摘要
目的探究基于知信行模式的3H护理对慢性阻塞性肺疾病(COPD)合并抑郁症患者负性情绪及生活质量的影响。方法选取2014年2月～2016年9月我院收治的COPD合并抑郁症患者95例,随机分为观察组与对照组,对照组患者采用常规护理,观察组患者采用基于知信行模式的3H护理,对比两组患者负性情绪与生活质量。结果两组患者护理前汉密尔顿抑郁量表(HAMD)评分及焦虑自评量表(SAS)评分相比差异不显著(P>0.05),护理后两组患者HAMD评及SAS评分均低于护理前,且观察组患者上述评分均显著低于对照组(P<0.05);两组患者护理前临床症状及活动能力评分比较差异无统计学意义(P>0.05),护理后两组临床症状及活动能力评分均较护理前有所较低,且观察组明显低于对照组(P<0.05)。结论基于知信行模式的3H护理可改善COPD合并抑郁症患者心理状态,提高生活质量。
Objective To explore the influence of 3 H nursing based on knowledge-attitude-behavior mode on negative emotions and quality of life of patients with chronic obstructive pulmonary disease complicated with depression. Methods 95 cases of patients with chronic obstructive pulmonary disease(COPD)complicated with depression treated in our hospital from February 2014 to September 2016 were selected,and were randomly divided into observation group and control group. The control group were given routine nursing,and the observation group were given 3 H nursing based on knowledge-attitude-behavior mode. Psychological status and quality of life were contrasted in the two groups. Results There was no significant difference between the two groups in HAMD score and SAS score(P>0.05). The scores of HAMD and SAS in the two groups were lower than those before nursing,and these parameters in the observation group were significantly lower than those in the control group(P<0.05). There were no significant differences in the clinical symptoms and activity scores between the two groups before and after treatment(P>0.05). The clinical symptoms and activity scores of the two groups were lower than those before nursing,and those in the observation group Significantly lower than those in the control group(P<0.05). Conclusion 3 H nursing based on knowledge-attitudebehavior can improve psychological status and lung function of patients with chronic obstructive pulmonary disease complicated with depression,and improve quality of life.
作者
徐颖臻
潘瑞丽
赵迪
赵珠俪
XU Yingzhen;PAN Ruili;ZHAO Di(Peking Union Medical College Hospital, Beijing 100730, China)
出处
《国际精神病学杂志》
2019年第2期371-373,共3页
Journal Of International Psychiatry
关键词
知信行模式
3H护理
慢性阻塞性肺疾病
抑郁症
Knowledge-attitude-behavior mode
3H nursing
Chronic obstructive pulmonary disease
Depression
