心理护理对慢性阻塞性肺疾病患者焦虑、抑郁情绪及细胞免疫的影响

Effect of psychological nursing on the anxiety,depression and cellular immunity in patients with chronic obstructive pulmonary disease

目的:探讨心理护理对慢性阻塞性肺疾病(COPD)患者焦虑、抑郁情绪及细胞免疫的影响。方法:收治COPD患者80例,随机分为两组。对照组给予常规护理,观察组在常规护理的基础上给予心理护理干预,比较两组临床疗效及治疗前后肺功能、焦虑和抑郁情绪评分、细胞免疫等指标。结果:治疗后观察组FEV_1、FEV_1/FVC和LVEF明显高于对照组,差异有统计学意义(P<0.01)。治疗后观察组SAS和SDS评分显著低于对照组,差异有统计学意义(P<0.01)。结论:心理护理干预可提高COPD患者的细胞免疫功能,减轻患者的焦虑和抑郁情绪,促进肺功能改善。

Objective:To explore the effect of psychological nursing on the anxiety,depression and cellular immunity in patients with chronic obstructive pulmonary disease(COPD).Methods:80 cases of patients with COPD were divided into two groups randomly.The control group was given routine nursing,and the observation group was given psychological nursing intervention on the basis of routine nursing.The clinical effect,the indexes of lung function,anxiety and depression,and cellular immunity before and after the treatment between groups were compared.Results:After treatment,the FEV1,FEV1/FVC and LVEF in the observation group were significantly higher than those in the control group,and the difference was statistically significant(P<0.01).After treatment,the scores of SAS and SDS in the observation group were significantly lower than those in the control group,and the difference was statistically significant(P<0.01).Conclusion:Psychological nursing intervention could improve the cellular immunity function of patients with COPD,relieve their anxiety and depression,and improve their lung function.