摘要
目的研究思维导图引导的康复护理对成人支气管哮喘合并抑郁患者心理状况、肺功能、气道炎症及预后的影响,为临床护理成人支气管哮喘合并抑郁患者提供指导。方法选取2016年2月~2019年7月96例在我院诊治的支气管哮喘合并抑郁的成年患者,依据单纯随机抽样的方法分为干预组(n=48)和常规组(n=48),对所选支气管哮喘合并抑郁患者均实施常规护理,干预组患者的常规护理需运用思维导图来引导。通过观察比较两组患者护理前后的抑郁状态、肺功能改善情况、气道炎症水平和生活质量相关指标水平来评价思维导图引导康复护理对成人支气管哮喘合并抑郁患者的影响。结果护理后干预组患者的HRSD、SDS评分明显低于常规组,差异有统计学意义(P<0.05);干预组患者的FEV1%、PEF%明显高于常规组,差异有统计学意义(P<0.05);干预组患者测定的FeNO水平明显低于常规组,差异有统计学意义(P<0.05);干预组患者ACT、GQOLI-74评分明显高于常规组,差异有统计学意义(P<0.05)。结论运用思维导图引导康复护理,可有效减轻支气管哮喘合并抑郁患者的抑郁情绪,改善患者肺功能情况,控制气道炎症进展,从而能够防止哮喘发作,提高患者的生活质量,改善预后,护理效果显著,可在临床上广泛应用。
Objective To study the effects of mind map-guided rehabilitation nursing on the psychological status,pulmonary function,airway inflammation and prognosis of adult patients with bronchial asthma complicated with depression,so as to provide guidance for clinical nursing of adult patients with bronchial asthma complicated with depression.Methods A total of 96 adult patients with bronchial asthma complicated with depression who were diagnosed and treated in our hospital from February 2016 to July 2019 were selected.According to the simple random sampling method,the patients were divided into intervention group(n=48)and conventional group(n=48).Conventional care was carried out for all selected patients with bronchial asthma complicated with depression.The conventional care for patients in the intervention group was guided by mind maps.Levels of related indicators before and after nursing care,such as depression status,pulmonary function improvement,airway inflammation level,and quality of life,were compared between the two groups of patients,and the effects of mind map-guided rehabilitation nursing on adult patients with bronchial asthma complicated with depression were evaluated.Results After nursing,the HRSD and SDS scores of patients in the intervention group were significantly lower than those in the conventional group,and the differences were statistically significant(P<0.05);the FEV1%and PEF%in the intervention group were significantly higher than those in the conventional group,and the differences were statistically significant(P<0.05);the levels of FeNO measured in patients in the intervention group were significantly lower than those in the conventional group,and the difference was statistically significant(P<0.05);the ACT and GQOLI-74 scores in the intervention group were significantly higher than those in the conventional group,and the differences were statistically significant(P<0.05).Conclusion Mind map-guided rehabilitation nursing can effectively reduce the depression of patients with bronchial asthma
作者
郑杉
赵斐
汪小梅
金华良
ZHENG Shan;ZHAO Fei;WANG Xiaomei;JIN Hualiang(Department of Respiratory Medicine,Hangzhou First People's Hospital,Hangzhou310000,China)
出处
《中国现代医生》
2020年第17期169-173,共5页
China Modern Doctor
基金
浙江省自然科学基金(LY19H290011)。
关键词
思维导图
康复护理
支气管哮喘
肺功能
气道炎症
抑郁
Mind map
Rehabilitation nursing
Bronchial asthma
Pulmonary function
Airway inflammation
Depression
