摘要
目的 探讨心理支持疗法在COPD合并情绪障碍患者中的应用效果.方法 采用便利抽样法,选取河南省商丘市第一人民医院2015年3月—2017年3月收治的COPD合并情绪障碍患者100例为研究对象.对照组进行常规治疗和护理干预,观察组在对照组基础上实施心理支持疗法.比较两组患者干预前后FEV1占预计值的百分比（FEV1%）、FEV1占用力肺活量比值（FEV1/FVC）、汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）评分、COPD评估测试（CAT）和改良呼吸困难（mMRC）评分、满意度和幸福度.结果 干预后,两组FEV1%和FEV1/FVC比较,差异无统计学意义（P〉0.05）;观察组HAMA和HAMD评分均低于对照组,差异有统计学意义（P〈0.05）;观察组CAT和mMRC评分低于对照组,差异有统计学意义（P〈0.05）;观察组护理满意度和幸福度均高于对照组,差异有统计学意义（P〈0.05）.结论 心理支持疗法可有效缓解COPD合并情绪障碍患者不良情绪,改善患者呼吸困难症状,使患者生活质量和幸福度提升,同时也提高了患者护理满意度.
Objective To explore the application effects of psychological support therapy in the treatment of patients with COPD combined with emotional disorders. Methods A total of 100 COPD patients with emotional disorders treated in the First People＇s Hospital of Shangqiu from March 2015 to March 2017 were selected for the study using convenient sampling. The participants were divided into the control group （n=50） and the observation group （n=50）. Patients in the control group were given routine therapy and nursing. Based on the routine therapy and nursing care, the observation group was given additional psychological support therapy. The percentage of FEV1 in predicted value （FEV1%）, the ratio of FEV1 in the forced vital capacity （FEV1/FVC）, scores of Hamilton Anxiety Scale （HAMA）, Hamilton Depression Scale （HAMD）, COPD Assessment Test （CAT）, Modified Medical Research Council （mMRC） Score, the satisfaction degree and happiness degree were compared between two groups. Results There were no significant differences in FEV1% and FEV1/FVC between two groups after the treatment （P〉0.05）. The observation group had significantly lower scores of HAMA, HAMD, CAT, and mMRC compared with the control group （P〈 0.05）. The nursing satisfaction level and happiness degree were significantly higher in the observation group compared with the scores in the control group （P〈0.05）. Conclusions The psychological support therapy can effectively alleviate unhealthy emotions and improve the dyspnea symptoms in COPD patients combined with emotional disorders. It can also improve their quality of life and satisfaction and happiness level.
作者
牛瑞兰
刘银芳
Niu Ruilan;Liu Yinfang(Department of Respiratory Intensive Medicine, the First People＇s Hospital of Shangqiu, He＇nan Province, Shangqiu 476100, China;Department of Nursing, the First People＇s Hospital of Shangqiu, He＇nan Province, Shangqiu 476100, China)
出处
《中华现代护理杂志》
2018年第11期1304-1307,共4页
Chinese Journal of Modern Nursing
基金
河南省医学科技攻关计划项目（201403138）
关键词
肺疾病
慢性阻塞性
情绪障碍
生活质量
呼吸困难
心理支持疗法
Pulmonary disease
chronic obstructive
Emotional disorder
Quality of life
Dyspnea
Psychological support therapy
