Neuman理论对住院COPD患者焦虑及抑郁情绪的干预效果

Influence of Neuman theory on anxiety and depression of hospitalized chronic obstructive pulmonary disease patients

目的：探讨Neuman理论对住院慢性阻塞性肺疾病（ COPD）患者焦虑、抑郁状况的影响。方法选取2012年1月—2014年1月120例焦虑、抑郁COPD患者作为研究对象，应用随机数字表法将其分为观察组和对照组各60例。对照组采用常规护理方法，观察组应用以Neuman理论为基础的模式进行护理。护理前后分别应用汉密尔顿焦虑量表（ HAMA）和汉密尔顿抑郁量表（ HAMD）评估两组患者焦虑、抑郁状况。结果护理前两组患者HAMA与HAMD评分比较，差异无统计学意义（ t值分别为0．9340，0．4506；P＞0．05）；护理后两组患者HAMA评分均下降，观察组为（12．6±6．4）分，低于对照组的（17．2±7．9）分，差异有统计学意义（t＝3．5046，P＜0．05）；护理后两组患者HAMD评分亦均下降，观察组为（11．9±6．7）分，低于对照组的（16．1±6．3）分，差异有统计学意义（t ＝3．5375，P＜0．05）。结论应用Neuman理论可以缓解住院COPD患者的焦虑、抑郁情绪。

Objective To discuss the impact of Neuman theory on anxiety and depression of hospitalized chronic obstructive pulmonary disease（ COPD） patients.Methods Totals of 120 COPD patients in anxiety and depression condition were admitted to our department for treatment from January 2012 to January 2014.In accordance with the principles of randomized controlling, patients were equally divided into observation group and control group.The control group received routine care, while the observation group got care based on Neuman theory.Their anxiety and depression level before and after treatments were measured using Hamilton Anxiety Scale （HAMA） and Hamilton Depression Scale （HAMD）.Results Before treatment, there was no significant difference in the level of anxiety and depression between the two groups （ t =0.934 0, 0.450 6, respectively;P〉0.05）;however, after treatment, the anxiety level of the observation group was （12.6 ±6.4）, which was significantly lower than （17.2 ±7.9） of the control group （t=3.504 6,P〈0.05）.The depression level of the observation group was （11.9 ±6.7）, which was significantly lower than （16.1 ±6.3） of the control group （t=3.537 5,P〈0.05）.Conclusions The application of Neuman theory can relive the anxiety and depression of COPD patients and it is worthy of promotion.