摘要
目的：探讨多学科团队延续护理干预对慢性阻塞性肺疾病（COPD）患者负性情绪、治疗依从性和生活质量的影响。方法：选取2016年8月至2017年8月我院收治的128例COPD患者作为研究对象,采用回顾性分析法分析所有患者的临床资料,按照随机数字表法将其分为对照组（60例）和研究组（68例）,对照组患者在治疗上给予常规护理,研究组在对照组基础上给予多学科团队延续护理干预,比较两组患者负性情绪、治疗依从性以及生活质量的变化情况。结果：（1）研究组护理后负性情绪焦虑自评量表（SAS）、抑郁自评量表（SDS）评分均较对照组降低明显,差异具有统计学意义（t=10.970,7.606;P〈0.001）;（2）研究组护理干预后治疗依从性程度显著高于对照组,差异具有统计学意义（χ^2=11.994,P=0.001）;（3）研究组患者护理干预后生活质量评分改善程度明显优于对照组,差异具有统计学意义（t=3.132,P=0.002;t=2.255,P=0.025;t=5.149,6.475,3.494;P〈0.001）。结论：多学科团队延续护理干预能改善COPD患者负性情绪,改善治疗依从性和提高生活质量。
Objective： To explore the effect of multidisciplinary team continuity nursing intervention on negative emotion,treatment compliance and quality of life in patients with COPD（ Chronic obstructive pulmonary disease）. Methods： A total of 128 cases of COPD were selected from August 2016 to August 2017 in our hospital as the research object; the clinical data of all patients were analyzed by retrospective analysis; patients were randomly divided into 60 cases of the control group and 68 cases in the study group; patients in the control group took routine nursing treatment.The study group was given multidisciplinary team continuing nursing intervention on the basis of the control group. The negative emotion,treatment compliance and quality of life of the 2 groups were compared.Results：（1）the scores of SAS and SDS in the study group were significantly lower than those in the control group after nursing,and the difference was statistically significant（ t = 10.970,7.606; P〈0.001）.（2）The degree of compliance of the study group was significantly higher than that of the control group after nursing intervention,and the difference was statistically significant（ χ^2= 11.994,P = 0.001）.（3）The improvement of quality of life of the study group after nursing intervention were obviously better than those of the control group（ t = 3. 132,2. 255,5.149,6.475,3.494; P〈0. 001）. Conclusion： Multidisciplinary team continuity nursing intervention can improve the negative emotion level of COPD patients,their treatment compliance and their quality of life.
作者
李永红
LI Yonghong(Department of Respiration,Beijing Pinggu District Hospital,Beijing 101200,China)
出处
《中国健康心理学杂志》
2018年第11期1690-1693,共4页
China Journal of Health Psychology
关键词
多学科团队
延续护理干预
慢性阻塞性肺疾病
负性情绪
治疗依从性
生活质量
Multidisciplinary team
Continuity nursing intervention
Chronic obstructive pulmonary disease
Nega-tive emotion
Treatment compliance
Quality of life.
