摘要
目的:探讨整体化心理护理模式对特发性肺间质纤维化患者生活质量的影响。方法:将92例特发性肺间质纤维化患者按照随机对照原则分为观察组和对照组各46例,对照组采用常规护理,观察组在此基础上采取整体化心理护理模式。对两组入院时和实施8周后的肺功能及血气分析进行检测,并对患者的呼吸困难情况及生活质量进行评价。结果:对照组8周后一氧化碳弥散量、二氧化碳分压及呼吸困难情况评分低于入院时(P<0.05),氧分压则高于入院时(P<0.05);观察组8周后肺功能、血气分析各项指标及呼吸困难情况评分优于入院时(P<0.05),且8周后观察组上述各指标均优于对照组(P<0.05)。对照组8周后躯体功能、机体疼痛、生命力及总健康评分优于入院时(P<0.05);观察组8周后上述指标均优于入院时(P<0.05),且8周后观察组上述指标也优于对照组(P<0.05)。结论:将整体化心理护理模式应用特发性肺间质纤维化患者的治疗过程中,可改善患者的肺部功能和呼吸状况,提高患者的生活质量。
Objective： To explore the effect of holistic psychological nursing model on the quality of life of patients with idiopathic pulmonary fibrosis. Methods： 92 patients with idiopathic pulmonary interstitial fibrosis were randomly divided into the observation group and the control group（ 46 cases in each group）. The patients in the control group were given routine nursing care and the holistic psychological nursing model was additionally adopted in the observation group. The pulmonary function and blood gas analysis of the patients were detected and the patients＇ dyspnea and quality of life were evaluated respectively on admission and after 8 weeks of the nursing intervention. Results： The diffusion capacity of carbon monoxide,the partial pressure of carbon dioxide and the score of dyspnea of the patients were lower after 8 weeks than those on admission in the control group（ P〈0. 05）; the partial pressure of oxygen was higher after 8 weeks than that on admission（ P〈0. 05）; lung function and blood gas analysis and the score of dyspnea were superior after 8 weeks to those on admission in the observation group（ P〈0. 05）; the indexes mentioned above were superior in the observation group to the control group after 8 weeks（ P〈0. 05）; the physical function,bodily pain,vitality and general health score were better after 8 weeks than those on admission in the control group（ P〈0. 05）; the indexes mentioned above were superior after 8 weeks than those on admission in the observation group（ P〈0. 05）; the indexes mentioned above were also superior in the observation group to the control group after 8 weeks（ P〈0. 05）. Conclusion： The holistic psychological nursing model applied to patients with idiopathic pulmonary fibrosis during the treatment can improve the patient＇s lung function and respiratory status so as to improve their quality of life.
出处
《齐鲁护理杂志》
2016年第9期18-20,共3页
Journal of Qilu Nursing
关键词
心理护理模式
肺间质纤维化
生活质量
Psychological nursing model
Pulmonary interstitial fibrosis
Quality of life
