个体化呼吸训练联合自我效能干预对COPD患者睡眠质量及心理状态的影响

Effects of Individualized Respiratory Training Combined with Self-Efficacy Intervention on Sleep Quality and Psychological Status of Patients with COPD

目的:探究个体化呼吸训练联合自我效能干预对慢性阻塞性肺疾病(COPD)患者睡眠质量及心理状态的影响。方法:选取2019年4月~2019年8月入住我院接受治疗的60例COPD患者为研究对象,按照随机数字表法随机分为观察组和对照组,每组30例,对照组给予常规护理干预,观察组实施个体化呼吸训练联合自我效能干预。比较干预前和干预2周后2组患者匹兹堡睡眠质量指数问卷(PSQI)及症状自评量表(SCL-90)评分变化。结果:干预2周后,2组患者PSQI及SCL-90各维度评分和总分较干预前均显著降低,且观察组各项评分均明显低于同一时间对照组(P<0.05)。结论:个体化呼吸训练联合自我效能干预能促进COPD患者睡眠质量改善,对重建其心理状态具有积极意义。

Objective:To explore the effects of individualized respiratory training combined with self-efficacy intervention on sleep quality and psychological status of patients with chronic obstructive pulmonary disease(COPD).Methods:Sixty COPD patients who were admitted to our hospital for treatment from April 2019 to August 2019 were selected as research subjects.They were divided into experimental group and control group according to the random number table method,with 30 cases in each group.Patients in control group were given routine nursing intervention while patients in experimental group were given individualized experimental training combined with self-efficacy intervention.The changes in scores of sleep quality[Pittsburgh Sleep Quality Index Questionnaire(PSQI)]and psychological status[Symptom Checklist(SCL-90)]were compared between the two groups before intervention and after 2 weeks of intervention.Results:After 2 weeks of intervention,the scores of dimensions and total scores of PSQI and SCL-90 in the two groups were significantly lower than those before intervention,and the scores in experimental group were significantly lower than those in control group at the same time point(P<0.05).Conclusion:Individualized respiratory training combined with self-efficacy intervention can promote the improvement of sleep quality in patients with COPD,and has positive significance for reconstructing the psychological status.