跟进式护理对老年慢阻肺伴肌肉萎缩患者负性情绪及生存质量的影响

The Effect of Follow-up Nursing on Negative Emotion and Quality of Life in Elderly Patients with Chronic Obstructive Pulmonary Disease Accompanied by Muscle Atrophy

目的:观察家庭跟进式护理对老年慢性阻塞性肺疾病(COPD)伴肌肉萎缩患者负性情绪及生存质量的影响.方法:选取2016年3月-2018年3月在本院住院治疗的老年COPD伴肌肉萎缩患者70例.按照随机数字表法将其分为对照组和观察组,各35例.两组均给予常规护理和出院指导,观察组在常规护理的基础上实施家庭跟进式护理.比较两组干预前后自我感受负担量表(SPBS)、焦虑自评量表(SAS)和抑郁自评量表(SDS)、运动耐力(6MWT)、肌肉营养状况(FFWI)、COPD评估测试表(CAT).结果:干预后,观察组SPBS、SAS、SDS、CAT评分均低于对照组,FFMI、6MWT均高于对照组,差异均有统计学意义(P<0.05).结论:家庭跟进式护理能有效缓解老年COPD伴肌肉萎缩患者负性情绪,提高患者生存质量.

Objective:To observe the effect of family follow-up nursing on negative emotion and quality of life in elderly patients with chronic obstructive pulmonary disease(COPD)accompanied by muscle atrophy. Method:A total of 70 elderly patients with COPD accompanied by muscle atrophy who were hospitalized in our hospital from March 2016 to March 2018 were selected.According to the random number table method,they were divided into control group and observation group,35 cases in each group.Both groups were given routine nursing and discharge guidance,while observation group was given family follow-up nursing on the basis of routine nursing. The self-perceived burden scale(SPBS),self-rating anxiety scale(SAS),self-rating depression scale(SDS), exercise endurance(6MWT),muscle nutrition status(FFWI)and COPD assessment scale(CAT)before and after intervention between two groups were compared.Result:After intervention,the scores of SPBS,SAS,SDS and CAT in observation group were lower than those of control group,and FFMI and 6MWT were higher than those of control group,the differences were statistically significant(P<0.05).Conclusion:Family follow-up nursing can effectively alleviate the negative emotions of elderly patients with COPD accompanied by muscle atrophy,and improve the quality of life of patients.