摘要
目的探讨综合护理干预在慢性阻塞性肺疾病患者心理和生活质量的影响，为进一步提高患者的生活质量提供依据。方法本研究选取2008年9月至2010年6月在我院住院治疗的慢性阻塞性肺疾病患者128例作为研究对象。患者在常规药物治疗的基础上给予综合的护理干预措施，并对干预效果进行分析。结果干预前患者焦虑、抑郁、恐惧等不良情绪的发生例数分别为27例（42．19％）、28例（43．75％）和23例（35．94％），而干预后的三个指标的发生例数分别为10例（15．63％）、12例（18．75％）和9例（14．06％）。X^2检验显示，干预前后的差异有统计学意义（P〈0．05）。干预前生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、心理健康等8个因子得分分别为62．79±30．54、34．13±27．35、27．35±26．86、35．50±21.27、54．28±26．74、58．46±26．37、71．24±27．69和73．57±22．79，患者治疗后的生活质量评分分别为67．47±30．15、42．85±20．62、85．40±26．86、42．84±21．53、62．46±28．83、65．28±27．03、78．24±22．89和81．45±20．46，干预后患者生活质量显著提高。结论综合护理干预可改善慢性阻塞性肺疾病患者的肺功能，更重要的是能改善患者的心理状况和生活质量。
Objective To investigate the impact of the comprehensive nursing intervention in the psychological and quality of life of patients with chronic obstructive pulmonary disease （COPD）, and provide the basis for further improving the quality of life. Methods 128 cases with COPD in our hospital from September 2008 to June 2010 in our hospital were selected. The patients were given comprehensive nursing interventions on the basis of conventional drug treatment, and the intervention effects were analyzed. Results The incidence of anxiety, depression, fear and other negative emotions were respectively 27 cases （42.19%）, 28 cases （43.75%） and 23 cases （35. 94%） in the former patients, and after the intervention, the incidences were respectively 10 cases （15.63%）, 12 cases （18.75%） and 9 cases （14.06%）. Chi-square test shows that the difference was statistically significant （ P 〈0.05） before and after the intervention. Physiological function, physiological functions, bodily pain, general health, vitality, social function and role emotional and mental health scores were 62.79±30.54, 34.13±27.35, 27.35±26.86,35.50±21.27, 54.28±26.74, 58.46±26.37, 71.24±27.69 and 73.57±22.79 before the intervention, after the treatment, the quality of life scores were 67.47 ± 30.15, 42.85± 20.62, 85.40 ± 26.86, 42.84±21.53, 62.46±28.83, 65.28±27.03, 78.24±22.89 and 81.45±20.46, and the quality of life of patients significantly improve after the intervention. Conclusions The comprehensive nursing intervention may improve lung function for the patients with COPD, and it can improve patientsf psychological status and quality of life.
出处
《国际呼吸杂志》
2012年第9期683-685,共3页
International Journal of Respiration
关键词
慢性阻塞性肺疾病
护理干预
心理
生活质量
Chronic obstructive pulmonary disease
Nursing intervention
Psychology
Quality of life
