The relationship between mental health and diseases: senile diseases and mental health care.
Objective: To explore the common psychological problems of elderly patients with diseases and related nursing. Methods: From May, 2065438 to May, 2065438+March, 2065438, 140 elderly patients who were treated in our hospital's medical insurance center were divided into control group and intervention group according to the time of patients' treatment, with 70 cases in each group. The control group was given routine nursing management, and the intervention group was given comprehensive psychological care on the basis of the control group. Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) were used to measure the psychological state of patients before and after intervention, and then the effect of nursing intervention was evaluated by comparing the average recovery time of patients in the two groups. Results: before the intervention, there was no significant difference in SAS and SDS scores between the two groups (p > 0.05). After the intervention, the SAS score and SDS score of patients in the intervention group were significantly lower than those before the intervention (P
Elderly patients; Mental health; Nursing research
China library classification number R47 1 document identification number b1005-0019 (2013)12-01.
With the improvement of people's living standard and medical level, the average life expectancy of human beings has been extended from more than 30 years before liberation to more than 70 years [1]. The proportion of the elderly in China is increasing gradually, and the elderly population in China is also increasing gradually. With the increase of the age of the elderly, the functions of various organs gradually decline, and the resistance, stress and compensation gradually decline, and various diseases follow. It has brought great pressure to the physiology and psychology of elderly patients. Human health includes physical health and mental health, which complement each other, and psychology also occupies a large part in medical treatment [2]. It is of great significance to understand the psychological changes of elderly patients and make corresponding nursing care. In this study, 70 elderly patients were given psychological care, and good results were achieved in the treatment of their diseases. The results are reported as follows:
1 data and methods
1. 1 research data
All the subjects in this study were 140 elderly patients, including 84 males and 56 females, aged 64-83 years, with an average age of 70.4? 13.7 years old. Patients' diseases include hypertension 18, ischemic heart disease 14, heart failure 29, arrhythmia 14, diabetes 33, hyperlipidemia 15, apoplexy 6, dyspepsia1kloc-0/. The patients were divided into the control group and the intervention group according to the time sequence, with 70 cases in each group. There was no significant difference in sex, age and disease type between the two groups (P & gt0.05), which was comparable.
1.2 nursing methods
1.2. 1 control group: the control group was given routine treatment and nursing.
1.2.2 Observation group: Patients in this group received psychological care on the basis of the control group. Create a warm nursing environment: medical staff should actively and enthusiastically introduce the illness and nursing measures to the elderly and their families in time, so that patients can feel good service, receive treatment with peace of mind and maintain an optimistic and positive mood.
Establish a harmonious nurse-patient relationship: Good nurse-patient communication is the premise of implementing patients' psychological care, and medical staff should communicate with patients and their families enthusiastically, actively and actively to narrow the distance with patients. Nurses should treat patients like elders, care for and respect them, and explain various precautions to them in detail.
Be considerate and respectful of the elderly: the elderly are slow to respond, so when introducing the illness and precautions to the elderly, medical staff should patiently explain the illness to the patients, take a slow attitude and use some simple and easy-to-understand language. Medical staff should help patients solve practical difficulties in their daily work, so that the elderly are willing to take the initiative to explain their ideas to medical staff, which will help medical staff to understand the patient's condition more clearly and be more conducive to the treatment of diseases. Communicate with patients more, let patients fully realize that birth, aging, illness and death are irresistible natural laws, and let patients live a full and meaningful life every day.
Dietary care: while considering the patient's diet, we should also pay attention to food hygiene and nutrition. The results show that good eating habits contribute to the physical and mental health of patients.
Health education, medical staff should carry out health education according to the psychological characteristics of patients, that is, patients hope that medical staff can pay attention to their illness. Therefore, medical staff should care about patients and introduce the occurrence and development of their illness to patients through easy-to-understand language. And answer questions and patiently explain to patients. Encourage patients to do more exercise and cultivate good self-care ability.
1.3 evaluation method
Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) were used to evaluate patients' psychological state, and nurses interpreted patients with low education level. Which score is SAS? 40 points is an anxious patient, SDS? 40 points are considered as depression patients [3].
The anxiety and depression of patients were evaluated before and after nursing intervention, and the average recovery time of the two groups was measured.
Two results
2. 1 Comparison of mental state scores between the two groups before and after intervention.
The results showed that there was no significant difference in SAS and SDS scores between the two groups before intervention (P > 0.05). After the intervention, the SAS score and SDS score of patients in the intervention group were significantly lower than those before the intervention (P
Table 1: comparison of psychological state scores between the two groups before and after intervention
? *? It shows that the project is significantly different from that before intervention, P
2.2 Comparison of hospitalization time of patients
The results showed that the average recovery time of patients in the same type of disease intervention group was significantly lower than that in the control group, such as patients with cardiovascular diseases. The average recovery time of patients in the intervention group was (10. 1? After 2.6 days, the average recovery time of the control group was (10. 1? 65438 0.9) days, the difference between the two groups was statistically significant (P < 0.05).
3 Discussion and conclusion
The mental state of elderly patients is related to the occurrence, development and outcome of diseases, and a good mental state is helpful to the treatment of diseases [4]. The elderly patients have fragile hearts, so it is very important to give them both physical therapy and psychological care.
In this study, patients were given good diet care and verbal communication, and a harmonious doctor-patient relationship was established. The results show that it can improve patients' psychological state, shorten patients' rehabilitation time and improve the treatment effect.
refer to
Sue. Psychological care of elderly patients [J]. Jilin Medical College, 2008,29 (14):171-172.
[2] Yan Yuling, zhangyan Beauty, Wu Bin. Common psychological characteristics and nursing care of elderly patients [J]. Chinese and foreign medical treatment, 27, 2009 (21):130.
[3] Chang Mingfeng. Psychological state and nursing care of elderly patients with cardiovascular diseases [J]. Journal of Practical Cardiovascular Diseases, 2012,20 (3): 547-549.
[4] Zhang Xiaohua. Psychological Care of Elderly Patients with Chronic Respiratory Diseases [J] China Medical Frontiers, 2009,4 (3):127-128.
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