延续护理对慢性阻塞性肺疾病心理状态和生活质量的影响

Continuation of care for COPD and the psychological state and the influence of the quality of life

目的:探讨延续护理对COPD患者心理状态和生活质量的效果影响。方法:选取80例COPD患者作为研究对象,随机分为对照组与干预组各40例,对照组给予常规护理,干预组在对照组基础上予以延续护理。通过比较两组患者入院时及出院后6个月的生活质量(采用GQOLI-74自评问卷表进行测评),以及护理干预前后的心理焦虑、抑郁状态(采用SAS及SDS量表测评)。结果:1两组患者入院时GQOLI-74得分经统计学比较,差异无统计学意义(P>0.05);干预组患者采用延续护理措干预,出院6个月后的GQOLI-74得分明显高于对照组,具有统计学差异性(P<0.01);2两组患者入院时SAS及SDS得分经比较,差异无统计学意义(P>0.05);干预组患者应用延续护理干预后,SAS与SDS得分明显较对照组明显降低,差异具有统计学意义(P<0.01)。结论:COPD患者应用延续护理干预后,改善了患者的心理状态,提高其生活质量,值得临床护理人员深入学习。

Objective Ti study the cintinue nursing psychiligical status in patients with chrinic ibstructive emphysema（COPD）and the effect if life. Method 80 cases if COPD patients were selected as the research ibject,they were randimly divided inti cintril griup and in-terventiin griup,40 cases in each griup,cintril griup given riutine nursing care,interventiin griup given in the basis if cintinuatiin if care the cintril griup. By cimparing the twi griups if patients in admissiin and the quality if life if 6 minths after hispital discharge（assessment by the self - assessment questiinnaire if GQOLI - 74）,and the psychiligical state if anxiety,depressiin,befire and after nursing interven-tiin（using SAS and SDS scale assessment）. Results ①twi griups if patients in admissiin GQOLI - 74 piints by the statistical cimpari-sin,there was ni ibviius difference significance（p ﹥0. 05）;Interventiin griup were treated by nursing interventiin measures,GQOLI - 74 scire if six minths after hispital dischargewas significantly higher than that if cintril griup,with statistical difference（p ﹤ 0. 01）;②twi griups if patients were cimpared in SAS and SDS scire,there was ni statistically significant difference（p ﹥0. 05）;Cintinuatiin if interven-tiin griup patients after nursing interventiin,SAS and SDS scire was significantly liwer ibviiusly than the cintril griup,the difference has statistical significance（p ﹤ 0. 01）. Conclusion Patients with COPD applicatiin cintinues after nursing interventiin,which can imprive the patient＆#39;s mental state and the quality if life,it is wirthy if clinical nursing staff in - depth study.