摘要
目的:分析知信行模式下的护理干预对慢性阻塞性肺疾病(COPD)合并焦虑、抑郁状态患者心理状态及睡眠、生命质量的影响。方法:选取2021年8月至2022年8月福建省厦门市第三医院收治的COPD合并焦虑、抑郁患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例,对照组给予常规护理干预,观察组给予知信行模式下的护理干预。采用汉密尔顿抑郁量表(HAMD)比较2组患者干预前后抑郁状态的改善效果,采用焦虑自评量表(SAS)比较2组患者干预前后焦虑状态的改善效果,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,选择便携式肺功能仪对相关的肺功能指标进行检测,圣乔治呼吸问卷(SGRQ)对患者生命质量进行评估。结果:干预后,观察组SAS评分、HAMD评分显著低于对照组,观察组护理后疾病影响、活动能力、疾病症状、睡眠质量PSQI评分均显著低于对照组,观察组FEV_(1)、FVC、FEV_(1)/FVC显著高于对照组,差异有统计学意义(P<0.05)。结论:为COPD合并焦虑、抑郁患者提供知信行模式下的护理干预,能显著改善其心理状态及肺功能,提高患者的睡眠质量、生命质量,值得临床推广使用。
Objective:To analyze the effects of nursing interventions under the knowledge,belief,and action model on the psychological status,sleep,and quality of life of patients with chronic obstructive pulmonary disease(COPD) complicated with anxiety and depression.Methods:A total of 80 COPD patients with anxiety and depression admitted to the Third Hospital of Xiamen City,Fujian Province from August 2021 to August 2022 were selected as the study subjects.They were randomly divided into an observation group(n=40) and a control group(n=40) using a random number table method.The control group received routine nursing intervention,while the observation group received nursing intervention under the knowledge,belief,and behavior model.The Hamilton Depression Rating Scale(HAMD) was used to compare the improvement effect of depression status between two groups of patients before and after intervention.The Self Rating Anxiety Scale(SAS) was used to compare the improvement effect of anxiety status between the two groups of patients before and after intervention.The Pittsburgh Sleep Quality Index(PSQI) was used to compare the changes in sleep quality between the two groups of patients before and after intervention.A portable lung function instrument was selected to test the relevant lung function indicators,The St.George′s Respiratory Questionnaire(SGRQ) evaluates the quality of life of patients.Results:After intervention,the SAS score and HAMD score of the observation group were significantly lower than those of the control group.The PSQI scores of disease impact,activity ability,disease symptoms,and sleep quality in the observation group were significantly lower than those of the control group after nursing.The FEV_1,FVC,and FEV_1/FVC of the observation group were significantly higher than those of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Providing nursing interventions under the knowledge,belief,and behavior model for COPD patients with anxiety and depression can significantly improve their psychological state and lung function,enhance their sleep quality and quality of life,and is worthy of clinical promotion and use.
作者
王赫铭
张应祥
WANG Heming;ZHANG Yingxiang(Xiamen Third Hospital,Fujian Province,Xiamen 361100,China)
出处
《世界睡眠医学杂志》
2023年第11期2649-2652,共4页
World Journal of Sleep Medicine
关键词
知信行模式
慢性阻塞性肺疾病
焦虑
抑郁
心理状态
生命质量
肺功能
Knowledge,Belief,and Action patterns
Chronic obstructive pulmonary disease
Anxiety
Depression
Psychological state
Quality of life
Pulmonary function
作者简介
王赫铭(1982.05-),女,本科,副主任护师,研究方向:老年康复护理;通信作者:张应祥(1980.07-),男,硕士,副主任医师,研究方向:老年麻醉学,E-mail:zyxgjad258@126.com。
