摘要
目的探讨对慢性阻塞性肺疾病患者实施系统化护理干预模式对患者肺功能及心理状况的影响。方法选取2010年3月至2012年12月收治的96例慢性阻塞性肺疾病患者为研究对象,采用随机数字表法进行分组,分别设为研究组和对照组,每组各48例。其中对照组采取常规护理模式,研究组采取系统化护理干预模式。两组患者在于预前和干预后第4周末均接受抑郁自评量表(SDS)、焦虑自评量表(SAS)问卷调查及肺功能检查,记录数据并做好对比。结果干预前两组患者FEVl、FEVI%预测值、FEVl/FVC值比较,差异无统计学意义(P〉0.05);干预后研究组患者FEⅥ、FEVI%预测值、FEVI/FVC值分别为(1.50±0.27),(62.30±10.20),(60.40±6.30),均高于对照组的(1.38土0.32),(58.20±10.50),(57.20±5.80),差异均有统计学意义(t分别为6.933,7.290,8.295;P〈0.05)。干预前两组患者SAS、SDS评分比较,差异无统计学意义(P〉0.05);干预后研究组患者SAS、SDS评分分别为(50.2±2.1),(52.8±3.3)分,均低于对照组的(54.8±1.9),(58.2±3.1)分,差异均有统计学意义(t分别为5.970,9.087:P〈0.05)。结论对慢性阻塞性肺疾病患者实施系统化护理干预模式不仅能够改善患者肺功能,还能减轻患者抑郁及焦虑情绪。
Objective To explore the effect of systematic nursing intervention on lung function and mental status of patients with chronic obstructive pulmonary disease. Methods Totals of 96 patients with chronic obstructive pulmonary disease from March 2010 to December 2012 were chosen and randomly divided into the research group ant the control group, each with 48 cases. The control group received conventional nursing while the research group received systematic nursing intervention. SDS, SAS and lung function check were used to compare two groups before intervention and 4 weeks after intervention. Results There was no statistically significant difference of FEV1, FEVI% and FEV1/FVC between two groups before intervention (P 〉 O. 05). After intervention, FEV1, FEVI% and FEV1/FVC was respectively ( 1.50 ± O. 27), (62. 30± 10. 20), (60.40 ± 6. 30) in the research group, all higher than( 1.38 ± 0. 32), (58.20 ± 10. 50), (57. 20 + 5.80) in the control group, and the differences were statistically significant ( t = 6. 933,7. 290,8. 295, respectively; P 〈 O. 05). There was no statistically significant difference of SAS and SDS between two groups before intervention (P 〉 0.05 ). After intervention, the score of SAS and SDS was respectively (50. 2± 2. 1 ) and (52. 8 ± 3.3 ) in the research group, lower than (54. 8 ± 1.9 ) and (58.2 ± 3.1 ) in the control group, and the differences were statistically significant ( t = 5. 970, 9. 087, respectively; P 〈 0. 05 ). Conclusions Systematic nursing intervention can improve lung function of patients with chronic obstructive pulmonary disease, as well as alleviate their depression and anxiety.
出处
《中华现代护理杂志》
2013年第33期4116-4119,共4页
Chinese Journal of Modern Nursing
关键词
肺疾病
慢性阻塞性
焦虑
抑郁
肺功能
系统护理
Pulmonary disease, chronic obstructive
Anxiety
Depression
Pulmonary function
Systematic nursing