老年重症肺炎患者心理弹性相关影响因素及干预效果研究

A study on influencing factors and intervention effects of mental resilience in elderly patients with severe pneumonia

中文关键词: 老年  重症肺炎  心理弹性  影响因素  干预措施

英文关键词: elderly  severe pneumonia  mental resilience  influencing factor  intervention measure

中文摘要:

      目的 分析老年重症肺炎患者心理弹性现状和影响因素,观察新型健康管理模式干预的疗效,为确定临床患者预后的改善方案提供依据.方法 前瞻性选取2019年1月—2023年2月在首都医科大学附属北京朝阳医院接受住院治疗的105例老年重症肺炎患者,向患者发放调查问卷以评估其心理弹性评分.共发放问卷105份,回收98份有效问卷,有效回收率为93.33％.剔除无效问卷患者7例,剩余98例患者进行后续研究.对98例患者开展健康管理模式干预,入院第2天开始,患者持续干预2周.采用心理弹性量表评估患者干预前后的心理弹性评分,SF-36量表评估患者干预前后的生活质量评分.结果 患者心理弹性量表总分为(68.19±11.26)分,处于中等偏上水平,其中自强维度得分为(27.37±5.01)分,乐观维度得分为(7.13±1.25)分,坚韧维度得分为(33.69±5.38)分.老年重症肺炎患者心理弹性评分在年龄、吸烟史、饮酒史、肺部手术史、婚姻状况、医保类型、病程等方面差异均无统计学意义(P＞0.05);在性别、文化程度、家庭人均月收入方面差异有统计学意义(P＜0.05).性别、文化程度和家庭人均月收入是老年重症肺炎患者心理弹性的影响因素(P＜0.05).干预后老年重症肺炎患者心理弹性评分和SF-36评分相比干预前均升高(P＜0.05)o结论 老年重症肺炎患者的心理弹性评分处于中等偏上水平,性别、文化程度和家庭人均月收入是影响患者心理弹性评分的主要因素,针对上述因素制定个体化的干预方案可提高患者的心理状态和生活质量.

英文摘要:

      Objective To analyze the influencing factors and intervention effects of mental resilience in elderly patients with severe pneumonia and observe the therapeutic effects of a new health management model intervention,so as to provide a basis for determining improvement plans for clinical patient prognosis.Methods A total of 105 elderly patients with severe pneumonia who were hospitalized in Beijing Chaoyang Hospital,Capital Medical University from January 2019 to February 2023 were prospectively selected.They were given questionnaires to assess their mental resilience scores.A total of 105 ques-tionnaires were sent out,and 98 valid questionnaires were collected,with an effective recovery rate of 93.33％.7 patients with invalid questionnaire were excluded,and the remaining 98 patients underwent further research.98 patients received health man-agement model intervention.From the 2nd day of admission,they received intervention for 2 weeks.Before and after interven-tion,Mental Resilience Scale was used to evaluate the mental resilience score of patients,and SF-36 Scale was used to evaluate the quality of life score of patients.Results The total score of the mental resilience scale of the patient was(68.19±11.26),which was above the medium level.The score of the self-improvement dimension was(27.37±5.01),the score of the optim-ism dimension was(7.13±1.25),and the score of the resilience dimension was(33.69±5.38).There were no significant differences in mental resilience scores of elderly patients with severe pneumonia in age,smoking history,drinking history,pul-monary operation history,marital status,type of medical insurance and course of disease(P＞0.05),but there were signifi-cant differences in gender,education level and per capita monthly family income(P＜0.05).Gender,education level and family per capita monthly income were the influencing factors of mental resilience in elderly patients with severe pneumonia(P＜0.05).After intervention,the scores of mental resilience and quality of life in elderly patients with severe pneumonia were increased compared with those before intervention(P＜0.05).Conclusion The mental resilience score of elderly pa-tients with severe pneumonia is above the average level.Gender,education level and per capita monthly family income are the main factors affecting the mental resilience score of patients.Individualized intervention programs based on the above factors can improve the mental state and quality of life of patients with severe pneumonia.