强化心理应激护理措施对呼吸衰竭患者心理状况及肺功能的影响

Effects of intensified psychological stress nursing intervention on the mental status and pulmonary function of the patients with respiratory failure

目的探讨强化心理应激护理措施对呼吸衰竭患者心理状况及肺功能的影响。方法选取2014年3月至2016年3月鄂州市中心医院重症医学科收治的68例呼吸衰竭患者为研究对象,按随机数表法分为观察组(34例)和对照组(34例)。对照组予常规护理,观察组在对照组基础上,予强化心理应激护理。观察2组患者焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)评分、肺功能指标、并发症发生率、护理满意度的差异。结果护理干预后,观察组患者的SAS评分、SDS评分明显低于对照组,差异均有统计学意义(P<0.05)。护理干预后,观察组的用力肺活量(forced vital capacity,FVC)、1秒用力呼气容积(forced expiratory volume in one secong,FEV1)明显高于对照组,而通气时间则明显低于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率明显低于对照组,差异有统计学意义(P<0. 05)。观察组总满意度(91.2%)明显高于对照组总满意度(76.5%),差异有统计学意义(P<0.05)。结论强化心理应激护理措施对呼吸衰竭患者护理效果明显,可提高患者护理满意度,降低患者SAS评分、SDS评分,改善患者肺功能指标,临床中值得推广。

Objective To study the effects of intensified psychological stress nursing intervention on the mental status and pulmonary function of the patients with respiratory failure.Methods Sixty-eight patients with respiratory failure,who received medical treatment in the Department of Critical Care Medicine of the Municipal Central Hospital in Ezhou from March 2014 to March 2016,were recruited as research subjects,and were randomly divided into the observation group(n=34)and the control group(n=34).The control group was given regular nursing care,while the observation group was supplemented with intensified psychological stress nursing intervention in addition to the care received by the control group.Then,differences in the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS),pulmonary function indexes,rate of complications and nursing satisfaction of the 2 groups were closely observed and compared between the patients of the 2 groups.Results Following nursing intervention,the scores of the SAS and SDS scores of the observation group were significantly lower than those of the control group,with statistical significance(P<0.05).After nursing intervention,the scores of forced vital capacity(FVC)and forced expiratory volume in one second(FEV1)were significantly higher than those of the control group,while ventilation time of the observation group was significantly lower than that of the control group,also with statistical significance(P<0.05).The rate of complications in the observation group was significantly lower than that of the control group,and statistical significance could be noted when comparisons were made between the 2 groups(P<0.05).After nursing,the rate of satisfaction on the part of the observation group(91.2%)was significantly higher than that of the control group(76.5%),and statistical significance could also be found when comparisons were made between the 2 groups(P<0.05).Conclusion Intensified psychological stress nursing intervention could achieve good effects on the patients with respiratory failure,and also could increase the rate of patient satisfaction,decrease SAS/SDS scores and improve respiratory function.For this reason,it was worth further clinical promotion.