中医情志护理干预对慢性阻塞性肺疾病急性加重期患者不良情绪的影响

Effect of TCM Emotional Nursing on Adverse Emotions in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

目的探讨中医情志护理干预对慢性阻塞性肺疾病急性加重期(AECOPD)患者不良情绪的影响。方法将2016年4月至2017年4月在本院呼吸内科治疗的120例慢性阻塞性肺疾病急性加重期患者随机分为两组,对照组采用常规护理,观察组采用中医情志护理干预,比较两组患者的心理状态、治疗依从性、生活质量。结果两组患者护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较治疗前显著改善(P<0.01),且观察组较对照组改善更为显著(P<0.01);护理后观察组Morisky量表治疗依从性96.67%高于对照组80.00%,差异有统计学意义(P<0.01);护理后临床症状、活动能力、对日常生活影响、综合方面观察组显著低于对照组,差异有统计学意义(P<0.01);护理后急性加重次数、呼吸机使用时间、住院时间观察组显著低于对照组,差异有统计学意义(P<0.01)。结论中医情志护理干预对AECOPD的不良情绪有显著缓解作用,利于患者达到精神愉快、心情舒畅的状态,以促进治疗的顺利开展,改善病情的转归。

Objective To explore the effect of emotional nursing intervention on the adverse emotions of patients with acute exacerbation of chronic obstructive pulmonary disease.Methods The 120 patients with acute exacerbation of chronic obstructive pulmonary disease were randomly divided into two groups.The control group was treated with routine nursing.The observation group was treated with traditional Chinese medicine nursing care intervention.The mental state,treatment compliance,quality of life of patients in the two groups were compared.Results The scores of SAS and SDS after treatment in both groups were significantly improved(P<0.01),and the improvement in the observation group was more significant than that in the control group(P<0.01).The Morisky compliance 96.67%of the observation group after treatment was higher than the 80.00%of control group,the difference was statistically significant(P<0.01).The clinical symptoms,activity,impact on daily life,comprehensive aspect in the observation group after nursing were significantly lower than the control group,the difference between the two groups was statistically significant(P<0.01).The number of acute exacerbations,ventilator use time and hospital stay in the observation group were significantly lower than those in the control group after treatment(P<0.05).Conclusion Emotional nursing intervention of TCM can significantly relieve the adverse emotions of AECOPD,which will help patients achieve a happy and comfortable state,promote the smooth development of treatment and improve the outcome of the illness.