优质护理对慢性阻塞性肺疾病患者负性情感及自觉健康行为影响的临床分析

Clinical effect analysis of high quality nursing on the negative emotions and self-awareness health behavior of patients with chronic obstructive pulmonary disease

目的探究慢性阻塞性肺疾病(COPD)患者接受优质护理服务对其负面情绪及自觉健康行为的影响,旨在为呼吸科病房积累护理经验。方法选取43例COPD患者设为对照组,开展常规护理模式;选取40例COPD患者设为研究组,开展优质护理。2组患者于干预前及干预后第5天均接受Zung-焦虑自评量表(SDS)、Zung-抑郁自评量表(SAS)和自觉健康行为效能表测评,记录并对比2组数据。结果2组在干预前的SAS和SDS评分差异无统计学意义(P>0.05);干预后,研究组SAS和SDS评分低于对照组,差异有统计学意义(P<0.05)。2组在干预前自觉健康行为差异无统计学意义(P>0.05);干预后,研究组自觉健康行为评分高于对照组(P<0.05)。结论优质护理服务模式是一项行之有效的护理方案,相较于传统护理模式能有效减轻患者焦虑和抑郁情绪,并能改善自觉健康行为,值得进一步推广。

Objective To explore the effect of high quality nursing service on the negative emotions and self-awareness health behavior of patients with chronic obstructive pulmonary disease （COPD）so as to accumulate experience for nursing ward in the department of respiration.Methods 43 patients with COPD treated by routine nursing mode were divided into control group and 40 COPD patients in research group were treated by high quality nursing.Zung-self rating Anxiety Scale （SDS）,Zung self rating Depression Scale （SAS）and Efficacy Scale of Self-awareness Health Behavior were used in the fifth day before and after the intervention.Data were recorded and statistical analyzed.Results The difference was not statistically significant in SAS,SDS or Efficacy Scale of Self-awareness Health Behavior before intervention in the two groups （P 〉0.05）.The difference was statistically significant since SAS and SDS score in research group were remarkable lower（P〈0.05）.The difference was not statistically significant in self-awareness health behavior of two groups before intervention（P〉0.05）.The score of self-awareness health behavior in research group was higher than that in the control group after intervention （P〈0.05）.Conclusion Compared with the traditional nursing mode,high quality nursing service can effectively reduce the anxiety and depression of patients and improve the self-awareness health behavior ,so it is worthy of further promotion.