舒适心理护理联合健康教育对COPD伴呼吸衰竭患者护理质量及预后的影响

The Effect of Comfort Psychological Nursing Combined with Health Education on the Quality of Care and Prognosis of Patients with COPD and Respiratory Failure

目的研究舒适心理护理联合健康教育对慢性阻塞性肺疾病(COPD)伴呼吸衰竭患者护理质量及预后的影响。方法选取2018年1月~2019年1月我院接诊的56例COPD伴呼吸衰竭患者为研究对象,采用随机数字表法分为对照组和联合组,各23例。对照组采用常规护理,联合组应用舒适心理护理联合健康教育干预,比较两组PaCO2、PaO2、SaO2水平改善情况、护理质量、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分及预后情况。结果干预后,联合组PaCO2低于对照组,PaO2、SaO2水平高于对照组,差异有统计学意义(P<0.05);干预后,两组基础护理、文书管理、专科护理、病房环境和安全、消毒隔离、健康教育评分均升高,且联合组高于对照组,差异有统计学意义(P<0.05);干预后,两组SAS、SDS评分均降低,且联合组均低于对照组,差异有统计学意义(P<0.05);联合组并发症发生率为4.34%,低于对照组的17.39%,差异有统计学意义(P<0.05)。结论COPD伴呼吸衰竭患者实施舒适心理护理联合健康教育干预,可提高临床护理质量,改善焦虑和抑郁不良情绪,促进护理的实施。同时可提高护理质量,降低并发症发生率,促进良好预后的形成。

Objective To study the effect of comfortable psychological care combined with health education on the quality of care and prognosis of patients with chronic obstructive pulmonary disease(COPD)with respiratory failure.Methods 56 patients with COPD and respiratory failure admitted to our hospital from January 2018 to January 2019 were selected as the research objects.They were divided into a control group and a combined group by random number table method,with 23 cases in each group.The control group received conventional nursing care,and the combined group used comfortable psychological care combined with health education intervention to compare the improvement of PaCO2,PaO2,SaO2 levels,the quality of care,the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)scores of the two groups and prognosis.Results After the intervention,the PaCO2 of the combined group was lower than that of the control group,and the levels of PaO2 and SaO2 were higher than that of the control group,the difference was statistically significant(P<0.05);The scores of disinfection and isolation and health education increased,and the combined group was higher than the control group,the difference was statistically significant(P<0.05);after the intervention,the SAS and SDS scores of the two groups decreased,and the combined group was lower than the control group,the difference was statistically significant(P<0.05);the complication rate in the combined group was 4.34%,which was lower than 17.39%in the control group,the difference was statistically significant(P<0.05).Conclusion The implementation of comfortable psychological care combined with health education intervention for patients with COPD with respiratory failure could improve the quality of clinical care,improve anxiety and depression,and promoted the implementation of nursing.At the same time,it could improve the quality of care,reduce the incidence of complications,and promoted the formation of a good prognosis.