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Open Access Article

Journal of Advances in Clinical Nursing. 2025; 4: (6) ; 56-58 ; DOI: 10.12208/j.jacn.20250289.

The impact of psychological nursing on the postoperative psychological state of elderly patients with hypertensive intracerebral hemorrhage
心理护理对老年高血压脑出血术后心理状态的影响

作者: 马晓璇 *, 黄慧, 柯素清, 黄裕娟, 余嘉欣

广东药科大学附属第一医院 广东广州

*通讯作者: 马晓璇,单位:广东药科大学附属第一医院 广东广州;

发布时间: 2025-06-21 总浏览量: 91

摘要

目的 探讨在老年高血压脑出血患者中实施心理护理对其术后心理状态的影响。方法 选取本院2023年1月至2024年1月收治的89例老年高血压脑出血患者,根据随机数字表法分为2组,对照组(44例,常规护理),观察组(45例,心理护理)。对比两组护理前后的心理状态(DASS-21量表)、睡眠状态(PSQI量表)、生活质量(SF-36量表),并比较两组护理满意度。结果 护理后观察组的DASS-21(抑郁、焦虑、压力)、PSQI评分比对照组更低,且SF-36评分及护理满意度比对照组更高(P<0.05)。结论 对老年高血压患者实施心理护理能有效改善其术后心理、睡眠状态,提高其生活质量与护理满意度,值得临床推广。

关键词: 高血压;脑出血;老年患者;心理护理;心理状态

Abstract

Objective To explore the impact of psychological nursing on postoperative psychological status in elderly patients with hypertensive intracerebral hemorrhage.
Methods 89 elderly patients with hypertensive intracerebral hemorrhage admitted to our hospital from January 2023 to January 2024 were randomly divided into two groups using a random number table method: a control group (44 cases, receiving routine care) and an observation group (45 cases, receiving psychological care). Compare the psychological status (DASS-21 scale), sleep status (PSQI scale), and quality of life (SF-36 scale) before and after nursing care between two groups, and compare the satisfaction of nursing care between the two groups.
Results The DASS-21 (depression, anxiety, stress) and PSQI scores of the observation group after nursing were lower than those of the control group, and the SF-36 score and nursing satisfaction were higher than those of the control group (P<0.05).
Conclusion   Implementing psychological care for elderly patients with hypertension can effectively improve their postoperative psychological and sleep status, enhance their quality of life and nursing satisfaction, and is worthy of clinical promotion.

Key words: Hypertension; Cerebral hemorrhage; Elderly patients; Psychological care; Psychological state

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引用本文

马晓璇, 黄慧, 柯素清, 黄裕娟, 余嘉欣, 心理护理对老年高血压脑出血术后心理状态的影响[J]. 临床护理进展, 2025; 4: (6) : 56-58.