认知行为干预在慢性阻塞性肺疾病护理中的应用

Cognitive behavioral intervention in the nursing care for chronic obstructive pulmonary disease

目的探讨认知行为干预在慢性阻塞性肺疾病护理中的应用效果。方法将80例慢性阻塞性肺疾病患者随机分为实验组和对照组各40例，2组均给予内科治疗，对照组采用常规护理，实验组在对照组基础上进行团体认知行为干预护理及个性化认知行为干预护理。比较2组患者的治疗依从性、1年内平均住院时间、1年内再入院率、戒烟率情况及2组患者生活质量评估测试量表评分。结果实验组患者1年内平均住院时间较对照组明显缩短，实验组的服药依从性良好率为90％，明显高于对照组的65％。实验组1年中再入院率为10％，明显好于对照组的17．5%，1年中2次以上再入院率实验组为5％，明显优于对照组的10％。1年后实验组戒烟率为45％，明显高于对照组的27．5％。1年后实验组吸烟量减少率为72．5％，明显高于对照组的42．5％。实验组患者的生活质量评分低于对照组，生活质量明显提高。结论认知行为干预护理可显著提高慢性阻塞性肺疾病患者的临床疗效。

Objective To explore the application effect oi cognitive behavioral intervention on chronic obstructive pulmonary disease nursing care. Methods 80 patients with chronic obstructive pulmonary disease were randomly divided into an experimental group and a control group（n= 40）. Both groups were given medical treatment and conventional nursing care, and the control group was given the cognitive behavioral intervention nursing care additionally. The average days of stay, the ratio of readmission, the treatment adherence, and smoking cessation rate in one year were recorded. Moreover, the life quality of the two groups was analyzed with a CAT assessment test. Results Compared with the control group, the experimental group achieved shorter average days of stay,higher medication adherence and smoking cessation rate, lower readmission rate and admission rate. The experimental group achieved better life quality with lower CAT value than the control group. Conclusion Cognitive behavioral intervention can obviously improve the treatment effectiveness of patients with chronic obstructive pulmonary disease.