戴霞玲　马彩艳

[摘要] 目的 探討和分析心理护理干预对老年慢性心力衰竭患者治疗依从性及SAS、SDS评分的影响。 方法 选取2015年12月～2016年12月100例老年慢性心力衰竭患者作为研究对象，年龄≥60岁。根据护理方法不同随机分为干预组、对照组，每组各50例。对照组应用常规护理，干预组在对照组的基础上采取心理护理干预，比较两组患者的治疗依从率、两组患者干预前后的SAS、SDS评分变化、两组患者对护理人员工作的护理满意度。结果 干预组患者的治疗依从率达96%，显著高于对照组的76%，差异有统计学意义（P<0.05）。干预组与对照组患者干预后的SAS评分分别为（32.5±8.1）分、（42.8±6.2）分，差异有统计学意义（P<0.05）。干预组与对照组患者干预后的SDS评分分别为（31.3±9.2）分、（41.2±6.5）分，差异有统计学意义（P<0.05）。干预组患者对护理人员工作的护理满意度达98%，显著高于对照组的76%，两组患者对护理人员工作的护理满意度比较，差异有统计学意义（P<0.05）。 结论 心理护理干预能显著提高老年慢性心力衰竭患者的治疗依从性，降低SAS、SDS评分，减轻患者的焦虑、紧张、抑郁等负性心理，提高对护理人员工作的护理满意度。

[关键词] 老年慢性心力衰竭；心理护理干预；SAS评分；SDS评分；护理满意度

[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2017）24-0148-03

[Abstract] Objective To explore and analyze the effect of psychological nursing intervention on the treatment compliance and SAS and SDS scores in the elderly patients with chronic heart failure. Methods A total of 100 elderly patients with chronic heart failure from December 2015 to December 2016 were selected as the research subjects， aged ≥60 years old. According to the different nursing methods， they were randomly divided into the intervention group and the control group， with 50 cases in each group. The control group was given routine nursing care， and the intervention group was given psychological nursing care intervention on the basis of the control group. The treatment compliance rate was compared between the intervention group and the control group， the changes of SAS and SDS scores in the two groups before and after the intervention was compared， and the nursing satisfaction with the nursing staff was compared between the two groups. Results The treatment compliance rate was 96% in the intervention group， which was significantly higher than that of 76% in the control group， there was statistically significant difference between the two groups（P<0.05）. The SAS scores after the intervention in the intervention group and the control group were（32.5±8.1） and （42.8±6.2） respectively， there was statistically significant difference between the two groups （P<0.05）. The scores of SDS after the intervention in the intervention group and the control group were （31.3±9.2） and （41.2±6.5）， there was statistically significant difference between the two groups（P<0.05）. The satisfaction rate with the nursing works in the intervention group was 98%， which was significantly higher than that of 76% in the control group， there was statistically significant difference between the two groups（P<0.05）. Conclusion Psychological nursing care intervention can significantly improve the treatment compliance of elderly patients with chronic heart failure， reduce the SAS and SDS scores， reduce the anxiety， tension， depression and other negative emotions， and improve the satisfaction degree with nursing works.endprint

[Key words] Elderly chronic heart failure； Psychological nursing intervention； SAS score； SDS score； Nursing satisfaction rate

慢性心力衰竭（CHF）病程长，常规的药物治疗时间长，病情反复发展，患者难以坚持按医嘱治疗，常出现烦躁、焦虑、紧张、抑郁等消极心理[1-2]。心理护理是护理工作的重要组成部分之一，其通过各种方式和途径帮助患者消除不良的心理情绪，建立良好身心状态去面对疾病[3]。近年来研究发现，心理护理干预可以缓解患者的焦虑、紧张、抑郁等负性心理，增强患者治疗的信心，提高治疗依从性[4]。本研究旨在探讨心理护理干预对老年慢性心力衰竭患者治疗依从性及SAS、SDS评分的影响，现报道如下。

1 资料与方法

1.1 一般资料

选取2015年12月～2016年12月100例老年慢性心力衰竭患者作为研究对象，年龄≥60岁，排除精神疾病及意识不清者。根据护理方法不同随机分为干预组、对照组，每组各50例。干预组中男28例、女22例；……