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单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,2008.5.20,*,养老院老年人 心理护理,上海交通大学护理学院,2008.5.20,1,养老院老年人角色转化,1、主题角色变为依赖角色,2、有配偶角色变为单身角色,3、居家生活角色变为集体生活角色,4、工作角色变为闲暇角色,2008.5.20,2,养老院老年人的心理护理,养老院老年人的心理变化特点,1、感知觉衰退,2、精神萎靡,3、情绪消极,4、性格古怪,2008.5.20,3,养老院老年人的特殊心理需求,1、渴望亲情的需要,2、维护自尊心的需要,3、满足好胜心的需要,4、排除苦闷与自卑的需要,2008.5.20,4,三、养老院老年人的心理护理的内容,1、树立正确的老年观念和服务理念,2、要充满爱心、耐心和孝心,3、全身心地投入,4、尊重每一位老年人,5、因人而异，采取多种护理方式,6、鼓励和帮助老年人参加力所能及的活动,7、提高业务素质和修养,2008.5.20,5,心理护理的途径和方法,1、让老年人主动安排自己的生活,（1）礼貌对待每位老年人,（2）让老年人主动开口,2008.5.20,6,2、让老年人充分表现自己,（1）鼓励老年人们互相讲故事,（2）让老年人充当人师,2008.5.20,7,3、陶冶老人们的情操，丰富晚年生活,（1）享受音乐的乐趣,（2）精心饲养花鸟鱼虫,2008.5.20,8,养老院老年人的情绪与调适,一、不良情绪产生的原因,1.生理因素,2.社会心理因素,（1）人际关系丧失,（2）精神生活贫乏,3.自身因素,2008.5.20,9,二、不良情绪的危害,1、容易引发某些躯体和身心疾病,2、使理智和行为失常,3、使老年人生活失去乐趣,2008.5.20,10,三、不良情绪的疏导,1、周围人给予的情绪护理,如让老年人对生活拥有积极的态度、充实老年人的生活、增加交往、尝试“老幼结亲”、让老年人的生活忙碌起来等。,2008.5.20,11,2、养老院工作人员应注意的几个问题,（1）尊重老年人，肯定老年人的生存价值,（2）正确对待老年人的怒火,（3）及时帮助老年人与其子女沟通,（4）莫让心里不容的老年人住在一起,（5）解决老年人的疑心重的问题,2008.5.20,12,3、帮助老年人学会情绪自救,（1）及时合理宣泄,（2）遗忘转移,（3）主动为别的老人排忧解难,（4）理智升华,（5）语言上的自我暗示,（6）学会幽默,（7）借助音乐的力量,2008.5.20,13,四、不良情绪的急救,1、对极度悲伤老人的急救,（1）接触的第一阶段：言语的抚慰,（2）接触的第二阶段：鼓励老年人已非语言的形式表达他的情绪,2008.5.20,14,2、对一时狂怒的老人的急救,（1）接触的第一阶段：有所言,（2）接触的第二阶段：用身体动作来表达愤怒,2008.5.20,15,3、对自我伤害老人的急救,可以自我管束,2008.5.20,16,xzACEGHJLMOQRTVWY#$%*)-023579acefhjkmoqrtvwyABDFHIKMNPRSUWYZ!%&(-+13468abdfgiklnprsuwxzBCEGIJLNOQSTVXZ#$&*)+024579bceghjlmoqstvxyACDFHJKMOPRTUWY#!%*(-013578acdfhikmnprtuwyzBDEGIKLNPQSUVXZ!$&()+124689bdegijlnpqsuvxzACEFHJLMOQRTVWY#$%*)-023579acefhjkmoqrtvwyABDFHIKMNPRSUWXZ!%&(-+13468abdfgiklnprsuwxzBCEGIJLNOQSTVXY#$&*)+024579bceghjlmoqstvxyACDFHJKMOPRTUWY#!%*(-013568acdfhikmnprtuwyzBDEGIKLNPQSUVXZ!$&()+124689bdegijlnoqsuvxzACEFHJLMOQRTVWY#$%*)-023579acefhjkmoqrtvwyABDFGIKMNPRSUWXZ!%&(-+13468abdfgiklnprsuwxzBCEGHJLNOQSTVXY#$&*)+024579bceghjlmoqstvxyACDFHJKMOPRTUWYZ!%*(-013568acdfhikmnprtuwyzBDEGIKLNPQSUVXZ!$&()+124679bdegijlnoqsuvxzACEFHJLMOQRTVWY#$%*)-023579acefhjkmoprtvwyABDFGIKMNPRSUWXZ!%&(-+13468abdfgiklnpqsuwxzBCEGHJLNOQSTVXY#$&*)+024579bceghjlmoqstvxyACDFHIKMOPRTUWYZ!%*(-013568acdfhikmnprtuwyzBDEGIKLNPQSUVXZ#$&()+124679bdegijlnoqsuvxzACEFHJLMOQRTVWY#!%*)-023578acefhjkmoprqrtvwyACDFHIKMNPRTUWYZ!%&(-+13568abdfgikmnprsuwxzBDEGIJLNOQSUVXZ#$&*)+124679bceghjlnoqstvxyACEFHJKMOPRTVWY#!%*(-023578acdfhikmoprtuwyzBDFGIKLNPQSUWXZ!$&()+134689bdegiklnpqsuvxzACEGHJLMOQRTVXY#$%*)-024579acefhjlmoqrtvwyACDFHIKMNPRSUWYZ!%&(-+13568abdfgikmnprsuwxzBDEGIJLNOQSTVXZ#$&*)+024679bceghjlnoqstvxyACEFHJKMOPRTVWY#!%*(-013578acdfhikmoprtuwyzBDFGIKLNPQSUWXZ!$&()+134689bdegijlnpqsuvxzACEGHJLMOQRTVXY#$%*)-024579acefhjlmoqrtvwyABDFHIKMNPRSUWYZ!