个体怀旧疗法对老年慢性病患者压力应对、心理弹性及孤独感的影响

目的探究个体怀旧疗法应用于老年慢性病患者的效果及对心理弹性、压力应对、孤独感及睡眠质量的影响。方法收集2017年4月至2018年4月在本院入院治疗的95例慢性病老年患者,按照随机数字表法将患者分为两组,其中对照组47例采用常规临床慢性病护理干预,研究组48例在对照组基础上增加个体怀旧疗法。对比两组患者干预前后压力应对、心理弹性、孤独感及睡眠质量水平改善情况。结果干预后研究组压力应对量表(MCMQ)三个方面的评分均优于对照组(P<0.05);干预后研究组成人心理弹性量表(RSA)评分高于对照组,UCLA孤独量表评分及匹兹堡睡眠质量指数问卷(PSQI)评分低于对照组(P<0.05)。结论个体怀旧疗法可提高老年慢性病患者的抗压能力及心理弹性,改善孤独症状及睡眠质量。

Effects of individual nostalgia therapy on stress response,psychological flexibility and loneliness in elderly patients with chronic diseases

Objective To explore the effects of individual nostalgic therapy on elderly patients with chronic diseases and their effects on psychological flexibility, stress response, loneliness and sleep quality. Methods A total of 95 elderly patients with chronic diseases who were admitted to our hospital from April to May 20, 2017 were enrolled. The patients were divided into two groups according to the random number table method. Among them, 47 patients in the control group were treated with routine clinical chronic disease nursing intervention. In the case of the control group,the individual nostalgic therapy was added. The stress response, psychological flexibility, loneliness and improvement of sleep quality were compared between the two groups before and after intervention. Results After the intervention,the scores of the three groups in the stress response scale(MCMQ) of the study group were better than those in the control group(P<0.05). The scores of the study group’s psychosocial flexibility scale(RSA) were higher than the control group and the UCLA loneliness. Table scores and the Pittsburgh Sleep Quality Index Questionnaire(PSQI) scores were lower than those in the control group(P<0.05). Conclusions Individual nostalgic therapy can improve the anti-stress ability and psychological elasticity of elderly patients with chronic diseases, and improve the symptoms of loneliness and sleep quality.