Application of individualized nursing plan based on comprehensive geriatric assessment for an elderly female patient with stroke complicated with anxiety and depression

Li LI; Ying ZHANG; Hongjing CAO

doi:10.12209/CAIM202210200004

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Application of individualized nursing plan based on comprehensive geriatric assessment for an elderly female patient with stroke complicated with anxiety and depression

更新时间：2022-11-07

- Application of individualized nursing plan based on comprehensive geriatric assessment for an elderly female patient with stroke complicated with anxiety and depression
- Clinical Archives of Integrative Medicine (2022)
- 作者机构：
  
  1.北京市隆福医院老年病科，北京， 100010
  2.北京市隆福医院护理部，北京， 100010
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202210200004
  CLC：
- Published Online：07 November 2022，
  
  Received：20 October 2022，
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Li LI, Ying ZHANG, Hongjing CAO. Application of individualized nursing plan based on comprehensive geriatric assessment for an elderly female patient with stroke complicated with anxiety and depression. [DB/OL].Clinical Archives of Integrative Medicine (2022)
DOI：

Li LI, Ying ZHANG, Hongjing CAO. Application of individualized nursing plan based on comprehensive geriatric assessment for an elderly female patient with stroke complicated with anxiety and depression. [DB/OL].Clinical Archives of Integrative Medicine (2022) DOI： 10.12209/CAIM202210200004.

摘要

本文回顾1例老年女性脑卒中合并焦虑抑郁患者的临床资料，总结基于老年综合评估（CGA）的个体化护理方案实施效果。根据CGA评估结果，基于多学科合作提出护理诊断，并采取针对性的个体化护理干预措施，包括健康宣教、心理护理、饮食护理、用药护理、康复护理等，旨在改善患者焦虑抑郁状态，提升患者睡眠质量和日常生活活动能力。

Abstract

This paper reviewed the clinical data of an elderly female patient with stroke complicated with anxiety and depression， and summarized the practice of individualized nursing plan based on comprehensive geriatric assessment （CGA）. According to the results of CGA， individualized nursing plan was made based on the nursing diagnosis and evaluation by a multidisciplinary team. Targeted interventions including health education， psychological nursing， diet nursing， medication nursing and rehabilitation nursing were carried out to relieve the anxiety and depression states， and improve patient’s sleep quality and activity of daily living.

关键词

老年综合评估脑卒中焦虑抑郁个体化护理

Keywords

comprehensive geriatric assessmentstrokeanxietydepressionindividualized nursing

references

姚尧，何耀，赵亚力，等. 老年综合评估的定义、应用及在我国的发展趋势［J］. 中华保健医学杂志， 2017， 19（5）： 452-454.

YAO Y， HE Y， ZHAO Y L， et al. Definition， application and development trend of comprehensive evaluation of the elderly in China［J］. Chin J Health Care Med， 2017， 19（5）： 452-454.（in Chinese）

WU S M， WU B， LIU M， et al. Stroke in China： advances and challenges in epidemiology， prevention， and management［J］. Lancet Neurol， 2019， 18（4）： 394-405.

TOWFIGHI A， SAVER J L， ENGELHARDT R， et al. A midlife stroke surge among women in the United States［J］. Neurology， 2007， 69（20）： 1898-1904.

倪婷，刘美玲，员迎花，等. 脑卒中后抑郁症患病率及相关因素分析［J］. 中华现代护理杂志， 2019， 25（23）： 2938-2941.

NI T， LIU M L， YUN Y H， et al. Post-stroke depression and related factors analysis［J］. Chin J Mod Nurs， 2019， 25（23）： 2938-2941.（in Chinese）

谢霞，李文娟，潘燕君，等. 针药联合治疗脑卒中后抑郁的临床疗效观察［J］. 中医药信息， 2020， 37（1）： 92-95.

