心理护理在慢性病患者管理中的护理研究进展
Research Progress of Psychological Nursing in the Management of Patients with Chronic Diseases
DOI: 10.12677/ns.2026.154113, PDF,   
作者: 钟佩佩*, 牟 宇, 池璐瑶, 叶玲玲:玉环市第二人民医院健共体集团心理卫生科,浙江 玉环
关键词: 心理护理慢性病研究进展护理模式Psychological Nursing Chronic Diseases Research Progress Nursing Model
摘要: 慢性病大多起病隐蔽、病程漫长,病情还容易反复,预后也难以确定,长期下来不仅折磨患者的身体,更困扰着他们的心理,很容易让患者产生焦虑、抑郁等负面情绪。这些负性情绪又会反过来加重病情,让患者不愿配合治疗,久而久之就形成了“身体生病–心理出问题”的恶性循环。在慢性病的综合管理中,心理护理发挥着核心作用,通过科学的干预方法,既能帮助患者缓解不良情绪,也能增强他们自我管理疾病的能力,进而改善生活质量,这也是目前护理领域重点研究的方向之一。结合近年来国内外的相关研究,本文梳理了慢性病患者的心理特点、心理护理的核心模式及具体干预方法,分析了当前研究中存在的问题,还对未来的研究方向进行了展望,希望能为临床慢性病患者的心理护理实践,以及后续相关研究提供一些参考。
Abstract: Most chronic diseases have an insidious onset, a prolonged course, and a high tendency to recur with an uncertain prognosis. Over the long term, they not only inflict physical suffering on patients but also cause severe psychological distress, making patients prone to negative emotions such as anxiety and depression. In turn, these negative emotions can exacerbate the physical condition and reduce patients’ compliance with treatment, gradually forming a vicious circle of “physical illness triggering psychological problems”. As a core component in the comprehensive management of chronic diseases, psychological nursing exerts a pivotal role. Through scientific intervention methods, it can not only alleviate patients’ adverse emotions but also enhance their ability to self-manage the disease, thereby improving their quality of life, which has also become one of the key research directions in the nursing field at present. Based on relevant domestic and foreign studies in recent years, this paper sorts out the psychological characteristics of patients with chronic diseases, as well as the core models and specific intervention methods of psychological nursing, analyzes the existing problems in the current research, and prospects the future research directions, aiming to provide references for the clinical practice of psychological nursing for chronic disease patients and subsequent relevant research.
文章引用:钟佩佩, 牟宇, 池璐瑶, 叶玲玲. 心理护理在慢性病患者管理中的护理研究进展[J]. 护理学, 2026, 15(4): 130-138. https://doi.org/10.12677/ns.2026.154113

参考文献

[1] 潘虹地, 李英华, 李莉, 等. 我国不同慢性病患病状况居民健康素养水平分析[J]. 中国健康教育, 2025, 41(6): 486-490.
[2] 魏萱, 王宁, 魏颖, 陈麒麟, 赵洋. 我国中老年慢性病患者抑郁现状及其影响因素分析: 基于CHARLS数据实证分析[J]. 中国全科医学, 2025, 28(11): 1303-1308.
[3] 张李娜, 胡远超, 刘自珍, 时晔. 老年患者焦虑抑郁相关因素及症状特点分析[J]. 陕西医学杂志, 2026, 55(1): 53-57.
[4] 彭妙云. 心理护理干预: 慢性病管理的关键助力[J]. 漫科学(新健康), 2025(1): 126-126.
[5] 冯蕾, 李诺, 陈玲, 等. 社区老年慢性病患者共病焦虑及抑郁症状的横断面研究[J]. 精神医学杂志, 2023, 36(4): 381-386.
[6] 王悦熙, 王丽英, 吕雪梅, 等. 晚期癌症患者生命意义及心理状况的调查研究[J]. 医学信息, 2021, 34(13): 100-103.
[7] 苏文婷, 杨洪菊, 付成燕. 健康老龄化视域下综合医院老年慢性病患者心理健康状况调查及对策研究[J]. 卫生职业教育, 2026, 44(3): 149-154.
[8] 吴晶, 张芹, 程婷, 等. 老年慢性病共病患者医院-家庭过渡期服药偏差及影响因素分析[J]. 中国临床护理, 2025, 17(2): 73-77.
[9] Fattouh, N., Hallit, S., Salameh, P., Choueiry, G., Kazour, F. and Hallit, R. (2019) Prevalence and Factors Affecting the Level of Depression, Anxiety, and Stress in Hospitalized Patients with a Chronic Disease. Perspectives in Psychiatric Care, 55, 592-599. [Google Scholar] [CrossRef] [PubMed]
[10] 常韵琪, 郑晓, 李咪咪, 等. 老年慢性病患者抑郁状态及影响因素城乡差异研究[J]. 中国全科医学, 2021, 24(10): 1254-1259.
[11] Cheng, C., Inder, K. and Chan, S.W. (2021) The Relationship between Coping Strategies and Psychological Distress in Chinese Older Adults with Multiple Chronic Conditions. Australasian Journal on Ageing, 40, 397-405. [Google Scholar] [CrossRef] [PubMed]
[12] 焦颗玲, 蒋继国, 田凤娟, 等. 2型糖尿病患者糖尿病痛苦现状及其影响因素分析[J]. 中国当代医药, 2025, 32(8): 118-121.
