CHUNYANG LI, XUEYAN FAN, QIAN ZHANG, et al. A case report of health risk management for the elderly widowed based on geriatric nursing needs assessment. [DB/OL].Clinical archives of integrative medicine, 2023.
DOI:
CHUNYANG LI, XUEYAN FAN, QIAN ZHANG, et al. A case report of health risk management for the elderly widowed based on geriatric nursing needs assessment. [DB/OL].Clinical archives of integrative medicine, 2023. DOI: 10.12209/CAIM202310130065.
A case report of health risk management for the elderly widowed based on geriatric nursing needs assessment增强出版
To summarize the nursing experience of one elderly widowed patient based on geriatric nursing needs assessment and explore its application value.
Methods
2
Based on the results of geriatric nursing needs assessment, the health problems of the widowed elderly were identified, and individualized nursing programs were formulated. Acute grief care (cognitive behavior therapy, five-tone therapy) and disease risk management were used to reduce health risks and prevent prolonged grief disorder.
Results
2
The health risks of the widowed elderly were accurately identified and effectively controlled, and the patient's condition was improved and discharged smoothly.
Conclusions
2
Being widowed is a common stress event in the elderly population. Clinical nurses can accurately identify the health risks caused by being widowed through the assessment of geriatric nursing needs, and deal with them effectively to improve the quality of nursing.
关键词
哀伤丧偶老人老年护理需求评估五音疗法认知行为疗法
Keywords
griefWidowed elderlyGeriatric care needs assessmentFive-tone therapyCognitive behavioral Therapy
ZHANG C C, SONG J, MA C C, et al. Research progress on mortality risks and health status of widowed elderly[J]. Chin Nurs Res, 2016, 30(5): 526-528.(in Chinese)
ERLANGSEN A, RUNESON B, BOLTON J M, et al. Association between spousal suicide and mental, physical, and social health outcomes: a longitudinal and nationwide register-based study[J]. JAMA Psychiatry, 2017, 74(5): 456-464.
HART C L, HOLE D J, LAWLOR D A, et al. Effect of conjugal bereavement on mortality of the bereaved spouse in participants of the Renfrew/Paisley Study[J]. J Epidemiol Community Health, 2007, 61(5): 455-460.
MOSTOFSKY E, MACLURE M, SHERWOOD J B, et al. Risk of acute myocardial infarction after the death of a significant person in one’s life: the Determinants of Myocardial Infarction Onset Study[J]. Circulation, 2012, 125(3): 491-496.
WANG S T, ZHANG Z M. Modern medicine value and cultural connotation of Chinese medicine music therapy[J]. J Tradit Chin Med, 2018, 59(1): 10-14.(in Chinese)
LIN F C, HE N N, HUANG D H. Primary exploration on music therapy based on five elements in Inner Canon of Huangdi[J]. China J Tradit Chin Med Pharm, 2015, 30(11): 4161-4162.(in Chinese)
WANG Y Z, HUAN F, ZHANG J S. The application value of risk assessment in medical education system[J]. Continuing Med Educ, 2022, 36(1): 85-88.(in Chinese)
LIN H, ZHANG T H, YANG H, et al. Analysis of influential factors of activities of daily life of the elderly[J]. Chin Heath Serv Manag, 2002, 19(8): 495-497.(in Chinese)
CAREY I M, SHAH S M, DEWILDE S, et al. Increased risk of acute cardiovascular events after partner bereavement: a matched cohort study[J]. JAMA Intern Med, 2014, 174(4): 598-605.
NIE W L, FANG H, LAN X H, et al. Summary of the best evidence for fall prevention and management of inpatients[J]. Chin Evid Based Nurs, 2022, 8(18): 2451-2457.(in Chinese)
National Health Commission, China Banking and Insurance Regulatory Commission, National Administration of Traditional Chinese Medicine. Notice on carrying out geriatric nursing needs assessment and standardized services [J]. Bulletin of the National Health Commission of the People's Republic of China, 2019(7):18-30.
Medical Administration and Medical Administration Bureau of the National Health Commission.Promoting nursing care for the elderly and helping to build a healthy China[J]. Chin Nurs Manag, 2020, 20(10): 1497-1498.(in Chinese)
LI W L, CUI L P, FENG X F. Impact of InterRAI-HC assessment and nursing intervention on the quality of long-term care for elderly patients with chronic diseases[J]. Chin Nurs Res, 2021, 35(20): 3627-3631.(in Chinese)
LONG M, JIA X F, HE P, et al. Meta-analysis of the effect of nursing risk management on ventilator-associated pneumonia in patients with acute respiratory distress syndrome[J]. J Nurs Adm, 2022, 22(6): 431-435.(in Chinese)
Elhanahy EY, Elhessewi G. The impact of Developing Risk Managements Nursing Strategies on Nurse's Culture Safety [J]. International Journal of Evidence-Based Healthcare, 2020, 7(2): 160-171.
SILVA R P, VALENTE G S C, CAMACHO A C L F. Risk management in the scope of nursing professionals in the hospital setting[J]. Rev Bras Enferm, 2020, 73(6): e20190303.
陈维樑, 钟莠荺. 哀伤心理咨询: 理论与实务[M]. 北京: 中国轻工业出版社, 2006.
ZISOOK S, SHEAR K. Grief and bereavement: what psychiatrists need to know[J]. World Psychiatry, 2009, 8(2): 67-74.
NIELSEN M K, NEERGAARD M A, JENSEN A B, et al. Predictors of complicated grief and depression in bereaved caregivers: a nationwide prospective cohort study[J]. J Pain Symptom Manage, 2017, 53(3): 540-550.
JOHANSEN S, CVANCAROVA M, RULAND C. The effect of cancer patients' and their family caregivers' physical and emotional symptoms on caregiver burden[J]. Cancer Nurs, 2018, 41(2): 91-99.
LIU X X, WANG J P. 我走出来了吗? —正常哀伤反应与病理性哀伤[J]. Psychol Heath, 2019(12): 90-92.(in Chinese)
HOFFMANN R, GROßE J, NAGL M, et al. Internet-based grief therapy for bereaved individuals after loss due to Haematological cancer: study protocol of a randomized controlled trial[J]. BMC Psychiatry, 2018, 18(1): 52.
WANG Q, XIE S F, JIANG J Y. The research of the influence of the cognitive behavioral therapy to the life quality of the senile depression patients[J]. Med Philos Humanist Soc Med Ed, 2009, 30(3): 37-38.(in Chinese)
MENG X, WANG W D. Analysis on the theory and application of five elements music therapy in TCM[J]. Glob Tradit Chin Med, 2017, 10(10): 1218-1221.(in Chinese)
CHANDRA A, CRANE S J, TUNG E E, et al. Patient-reported geriatric symptoms as risk factors for hospitalization and emergency department visits[J]. Aging Dis, 2015, 6(3): 188-195.
LI S Q, ZHAO Y. Analysis on comprehensive hospitals' evaluation of nursing needs of the elderly[J]. Chin J Geriatr Care, 2021, 19(4): 154-155.(in Chinese)
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