社区护理干预对C、D组COPD患者家属心理健康的影响

The impact of the community nursing intervention of comprehensive evaluation for C and D groups of patients with chronic obstructive pulmonary disease(COPD) on family members mental health

目的探讨社区护理干预对综合评估为C、D组慢性阻塞性肺疾病(COPD)患者家属心理健康的影响。方法选取2013年1月—2014年2月期间曾在嘉兴市第一医院接受治疗的综合评估为C、D组COPD患者一级家属150例作为研究对象,应用症状自评量表(SCL90)对150例患者家属进行心理健康测评,并根据随机数字表法分为对照组和观察组,各75例。对照组按常规进行疾病健康宣教,观察组在对照组的基础上实施社区护理干预,干预后2、4、6个月时比较2组家属的焦虑程度(SAS)、抑郁程度(SDS)评分。结果 150例COPD患者家属SCL90评分与中国成人常模比较,有5项因子的评分差异存在统计学意义(P<0.05或<0.01);护理干预前,2组家属抑郁SDS评分、焦虑SAS评分比较差异无统计学意义(P>0.05)。干预后,对照组家属的抑郁SDS评分、焦虑SAS评分与干预前比较差异无统计学意义(P>0.05),观察组家属的抑郁SDS评分、焦虑SAS评分均显著低于干预前,差异有统计学意义(P<0.05或<0.01);干预后观察组家属的抑郁SDS评分、焦虑SAS评分均显著低于对照组,差异有统计学意义(P<0.05或<0.01)。结论对COPD患者家属实施社区护理干预措施助于缓解其焦虑程度和抑郁程度。

Objective To investigate the impact of community nursing intervention of comprehensive evaluation for C and D groups of patients with chronic obstructive pulmonary disease（COPD） on family members mental health. Methods Be- tween January 2013 and February 2013, in our hospital during the period of comprehensive evaluation for C, group D level of family members, 150 cases of COPD patients as the research object, using the self-assessment lists of symptom（SCL90） to the in the mind of 150 family members of patients health assessment, and according to random number table method was divided into control group and observation group ,with 75 cases in each group. Control disease health propaganda and edu- cation, according to conventional observation group in the control group on the basis of the implementation of community nursing intervention,2,4, and 6 months after intervention to compare the level of anxiety in the families of the two groups （SAS） ,degree of depression（SDS） score. Results 150 cases of COPD patients＇ families SCL90 score compared with the Chinese adult norm, there were five factors scores that were statistically significant （P 〈 0.05 or 〈 0.01 ） ;Families be- fore nursing intervention,two groups of SDS scores of depression, anxiety, SAS score there was no significant difference compared（ P 〉 0.05 ）. After the intervention, control group families SDS scores of depression, anxiety, SAS score were not significantly different compared with before intervention（P 〉0.05） ,the observation group families SDS scores of depres- sion, anxiety, SAS scores were significantly lower than before the intervention, with significant difference （ P 〈 0.05 or 〈 0.01 ） ;families of intervention group after SDS score of depression, anxiety, SAS scores were significantly lower than the control group, with significant difference （P 〈 0.05 or 〈 0.01 ）. Conclusion Cmmunity nursing intervention measures a- mong patients with COPD families was helpful to alleviate the degree of anxiety and depression.