共情护理对老年脑梗死患者生活质量及治疗依从性的影响
Effects of empathy nursing on the quality of life and treatment compliance of elderly patients with cerebral infarction.
作者信息
Wang Li, Shan Minhong
机构信息
Department of Operating Room 1, Second Affiliated Hospital of Harbin Medical University Harbin, Heilongjiang Province, China.
出版信息
Am J Transl Res. 2021 Oct 15;13(10):12051-12057. eCollection 2021.
OBJECTIVE
To explore the effects of empathy nursing on the quality of life and treatment compliance of elderly patients with cerebral infarction (CI).
METHODS
Elderly patients (n=136) with CI hospitalized in our care were enrolled in this prospective study. The patients were randomly divided into an observation group and a control group by a random number table, with 68 patients in each group. Patients in the control group were given routine nursing, while patients in the observation group were given empathy nursing. The anxiety, depression, quality of life, treatment compliance, sleep quality and nursing satisfaction of the core family members of the two groups were compared.
RESULTS
The observation group had lower Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores, with significantly higher scores of physical function, general health, social function, emotional role, and mental health than the control group (all P<0.001). The treatment compliance rate (P<0.01) and nursing satisfaction of the core family members (P<0.05) of the observation group were significantly higher, and the Pittsburgh Sleep Quality Index scores were lower (P<0.001) than those of the control group.
CONCLUSION
The application of empathy nursing in elderly patients with CI relieves depression and anxiety, improves quality of life, treatment compliance, sleep quality of patients, and improves nursing satisfaction of the core family members. As such, it is worth clinical promotion and application.
目的
探讨共情护理对老年脑梗死（CI）患者生活质量及治疗依从性的影响。
方法
选取在我院住院治疗的老年CI患者136例纳入本前瞻性研究。采用随机数字表法将患者随机分为观察组和对照组，每组68例。对照组给予常规护理，观察组给予共情护理。比较两组患者核心家庭成员的焦虑、抑郁、生活质量、治疗依从性、睡眠质量及护理满意度。
结果
观察组的焦虑自评量表（SAS）和抑郁自评量表（SDS）评分较低，其生理功能、总体健康、社会功能、情感角色及心理健康得分均显著高于对照组（均P<0.001）。观察组的治疗依从率（P<0.01）及核心家庭成员的护理满意度（P<0.05）显著高于对照组，匹兹堡睡眠质量指数得分低于对照组（P<0.001）。
结论
共情护理应用于老年CI患者可缓解其抑郁和焦虑情绪，提高患者生活质量、治疗依从性及睡眠质量，提升核心家庭成员的护理满意度，值得临床推广应用。
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