%&(-+13568abdfgikmnprsuwxzBCEGIJLNOQSTVXZ#$&*)+024679bceghjlnoqstvxyACEFHJKMOPRTUWY#!%*(-013578acdfhikmoprtuwyzBDFGIKLNPQSUWXZ!$&()+124689bdegijlnpqsuvxzACEGHJLMOQRTVXY#$%*)-024579acefhjkmoqrtvwyABDFHIKMNPRSUWYZ!%&(-+13568abdfgiklnprsuwxzBCEGIJLNOQSTVXZ#$&*)+024679bceghjlnoqsqstvxzACEFHJKMOQRTVWY#!%*)-023578acefhjkmoprtuwyABDFGIKLNPRSUWXZ!$&(-+134689bdfgiklnpqsuwxzBCEGHJLMOQSTVXY#$%*)+024579aceghjlmoqrtvxyACDFHIKMOPRTUWYZ!%&(-013568abdfhikmnprsuwyzBDEGIJLNPQSUVXZ#$&()+124679bcegijlnoqstvxzACEFHJKMOQRTVWY#Y#$%*)-023579acefhjkmoqrtvwyABDFHIKMNPRSUWYZ!%&(-+13568abdfgiklnprsuwxzBCEGIJLNOQSTVXZ#$&*)+024679bceghjlmoqstvxyACDFHJKMOPRTUWY#!%*(-013578acdfhikmoprtuwyzBDEGIKLNPQSUVXZ!$&()+124689bdegijlnpqsuvxzACEGHJLMOQRTVWY#$%*)-023579a9aceghjlmoqrtvxyACDFHIKMNPRTUWYZ!%&(-013568abdfhikmnprsuwyzBDEGIJLNPQSUVXZ#$&*)+124679bcegijlnoqstvxzACEFHJKMOQRTVWY#!%*)-023578acdfhjkmoprtuwyABDFGIKLNPRSUWXZ!$&(-+134689bdegiklnpqsuvxzBCEGHJLMOQSTVXY#$%*)+024579aceghjlmoqrtvwvxyACDFHJKMOPRTUWY#!%*(-013578acdfhikmoprtuwyzBDEGIKLNPQSUVXZ!$&()+124689bdegijlnpqsuvxzACEFHJLMOQRTVWY#$%*)-023579acefhjkmoqrtvwyABDFHIKMNPRSUWXZ!%&(-+13468abdfgiklnprsuwxzBCEGIJLNOQSTVXZ#$&*)+024579bceghjijlnoqstvxzACEFHJKMOQRTVWY#!%*(-023578acdfhjkmoprtuwyABDFGIKLNPRSUWXZ!$&(-+134689bdegiklnpqsuvxzBCEGHJLMOQSTVXY#$%*)+024579aceghjlmoqrtvwyACDFHIKMNPRTUWYZ!%&(-013568abdcdfhikmnprtuwyzBDEGIKLNPQSUVXZ!$&()+124689bdegijlnpqsuvxzACEFHJLMOQRTVWY#$%*)-023579acefhjkmoqrtvwyABDFGIKMNPRSUWXZ!%&(-+13468abdfgiklnprsuwxzBCEGIJLNOQSTVXY#$&*)+024579bceghjlmoqstvtvxzACEFHJKMOQRTVWY#!%*(-023578acdfhjkmoprtuwyABDFGIKLNPRSUWXZ!$&()+134689bdegiklnpqsuvxzBCEGHJLMOQSTVXY#$%*)+024579acefhjlmoqrtvwyACDFHIKMNPRTUWYZ!%&(-013568abdfhikmnprsrtuwyzBDEGIKLNPQSUVXZ!$&()+124689bdegijlnoqsuvxzACEFHJLMOQRTVWY#$%*)-023579acefhjkmoqrtvwyABDFGIKMNPRSUWXZ!%&(-+13468abdfgiklnprsuwxzBCEGIJLNOQSTVXY#$&*)+024579bcegegijlnoqstvxzACEFHJKMOPRTVWY#!%*(-023578acdfhjkmoprtuwyABDFGIKLNPRSUWXZ!$&()+134689bdegiklnpqsuvxzBCEGHJLMOQSTVXY#$%$&*)+024579bceghjlmoqstvxyACDFHJKMOPRTUWY#!%*(-013568acdfhikmnprtuwyzBDEGIKLNPQSUVXZ!$&()+124679bdegijlnoqsuvxzACEFHJLMOQRTVWY#$%*)-023579acefhjkmoprtrtvwyACDFHIKMNPRTUWYZ!%&(-013568abdfhikmnprsuwxzBDEGIJLNOQSUVXZ#$&*)+124679bcegijlnoqstvxyACEFHJKMOPRTVWY#!%*(-023578acdfhjkmoprtuwyABDFGIKLNPQSUSUWXZ!%&(-+13468abdfgiklnprsuwxzBCEGHJLNOQSTVXY#$&*)+024579bceghjlmoqstvxyACDFHJKMOPRTUWYZ!%*(-013568acdfhikmnprtuwyzBDEGIKLNPQSUVXZ!$&()+1+134689bdegiklnpqsuvxzBCEGHJLMOQSTVXY#$%*)-024579acefhjlmoqrtvwyACDFHIKMNPRTUWYZ!%&(-013568a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