摘要
目的 探究心理护理在老年慢性阻塞性肺疾病(简称慢阻肺)患者护理中的应用及对焦虑、抑郁情绪的影响。方法 随机选取2020年6月—2022年6月仙游县总医院收治的80例老年慢阻肺患者为研究对象。以奇偶分组法将其均分到两组,每组40例。参照组接受常规护理干预,研究组在此基础上实施心理护理。评析两组生活质量、负面情绪、心理弹性、自护能力等指标。结果 干预后,研究组焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)为(26.85±2.15)分、(29.59±3.45)分,均低于参照组(36.49±2.77)分、(36.58±3.71)分,差异有统计学意义(t=17.387、8.726,P<0.05)。干预后,研究组乐观、坚韧、自强等心理弹性评分高于参照组,差异有统计学意义(P<0.05)。研究组自我概念、自护责任感、健康知识、自护技能评分均高于参照组,差异有统计学意义(P<0.05)。研究组生理、心理、社会功能等生活质量评分高于参照组,差异有统计学意义(P<0.05)。结论 心理护理应用在老年慢阻肺患者中,能够有效对抗患者的焦虑、抑郁情绪,并且还可提高其自护能力,改善其肺功能。
Objective To explore the application of psychological nursing in the nursing care of elderly patients with chronic obstructive pulmonary disease(COPD) and its impact on anxiety and depression.Methods A total of 80 elderly patients with COPD admitted to Xianyou County General Hospital from June 2020 to June 2022 were randomly selected as the research objects.They were divided into two groups by parity grouping method,40 cases in each group.The reference group received routine nursing intervention,and the study group implemented psychological nursing on this basis.The quality of life,negative emotions,psychological resilience,self-care ability and other indicators of the two groups were evaluated.Results After intervention,the self-rating anxiety scale(SAS) and self-rating depression scale(SDS) of the study group were(26.85±2.15) points and(29.59±3.45) points,which were lower than those of the reference group(36.49±2.77) points and(36.58±3.71) points,the differences were statistically significant(t=17.387,8.726,P<0.05).After intervention,the psychological resilience scores of optimism,tenacity and self-improvement in the study group were higher than those in the reference group,and the differences were statistically significant(P<0.05).The scores of self-concept,self-care responsibility,health knowledge and self-care skills in the study group were higher than those in the reference group,and the differences were statistically significant(P<0.05).The scores of quality of life such as physiological,psychological and social functions in the study group were higher than those in the reference group,and the differences were statistically significant(P<0.05).Conclusion The application of psychological nursing in elderly patients with COPD can effectively combat anxiety and depression,improve their self-care ability,and improve their lung function.
作者
黄丽仙
王银灶
张洪景
HUANG Lixian;WANG Yinzao;ZHANG Hongjing(Emergency Department,Xianyou County General Hospital,Putian,Fujian Province,351299 China)
出处
《中外医疗》
2023年第21期159-163,共5页
China & Foreign Medical Treatment
关键词
慢阻肺
老年患者
心理护理
焦虑
抑郁
Chronic obstructive pulmonary disease
Elderly patients
Psychological care
Anxiety
Depression
