、自尊水平、生活能力、生活质量及归因方式。
结果
观察组总有效率（90.00%）显著高于对照组（65.00%）（P<0.05）；干预后，观察组老年抑郁量表（GDS）评分明显低于对照组（P<0.05）；干预后，观察组罗森伯格自尊量表（RSES）评分及巴氏指数明显高于对照组（P<0.05）；干预后，观察组各维度生活质量水平均显著高于对照组（P<0.05）；干预后，观察组的积极事件多于对照组（P<0.05），而对照组的消极事件多于观察组（P<0.05）。
结论
无望自尊理论联合多维度强化护理可明显提高患者自尊水平，建立积极归因模式，增强自信心，降低抑郁程度，提高术后生活能力和生活质量，改善预后及临床疗效。
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