The reasons and nursing intervention of role behavior strengthening of elderly patients Abstract The role behavior strengthening of elderly patients is an abnormal phenomenon in patients' role adaptation, that is, when patients' roles change to normal roles, they are still too adapted to patients' roles, expressing doubts and disappointment about their own abilities, and feeling uneasy about taking on their original roles. It is characterized by depression, paranoia, lack of self-confidence, withdrawal and dependence, emotional fragility, even naivety, lack of confidence in normal life, and peace of mind about the patient role that has been adapted. Through understanding the psychological characteristics of modern elderly patients, taking effective psychological care to promote their physical and mental health, summarizing their psychological problems and proposing intervention measures, through regular follow-up, successfully helping patients with enhanced role behavior, making scientific and objective explanations, enabling them to treat diseases correctly, overcome psychological obstacles and adapt to role change, and receiving good results.

Keywords nursing intervention to strengthen the psychological characteristics of role behavior of elderly patients

Clinical data of 1

30 typical patients with role enhancement, male 12, female 18, aged 65-85, retired with many children and good family conditions. He has a history of hypertension, diabetes, brain atrophy and coronary heart disease. These patients have one thing in common: after a period of treatment, blood pressure is reduced to normal, blood sugar is also controlled within the normal range, and heart function is OK. However, the performance of patients in daily rounds is uncomfortable. In the conversation with patients, it is found that the role of patients is not suitable and the role behavior is strengthened. The strengthening of patients' role behavior is manifested in doubt and disappointment of self-ability, lack of self-confidence and childish mood. They can take care of themselves in their daily life, but they don't do it themselves. They rely on medical staff and their families and dare not get out of bed. They are particularly worried that they will fall when walking, which will aggravate their illness, and they are still very comfortable with the patient role they have adapted to.

2. Psychological characteristics of current elderly patients.

2. 1 Elderly patients who have lost their independence often feel lost because of their old qualifications, great contributions and good economy. Personality is impetuous and obedient. I like people around me to respect and obey them, showing self-righteousness, stubbornness, arbitrariness, irritability, picky and blaming others. However, some elderly patients are particularly afraid of loneliness. Because of monotonous life and lack of emotional communication and psychological communication with family and the outside world, patients often feel abandoned, which leads to changes in personality and behavior. If he is in hospital, his family and children will visit and take care of him, and relatives and friends will visit him. They think they are valued.

2.2 Fear and anxiety Due to the decline of various organ functions of the elderly, the acute phase of some diseases will cause great psychological pressure to patients. In addition, long-term medication and treatment of chronic diseases are not very good in terms of diet and sleep, thus causing mental fear and anxiety, thinking that they are no longer young and afraid of death.

2.3 Sensitive and suspicious elderly patients are often sensitive and suspicious, guessing that their illness is very serious, and suspecting that doctors, nurses and even their families are hiding their illness from him. Every time a small gesture or an unintentional remark may arouse his suspicion and increase his psychological burden. When a patient may have symptoms similar to an incurable disease, he will have doubts about his own disease.

3. The role of nursing intervention in strengthening elderly patients.

3. 1 Respect, understand and care for the elderly. From warm families to strange hospitals, they are not adapted to all the surrounding environment. Coupled with the torture of the disease and their ignorance of the disease, they have anxiety and fear. As a nurse who is in close contact with patients, we should first respect and care for patients. Speak politely and kindly, listen to their complaints patiently, forgive the forgetfulness and verbosity of the elderly, meet the requirements of the elderly as much as possible, and let the patients trust the nurses. 3.2 Encourage and praise elderly patients with strong self-esteem and vanity. On the basis of respect, encourage and praise patients to accept your treatment and care, and communicate effectively with patients in time.

3.3 Eliminating loneliness Because the elderly are highly dependent and prone to loneliness, their children are busy at work on weekdays and only spend their spare time with them, especially the widowed elderly, who are "emotionally hungry" and need special care from nurses. Therefore, nurses should be patient, visit more on weekdays, give more help in daily life, talk to them more, listen to their opinions and suggestions, so that they can be psychologically satisfied and trust the nursing staff. At the same time, encourage family, relatives and friends to visit frequently. For the elderly with mild illness, mobilize them to take a walk in the hospital, breathe fresh air, do some favorite activities or physical exercises suitable for the characteristics of the elderly as appropriate, and encourage them to make friends with patients around them, chat, watch TV, listen to the radio and read various books and magazines. Cultivate a variety of interests, enrich the content of life, so as to distract attention, adjust tension, eliminate loneliness, enhance confidence in overcoming diseases and restoring health, and keep yourself in a good and happy psychological state forever.

3.4 Increase trust and improve the relationship between doctors and patients. For suspicious elderly patients, we must meet the needs of patients to understand their own diseases and related knowledge. Blind concealment will only backfire. We should gain their trust as soon as possible and reduce suspicion and misunderstanding. In conversation, we should pay attention to the way, the degree of understanding of the disease and psychological endurance, and master the skills of language, body and emotion transmission. When asked, think twice and think carefully. The explanation must be clear. If you need to keep secret, you can't say it directly, but you should give an acceptable answer. Try to make them feel relaxed and receive treatment and care in the best psychological state.

3.5 Maintaining the best mental state of elderly patients is a necessary condition for obtaining good psychotherapy. Because the physiological function and personality of the elderly have changed obviously, we should always give understanding, respect, sympathy and consideration, and give practical answers with a scientific attitude, so that the elderly can maintain the best psychological state, enable patients to effectively cope with diseases, change their mentality and behavior that affect cognition and all kinds of physical symptoms caused by them, help patients eliminate psychological crisis, eliminate doubts, strengthen their confidence, and enable patients to actively accept and cooperate with treatment.

3.6 The family and society support their children to care for and be considerate of the elderly, encourage the elderly to pay attention to exercise, develop good eating habits, do not smoke, drink less, have a partial eclipse and eat properly. Fatherly love and filial piety will make the elderly feel the warmth and harmony among family members, and let the elderly enjoy the second family happiness. Give play to the role of social support system, constantly enrich the spiritual and cultural life of the elderly, and guide the elderly to live a good old age. Only when the elderly have good psychological factors can they actively overcome diseases.

Four results

Through nursing intervention, the old people's fear of diseases can be eliminated, so that the old patients can have a good impression and trust on the medical staff and promote the communication between doctors and patients. Eliminate or alleviate the psychological problems or personality disorders of elderly patients, promote their personality to develop in a healthy and coordinated direction, enable elderly patients to establish correct views and attitudes towards people, themselves and things, improve their social adaptability, and gradually correct bad living habits. Eliminate worries, enhance the confidence of healing, and achieve the goal of turning negative factors into positive factors, turning pessimism into optimism, and turning passive obedience to treatment into active participation in treatment. Psychology tells us that different people have different psychological characteristics, abilities, personalities and temperaments. Especially for patients with role maladjustment, psychological nursing is particularly important. Through our patient and meticulous nursing and health education, as well as cooperation with patients' families, colleagues and friends, * * * enlighten and communicate with patients, so that patients can feel the care and love of medical staff, the warmth of family and society, and their own value, so as to correctly treat diseases, correctly estimate their own abilities and voluntarily ask to leave the hospital.