应用聚焦解决模式对合并焦虑、抑郁的慢性阻塞性肺疾病患者进行延续护理的效果

The Effects of Focus Solving Model Used in Extended Care Patients with Chronic Obstructive Pulmonary Disease Combined with Anxiety and Depression

目的探讨应用聚焦解决模式对合并焦虑、抑郁的慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者进行延续护理的效果。方法采用随机序贯综合平衡法将69例合并焦虑、抑郁症状的COPD患者分为两组,研究组采用聚焦解决模式进行延续护理,对照组进行常规延续护理。干预3和6个月后,采用患者认知功能量表、COPD自我效能量表、汉密尔顿焦虑和抑郁量表对两组患者进行测评。结果干预3和6个月后,研究组患者的自我效能评分均高于对照组;干预6个月时,研究组患者的焦虑、抑郁评分均低于对照组,差异均有统计学意义(均P<0.05);两组患者干预前后认知状况的差异均有统计学意义(均P<0.01),但组间差异均无统计学意义(P>0.05)。结论应用聚焦解决模式实施延续护理能提高COPD合并焦虑、抑郁患者的自我效能水平,缓解其焦虑、抑郁症状。

Objective To investigate the effects of focus solving model used in extended care patients with chronic obstructive pulmonary disease combined with anxiety and depression. Methods By convenience sampling,69 patients with chronic obstructive pulmonary disease combined with anxiety and depression were randomly selected.The intervention group accepted focus solving mode in extended care and the con- trol group was given routine extended care,The cognitive function, self-efficacy（Chinese self-efficacy scale, CSES）, Hamilton Anxiety （ Hamilton anxiety scale, HAMA）, the depression scale （ Hamilton depression scale,HAMD） were evaluated at 3 and 6 months after intervention respectively. Results At 3 and 6 months after intervention,the scores of self-efficacy in intervention group were higher than which in con- trol group, and after 6 months after intervention,the scores of anxiety and depression in intervention group were lower than which in control group （P〈0.05）.Significant differences of cognitive function were found in both groups before and after intervention, while there was no statistically difference between two groups （P〉0.05）.Conclusion Patients with COPD combined anxiety and depression had good cognitive level, higher self-efficacy and low level of anxiety and depression by using focus solving model in extended care.