XIE X， LI W J， PAN Y J， et al. Clinical observation on the treatment of post-stroke depression with acupuncture and medication［J］. Inf Tradit Chin Med， 2020， 37（1）： 92-95.（in Chinese）

《中国脑卒中防治报告》编写组.《中国脑卒中防治报告2019》概要［J］. 中国脑血管病杂志， 2020， 17（5）： 272-281.

REPORT ON STROKE PREVENTION AND TREATMENT IN CHINA WRITING GROUP . Brief report on stroke prevention and treatment in China， 2019［J］. Chin J Cerebrovasc Dis， 2020， 17（5）： 272-281.（in Chinese）

黄蓉蓉，孙慧敏. 社区老年人害怕跌倒的研究工具新进展［J］. 解放军护理杂志， 2018， 35（16）： 50-53.

HUANG R R， SUN H M. New development of research tools for elderly People's fear of falling in community［J］. Nurs J Chin People’s Liberation Army， 2018， 35（16）： 50-53.（in Chinese）

国家卫生计生委脑卒中防治工程委员会. 中国脑卒中护理指导规范［EB/OL］. （2016-05-08）［2021-07-13］. https：//guide.medlive.cn/guideline/14146https://guide.medlive.cn/guideline/14146.

STROKE PREVENTION AND CONTROL COMMITTEE OF NATIONAL HEALTH AND FAMILY PLANNING COMMISSION OF THE PEOPLE'S REPUBLIC OF CHINA. Guidelines for stroke care in China［EB/OL］. （2016-05-08）［2021-07-13］. https：//guide.medlive.cn/guideline/14146.https://guide.medlive.cn/guideline/14146.（in Chinese）

叶琼，林婷，杨雨婷. 预防老年人居家跌倒健康教育方法研究进展［J］. 护理研究， 2021， 35（11）： 1944-1946.

YE Q， LIN T， YANG Y T. Research progress of health education methods for preventing the elderly from falling at home［J］. Chin Nurs Res， 2021， 35（11）： 1944-1946.（in Chinese）

黄湘琳，曹芳，邹星乐. 以品管圈活动为基础的护理干预对老年脑梗死患者的影响［J］. 齐鲁护理杂志， 2022， 28（3）： 149-151.

HUANG X L， CAO F， ZOU X L /Y）. Effect of nursing intervention based on quality control circle activities on elderly patients with cerebral infarction［J］. J Qilu Nurs， 2022， 28（3）： 149-151.（in Chinese）

胡馨月. 老年女性脑卒中患者个体化心理干预的护理体会［J］. 实用妇科内分泌杂志（电子版）， 2017， 4（35）： 160-161.

HU X Y. Nursing experience of individualized psychological intervention for elderly female stroke patients［J］. J Pract Gynecol Endocrinol Electron Ed， 2017， 4（35）： 160-161.（in Chinese）

李怀萍. 护理干预对50例脑卒中患者焦虑及抑郁情绪的影响［J］. 中国民族民间医药， 2014， 23（17）： 106.

LI H P. Effect of nursing intervention on anxiety and depression of 50 patients with stroke［J］. Chin J Ethnomedicine Ethnopharmacy， 2014， 23（17）： 106.（in Chinese）

吴叶佳. 针对性护理干预对脑卒中患者焦虑和抑郁情绪的影响［J］. 齐鲁护理杂志， 2017， 23（23）： 92-94.

WU Y J. Effect of targeted nursing intervention on anxiety and depression of stroke patients［J］. J Qilu Nurs， 2017， 23（23）： 92-94.（in Chinese）

ROBINSON R G， JORGE R E. Post-stroke depression： a review［J］. Am J Psychiatry， 2016， 173（3）： 221-231.

余欢，邹敏，王贵梅. 老年综合评估的临床应用效果分析［J］. 临床医药文献电子杂志， 2020， 7（20）： 74， 114.

YU H， ZOU M， WANG G M. Analysis of clinical application effect of comprehensive evaluation of the elderly［J］. Electron J Clin Med Lit， 2020， 7（20）： 74， 114.（in Chinese）

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