摘要
目的 探究在老年脑梗塞患者的护理中，多元化教育+心理干预的应用效果以及对患者治疗依从性的影响。方法 选择2025年1月-2025年7月我院接收的40例老年脑梗塞患者纳入研究，随机分为两组各20例，对照组给予常规护理措施，观察组给予多元化教育+心理干预护理，对比两组护理效果。结果 与对照组相比，观察组干预后的NIHSS评分和HAMA、HAMD评分更低，且FMA评分和治疗依从性（95.00%）更高（P＜0.05）。结论 多元化教育与心理干预相结合，能有效提高脑梗塞患者的治疗依从性，改善患者的神经功能、肢体功能，缓解不良情绪状态，具有较高的临床应用价值。
关键词： 多元化教育；心理干预；老年；脑梗塞；治疗依从性
Abstract
Objective To explore the application effect of diversified education and psychological intervention in the nursing of elderly patients with cerebral infarction, as well as their impact on treatment compliance. Methods Forty elderly patients with cerebral infarction admitted to our hospital from January 2025 to July 2025 were selected for the study and randomly divided into two groups of 20 each. The control group received routine nursing measures, while the observation group received diversified education and psychological intervention nursing. The nursing effects of the two groups were compared. Results Compared with the control group, the observation group had lower NIHSS scores, HAMA and HAMD scores after intervention, and higher FMA scores and treatment compliance (95.00%) (P<0.05). Conclusion The combination of diversified education and psychological intervention can effectively improve the treatment compliance of patients with cerebral infarction, improve their neurological and limb functions, alleviate their negative emotional states of anxiety and depression, and has high clinical application value.
Key words： Diversified education; Psychological intervention; Old age; Cerebral infarction; Treatment compliance
参考文献 References
[1] 孙文佳,杨瑾,何谦益,等.多元化的预见性心理干预对脑梗塞后认知功能障碍患者认知功能及心理状态的影响[J].中国健康心理学杂志,2025,33(6):884-888.
[2] 刘美华,李浩,李维雯,等.家庭参与式健康教育对老年脑卒中患者干预效果分析[J].实用预防医学,2024,31(10): 1223-1226.
[3] 高燕,马晓瑞.个性化心理护理对老年脑梗塞护理中的应用及对患者负性情绪的改善[J].新疆医学,2023,53(3): 351-353.
[4] 师俊明,张燕,李翠芳,等.时效性激励护理对脑梗塞患者负性情绪、创伤后成长和神经功能恢复的影响[J].川北医学院学报,2024,39(2):280-284.
[5] 张冰倩,宋晓彤,王帅,等.基于赋能理论的延续性干预对脑梗死患者应对情况及心理状态的影响[J].河北医药, 2024, 46(9):1340-1344.
[6] 孙明丽,王霞,申曼曼,等.个性化心理护理对脑梗塞患者焦虑、抑郁情绪的影响[J].国际精神病学杂志,2023, 50(3):550-552+556.
[7] 杨阳,郭玉霞,李丹阳,等.个性化心理护理对老年脑梗死患者心理状态的影响[J].国际精神病学杂志,2023, 50(2): 342-345.
[8] 钟洁平,秦莲花,刘旭,等.基于赋权—参与—合作理念的康复护理用于老年脑梗死患者的价值[J].老年医学与保健,2024,30(3):691-697.
[9] 王艳娟,吕彦,刘艳,等.共情护理联合励-协夫曼言语训练对老年脑梗死的影响[J].国际老年医学杂志,2024,45(5): 583-587.
[10] 刘晓梅,罗永梅,傅瑜.基于信息化老年综合评估的多学科管理护理模式在脑梗死患者中的应用效果[J].中华脑血管病杂志（电子版）,2024,18(3):255-264.