感恩干预对改善慢性阻塞性肺疾病患者负性情绪和生活质量的研究

Study on effects of thanksgiving intervention on the improvement in negative emotion and quality of life of patients with chronic obstructive pulmonary disease

目的 探讨感恩干预对慢性阻塞性肺疾病（COPD）患者负性情绪和生活质量的影响。方法 选取2016年1—6月入院的108例COPD患者为研究对象, 以2016年1—3月入院的54例COPD患者为对照组,2016年4—6月入院的54例COPD患者为观察组,经过本院伦理委员会批准,对照组患者给予常规护理措施,观察组患者在常规护理的基础上给予感恩干预,两组患者分别在疾病稳定期进行感恩干预,对干预前后两组患者进行负性情绪评估及生活质量测量。结果 进行感恩干预后,观察组干预后焦虑自评量表（SAS）评分平均为（37.46±5.49）分,低于对照组[（45.38±6.45）分],差异有统计学意义（t=-6.38,P〈0.01）;观察组抑郁自评量表（SDS）评分平均为（40.45±5.48）分,低于对照组[（46.19±5.45）分],差异有统计学意义（t=-4.09,P〈0.01）;观察组干预后的生活质量量表（SF-36）评分,总体健康平均为（77.01±10.80）分、生理功能平均为（83.48±10.87）分、生理职能平均为（82.92±9.18）分、躯体疼痛平均为（76.54±9.45）分、活动能力平均为（76.03±12.25）分、社会功能平均为（84.26±7.39）分、情感职能平均为（78.52±9.13）分、精神健康平均为（76.24±6.10）分,均明显高于对照组[分别平均为（68.46±7.18）分、（75.65±9.31）分、（75.48±7.89）分、（71.09±5.97）分、（67.63±7.27）分、（72.07±7.56）分、（70.96±8.23）分、（69.04±6.16）分],差异均有统计学意义（t值分别为4.85、4.02、4.52、3.58、4.34、8.49、4.52、6.11,P值均〈0.01）。结论 对COPD患者进行感恩干预,可缓解其负性情绪,提高其生活质量。

Objective To discuss the effects of thanksgiving intervention on the negative emotion and quality of life of the patients with chronic obstructive pulmonary disease （COPD）.Methods A total of 108 patients with COPD admitted from January 2016 to June 2016 were selected as the study subjects. Among them, the 54 patients admitted from January 2016 to March 2016 were in the control group, while the 54 patients admitted from April 2016 to June 2016 were in the observation group. After approval of the Ethics Committee of our hospital, patients in the control group were given the routine nursing care, while patients in the observation group received the thanksgiving intervention in addition to the routine nursing care. The negative emotion and the quality of life of the patients in the two groups were evaluated before the thanksgiving intervention and before discharge from the hospital in the stable period.Results After the thanksgiving intervention, the score of Self-Rating Anxiety Scale （SAS） of the patients in the observation group was （37.46±5.49）, which was lower than that in the control group （45.38±6.45）; the difference was statistically significant （t=-6.38, P〈0.01）. The score of Self-Rating Depression Scale （SDS） in the observation group was （40.45±5.48）, which was lower than that in the control group （46.19±5.45）; the difference was statistically significant （t=-4.09, P〈0.01）. As for the SF-36 score in the observation group after intervention, the scores of overall health, physiologic function, physiologic role, somatic pain, action capacity, social function, emotional function and emotional health of the patients were （77.01±10.80）, （83.48±10.87）,（82.92±9.18）,（76.54±9.45）,（76.03±12.25）,（84.26±7.39）,（78.52±9.13）and（76.24±6.10）,which were higher compared with the control group （68.46±7.18）,（75.65±9.31）,（75.48±7.89）,（71.09±5.97）,（67.63±7.27）,（72.07±7.56）,（70.96±8.23）and（69.04±6.16）; the differences were statistically significant （t values were 4.85, 4.02, 4.52, 3.58, 4.34, 8.49, 4.52 and 6.11, respectively; P values were all 〈0.01）.Conclusion The thanksgiving intervention to the patients with COPD could effectively relive their negative emotion and improve their quality of life.