综合年龄评估在老年COPD合并焦虑/抑郁状态患者中的应用

Application of comprehensive evaluation in elderly patients with COPD complicated with anxiety/depression

目的观察在慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)合并焦虑/抑郁状态老年患者中施行综合年龄评估(comprehensive age assessment,CGA)的护理干预效果。方法选择2015年6月-2017年12月在绍兴市人民医院呼吸内科治疗的128例COPD合并焦虑/抑郁状态老年患者(≥60岁),采用随机数字表法分为对照组(64例)和观察组(64例),分别施行常规护理和CGA模式护理。比较2组护理前后的日常生活能力、社会活动能力及焦虑/抑郁状态。结果干预后观察组日常生活能力评分的改善[(2.55±0.16)分]、社会活动能力评分的改善[(1.97±0.34)分]均较对照组[(1.78±0.30)分,(1.47±0.24)分]差异有统计学意义(t=12.348、9.611,均P<0.001)。干预后观察组焦虑、抑郁症状评分的改善[(2.31±0.36)分、(2.93±0.52)分]均优于对照组[(1.65±0.30)分、(1.97±0.24)分,t=11.267、13.410,均P<0.001]。结论对老年COPD合并焦虑/抑郁状态患者实施CGA模式护理可有效缓解其焦虑/抑郁状态,提升生活质量。

Objective To observe the nursing intervention effect of Comprehensive Age Assessment(CGA)in elderly patients with COPD combined with anxiety/depression.Methods From June 2015 to December 2017 in Department of Respiratory Medicine in Shaoxing People’s Hospital,128 elderly patients(≥60 years old)with anxiety/depression status were included.All patients were divided into control group(64 cases)and observation group(64 cases)by random number table method,and routine nursing and CGA mode nursing were performed,respectively.The daily living ability,social activity ability and anxiety/depression state of the two groups before and after nursing were compared.Results After the nursing,the daily life ability score(2.55±0.16)and the improvement of the social activity ability score(1.97±0.34)in the observation group were all significant improvement than those of the control group[(1.78±0.30)and(1.47±0.24)](t=12.348,9.611,all P<0.001).The anxiety/depression symptom scores were improved[(2.31±0.36)/(2.93±0.52)]in the observation group than those in the control group(1.65±0.30)scores/(1.97±0.24)scores(t=11.267,13.410,all P<0.001).Conclusion The comprehensive age assessment intervention for elderly patients with COPD complicated with anxiety/depression can effectively relieve the adverse mood of anxiety/depression and improve their quality of life.