[13] Aksoy, O., Wu, A.F., Aksoy, S. and Rivas, C. (2024) Social Support and Mental Well-Being among People with and without Chronic Illness during the COVID-19 Pandemic: Evidence from the Longitudinal UCL COVID Survey. BMC Psychology, 12, Article No. 136. [Google Scholar] [CrossRef] [PubMed]
[14] Kaier, K., Metzner, G., Horstmeier, L., Bitzer, E.M., Heimbach, B., Kiekert, J., et al. (2023) The Economic Impact of a Local, Collaborative, Stepped, and Personalized Care Management for Older People with Chronic Diseases: Results from the Randomized Comparative Effectiveness Lochro-Trial. BMC Health Services Research, 23, Article No. 1422. [Google Scholar] [CrossRef] [PubMed]
[15] 何萍, 鲍云慧, 曹玲. 三方联动协作式护理对慢性乙型肝炎患者自我效能与自护能力的影响[J]. 现代中西医结合杂志, 2020, 29(24): 2722-2725.
[16] 盛彩娟, 韩辰宇, 谢建芳. 基于互联网平台的护理管理新模式对2型糖尿病合并糖尿病周围神经病变患者的影响[J]. 贵州医药, 2021, 45(6): 997-999.
[17] 华与慧, 袁红, 胡莉梅. 多学科团队协作模式在养老机构老年慢性病患者长期护理服务中的应用[J]. 老年医学研究, 2021, 2(2): 28-31.
[18] 王慧敏, 张宪宾, 史婉婉, 等. 生物-心理-社会干预对躁狂症患者心理健康和生活质量的影响[J]. 中国健康心理学杂志, 2025, 33(9): 1297-1301.
[19] 廖英桃, 陈敏华, 罗媛容, 等. 综合性医院慢性病住院病人心理护理模式构建与实践[J]. 全科护理, 2020, 18(27): 3653-3655.
[20] 王平, 李华. 中医情志干预联合动机性访谈在社区2型糖尿病患者中的应用[J]. 当代护士(上旬刊), 2024, 31(10): 107-111.
[21] 张鹍, 王颜, 桂嵘嵘, 颜霞. 初治急性白血病患者诱导化疗期间的认知行为干预[J]. 护理学杂志, 2019, 34(13): 82-84.
[22] 吕娜, 陈玉娟, 朱丽萍. 认知重构干预对冠心病患者感知控制态度、情绪及依从性的影响[J]. 中华现代护理杂志, 2016, 22(23): 3347-3350.
[23] 许烨萍, 龚学军, 陈梦霞, 等. 医共体模式下专家参与社区慢病管理对老年社区糖尿病患者疾病认知和健康行为及血糖控制的影响[J]. 环境与健康杂志, 2024, 41(12): 1071-1075.
[24] 朱婷, 黄亚芳, 相彤, 吴浩. 基于认知行为治疗的数字疗法在社区慢性病管理中的应用及展望[J]. 中华全科医学, 2024, 22(3): 357-360.
[25] Evans, E., Zengul, A., Subhash Chilke, T., Knight, A., Willig, A., Cherrington, A., et al. (2024) Telehealth Behavioral Intervention for Chronic Disease Self-Management in Adults with Physical Disabilities (My Health, My Life, My Way): Protocol for Intervention Fidelity and Dashboard Design for a Randomized Controlled Trial. JMIR Research Protocols, 13, e53410. [Google Scholar] [CrossRef] [PubMed]
[26] Aslam, A., Butt, M.D., Javaid, I., Malik, T., Gull, Z., Mahmood, A., et al. (2025) Effectiveness of Behavioral Intervention Programs for Preventing and Managing Diabetes in Adults: A Systematic Review of Evidence. BMC Public Health, 25, Article No. 4052. [Google Scholar] [CrossRef
[27] 姜登旗, 姜登君, 聂星雨, 等. 同伴支持联合移动医疗个案管理模式在2型糖尿病患者血糖管理中的应用效果[J]. 广西医学, 2021, 43(20): 2497-2501.
[28] 王爽, 孙娟, 张圆圆. 老年慢性病患者的社会支持与心理健康状况及干预措施研究[J]. 中外健康, 2024, 1(5): 81-83.
[29] 李力, 顾湲, 王春光, 等. 家医团队联合同伴支持小组对农村慢性病患者自我管理行为持续影响的多元路径: 基于T村健康互助组的嵌入式单案例研究与清晰集定性比较分析[J]. 中国全科医学, 2026, 29(4): 490-497.
[30] 于奉芹. 团体同伴支持干预对社区2型糖尿病患者血糖及自我效能影响分析[J]. 糖尿病新世界, 2019, 22(15): 186-187.
[31] Soriano, E.C. and Polonsky, W.H. (2022) The Influence of Real-Time Continuous Glucose Monitoring on Psychosocial Outcomes in Insulin-Using Type 2 Diabetes. Journal of Diabetes Science and Technology, 17, 1614-1622. [Google Scholar] [CrossRef] [PubMed]
[32] 江敏, 何迪, 张雷, 等. 护士临床护理心理评估知信行现状及影响因素分析[J]. 蚌埠医学院学报, 2020, 45(10): 1443-1448.
[33] 张琦, 王琼, 李欣宇, 等. 国内外老年慢性病共病患者心理健康研究热点与趋势分析[J]. 中国农村卫生事业管理, 2025, 45(8): 545-552.