中医情志护理在慢性阻塞性肺疾病护理中的应用效果

Application Effect of Chinese Medicine Emotional Nursing for Chronic Obstructive Pulmonary Disease

目的:观察中医情志护理运用于慢性阻塞性肺疾病(COPD)中的效果。方法:选择118例COPD患者,按随机数字表法分为研究组和对照组各59例。对照组给予常规护理,研究组在对照组基础上给予中医情志护理。比较2组干预前后氧分压及二氧化碳分压,评价2组治疗前后抑郁自评量表(SDS)、焦虑自评量表(SAS)、简易精神状态评价量表(MMSE)评分及依从性评分,比较2组护理满意度。结果:干预前,2组氧分压、二氧化碳分压比较,差异无统计学意义(P>0.05)。干预后,2组氧分压较干预前升高,研究组氧分压高于对照组(P<0.05);二氧化碳分压较干预前降低,研究组二氧化碳分压低于对照组(P<0.05)。干预前,2组SDS评分、SAS评分及MMSE评分比较,差异无统计学意义(P>0.05)。干预后,2组SDS及SAS评分较干预前降低,MMSE评分较干预前升高(P<0.05);研究组SDS及SAS评分低于对照组,MMSE评分高于对照组(P<0.05)。研究组依从性评分高于对照组(P<0.05)。研究组护理满意度为94.92%,高于对照组81.36%,差异有统计学意义(P<0.05)。结论:中医情志护理运用于COPD护理中效果显著,可以减轻患者负性情绪,改善血气指标,增强认知能力,提高依从性和护理满意度,维持良好的医患关系。

Objective:To observe the effect of Chinese medicine emotional nursing for chronic obstructive pulmonary disease(COPD).Methods:A total of 118 cases of COPD patients were divided into the study group and the control group according to the random number table method,59 cases in each group.The control group was treated with routine nursing,and the study group was additionally given Chinese medicine emotional nursing based on the treatment of the control group.Before and after intervention,the oxygen partial pressure and the partial pressure of carbon dioxide in the two groups were compared.Before and after treatment,the scores of Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS),Mini-Mental State Examination(MMSE)and compliance in the two groups were evaluated,and the nursing satisfaction in the two groups was compared.Results:Before intervention,there was no significant difference being found in the comparison of oxygen partial pressure and the partial pressure of carbon dioxide between the two groups(P>0.05).After intervention,the oxygen partial pressures in the two groups were increased when compared with those before intervention,and the one in the study group was higher than that in the control group(P<0.05);the partial pressure of carbon dioxide was decreased,and the one in the study group was lower(P<0.05).Before intervention,there was no significant difference being found in the comparison of the scores of SDS,SAS and MMSE between the two groups(P>0.05).After intervention,the scores of SDS and SAS in the two groups were decreased when compared with those before intervention,and the MMSE scores were increased(P<0.05);the scores of SDS and SAS in the study group were lower than those in the control group,and the MMSE score was higher(P<0.05).The compliance score in the study group was higher than that in the control group(P<0.05).The nursing satisfaction was 94.92% in the study group,higher than that of 81.36% in the control group,the difference being significant(P<0.05).Conclusion:Chinese medicine emotional nursing for COPD has significant effect,and can relieve negative emotions,improve blood gas indicators,cognitive ability,compliance and nursing satisfaction,and maintain a good doctor-patient relationship.