摘要
目的:深入探究以心理干预为主导的护理策略在尘肺病患者中的实际应用效果,特别是其对患者心理弹性及整体康复效果的影响。方法:采用便利抽样法,选取2020年1月至2023年6月期间在深圳市职业病防治院住院的尘肺病患者共计139例,根据接受护理方法的不同,分为对照组(69例)与观察组(70例)。对照组实施常规护理,而观察组则在常规护理的基础上融入心理干预。比较两组患者干预前后心理弹性、情绪状态、肺功能、呼吸困难评分、生活质量以及住院情况等方面的差异。结果:干预后,两组患者心理弹性心理弹性量表(CD-RISC)评分均明显升高,且观察组高于对照组,差异具有统计学意义(P<0.05);干预后,观察组患者肺功能指标均优于对照组,差异具有统计学意义(P<0.05);干预后,两组患者圣乔治呼吸问卷(SGRQ)评分均下降,且观察组患者SGRQ评分下降明显低于对照组,差异有统计学意义(P<0.05);干预后,两组患者Borg呼吸困难评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05);观察组患者住院时间短于对照组,不良事件发生率及再住院率低于对照组,差异均有统计学意义(P<0.05)。结论:以心理干预为主导的护理策略可增强尘肺病患者心理弹性,有效缓解不良情绪,促进患者的康复效果,并显著提升其生活质量。
Objective To explore the practical application effect of psychological intervention-oriented nursing strategy in pneumoconiosis patients,especially its impact on patients'psychological resilience and overall rehabilitation effect.Methods Convenience sampling was used to select a total of 139 pneumoconiosis patients admitted to Shenzhen Prevention and Treatment Center for Occupational Diseases from January 2020 to June 2023.According to the different nursing methods received,they were divided into a control group(69 cases)and an observation group(70 cases).The control group received routine care,while the observation group received psychological intervention in addition to routine care.The differences in psychological resilience,emotional state,lung function,dyspnea score,quality of life and hospitalization between the two groups before and after intervention were compared.Results After the intervention,the score of Connor-Davidson resilience Scale(CD-RISC)in both groups were significantly increased,and the the scores of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).After intervention,the pulmonary function indexes of the observation group were better than those of the control group,the difference were statistically significant(P<0.05).After the intervention,the score of St.George's Respiratory questionnaire(SGRQ)in both groups decreased,and the SGRQ score in the observation group was significantly lower than that in the control group,with statistical significance(P<0.05).After intervention,the Borg dyspnea score was decreased in both groups,and the score of the observation group was lower than than of the control group,the difference was statistically significant(P<0.05).Meanwhile,the patient’s hospital stays of the observation group was shorter,and the rate of adverse events and rehospitalization were all lower than those of the control group(P<0.05).Conclusion Nursing strategies dominated by psychological intervention can enhance the psych
作者
周宇燕
章一华
高杰
王建元
ZHOU Yuyan;ZHANG Yihua;GAO Jie;WANG Jianyuan(Shenzhen Prevention and Treatment Center for Occupational Diseases,Guangdong Shenzhen 518000)
出处
《深圳中西医结合杂志》
2024年第12期120-125,共6页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
国家职业病临床重点专科建设项目(WY2011873)
深圳市科技计划基础研究面上项目(JCYJ20210324135204012)。
关键词
尘肺病
心理干预
护理策略
心理弹性
康复效果
Pneumoconiosis
Psychological intervention
Nursing strategy
Psychological resilience
Rehabilitation effect