探讨整体化心理护理对特发性肺间质纤维化患者生活质量的影响

The Effect of Holistic Psychological Nursing on the Quality of Life of Patients with Idiopathic Pulmonary Fibrosis

目的:探讨整体化心理护理对特发性肺间质纤维化患者生活质量的影响。方法:选取郑州大学第一附属医院2019年1月—2020年8月收治的84例特发性肺间质纤维化患者,按随机数字表法分为两组,每组各42例。对照组予以常规护理,观察组予以整体化心理护理。对比分析两组血气指标、呼吸状况及生活质量。结果:干预前,两组氧分压(PaO_(2))、二氧分压(Pa CO_(2))比较,差异无统计学意义(P>0.05)。干预后,观察组PaO_(2)(92.09±8.59)mmHg高于对照组的(81.47±7.23)mmHg,PaCO_(2)(41.15±1.84)mmHg,低于对照组的(49.63±1.28)mmHg,差异有统计学意义(t=6.13、24.519,P<0.05)。干预前,两组患者圣±乔治呼吸问卷(SGRQ)评分、生活质量调查问卷(QOL-30)评分比较,差异无统计学意义(P>0.05)。干预后,观察组QOL-30评分(110.28±8.39)分高于对照组的(97.14±8.47)分,SGRQ评分(1.53±0.22)分低于对照组的(1.94±0.17)分,差异有统计学意义(t=9.557、7.143,P<0.05)。结论:整体化心理护理应用于特发性肺间质纤维化患者中,能够促进其呼吸功能恢复,改善患者生活质量。

Objective: To explore the effect of holistic psychological nursing on the quality of life of patients with idiopathic pulmonary fibrosis. Methods: 84 patients with idiopathic pulmonary fibrosis in the hospital from January 2019 to August 2020 were selected and randomly divided into two groups, with 42 cases in each group. The control group was given routine nursing, and the observation group was given holistic psychological nursing. The blood gas indexes, respiratory status and quality of life were compared between the two groups. Results: Before intervention, there was no statistically significant difference in PaO;and PaCO;between the two groups(P>0.05). After intervention, PaO;of the observation group was(92.09±8.59) mmHg, which was higher than(81.47±7.23) mmHg of control group. PaCO;of the observation group was(41.15±1.84) mmHg, which was lower than(49.63±1.28) mmHg of control group, with statistically significant difference(t=6.13, 24.519, P<0.05). Before the intervention, there was no statistically significant difference in the scores of the St. George’s Respiratory Questionnaire(SGRQ) and the Quality of Life Questionnaire(QOL-30) between the two groups(P>0.05). After the intervention, the observation group’s QOL-30 score was(110.28±8.39) points, which was higher than the control group’s(97.14±8.47) points, and the SGRQ score was(1.53±0.22) points,which was lower than the control group’s(1.94±0.17) points. The difference was statistically significant(t=9.557, 7.143, P<0.05).Conclusion: Holistic psychological nursing applied in patients with idiopathic pulmonary fibrosis can promote the recovery of respiratory function and improve the quality of life of patients.