认知行为护理干预对COPD患者的作用及效果研究

Effects of cognitive behavior nursing intervention on patients with COPD: a study based on survival analysis

目的探讨认知行为护理干预对患者发生慢性阻塞性肺疾病(COPD)急性加重风险的改善作用。方法173例COPD患者进行随访研究,对发生COPD急性加重的患者给予认知行为护理干预措施,应用生存分析的方法探讨干预措施在COPD患者康复中的作用。结果研究期间患者出现急性加重2次以上占75. 14%,1年复发率42. 10%,2年复发率达93. 64%,实施认知行为干预后,1年复发率16. 99%,2年复发率76. 47%,均显著低于干预前(P <0. 01);认知行为护理干预后患者某时点不发生COPD急性加重的概率显著大于认知行为护理干预前(P <0. 05或<0. 01)。结论认知行为护理干预可以有效延长COPD急性发作周期,降低特定时点COPD急性加重的概率。

Objective To investigate the risk of acute exacerbation of COPD patients,and to explore the improvement effects of cognitive behavior nursing intervention on the risk of acute exacerbation of COPD. MethodsA total of 173 patients with COPD who were treated in our hospital were followed up. The patients with acute exacerbation of COPD were treated by cognitive behavioral nursing intervention.Survival analysis was used to explore the effects of intervention in the rehabilitation of patients with COPD. ResultsDuring the research,the incidence of acute exacerbation of COPD over two times was 75.4%,1-year recurrence rate was 42.10% and 2-year recurrence rate was 93.64%.After the implementation of cognitive behavior intervention,1-year recurrence rate was 16.99% and 2-year recurrence rate was 76.47%,which were significantly lower than those before intervention ( P <0.05 or <0.01). After intervention the probability without incidence of acute exacerbation of COPD at a certain time point was significantly higher than that before intervention ( P <0.01). ConclusionCognitive behavior nursing intervention can effectively prolong the acute exacerbation cycle of COPD,and reduce the probability of acute exacerbation of COPD at specific time points.