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情志相胜疗法在慢性阻塞性肺病患者中的应用 被引量:9

Application of emotional restrictive therapy for patients with chronic obstructive pulmonary disease
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摘要 目的探讨情志相胜疗法对慢性阻塞性肺疾病(COPD)患者焦虑、抑郁状态及肺功能改善作用。方法100例COPD患者随机分为治疗组和对照组,各50例。对照组住院期间按照中医护理常规进行护理,治疗组在对照组基础上采用中医情志相胜法进行护理。观察实施护理前后2组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)及肺功能指标。结果护理后,治疗组SAS和SDS评分均降低,对照组SAS评分降低,治疗组SAS和SDS评分均低于对照组,差异均有统计学意义(P<0.01);护理后,2组一秒用力呼气容积占预计值百分比(FEV_1%)和FEV_1/FVC值均升高,治疗组FEV_1%和FEV_1/FVC值均高于对照组,差异均有统计学意义(P<0.05或P<0.01)。结论中医护理情志相胜法能改善COPD患者焦虑、抑郁状态,提高其接受治疗的主动性和积极性,从而改善呼吸功能。 Objective To investigate the effect of emotional restrictive therapy on anxiety and depression status and pulmonary function in patients with chronic obstructive pulmonary disease (COPD). Methods Totally 100 COPD patients were randomly divided into treatment and con-trol g ro u p , with 50 cases in each g roup. Both two groups received routine nursing care during treatmen t, and the emotional restrictive therapy was provided to patients in the treatment g roup.The improvement in self-rating depression scale (SD S) , self-rating anxiety scale (SA S) and pul-monary function were compared between two groups. Results Patients in the treatment achieved a lower score o f SAS and SDS compared with those in the control group after intervention (P 〈0. 01). The predicted forced expiratory volume in 1 sec (FEV^ ) and the ratio o f FEV1 to forced vital capacity (FVC) were increased in both two group after nursing intervention, and were higher in the treatment group than those in the control group (P 〈0.05 or P 〈0.01). Conclusion Emo-tional restrictive therapy can relieve the anxiety and depression of the patien ts, and to improve the treatment compliance as well as respiratory function o f COPD patients
出处 《中西医结合护理(中英文)》 2017年第2期69-71,共3页 Journal of Clinical Nursing in Practice
基金 苏州市中西医结合科研基金资助项目:(SYSD2014174)
关键词 情志相胜 慢性阻塞性肺疾病 焦虑 抑郁 emotional restrictive th e rap y chronic obstructive pulmonary d ise a se an x ie ty depression
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