运动性引导想象对无创正压通气COPD患者睡眠和焦虑、抑郁情绪的影响

Effects of muscle relaxation and interactive guided imagination nursing intervention on the sleep quality,anxiety,depression and pulmonary function indexes of patients with COPD

目的探讨运动性引导想象护理干预对实施无创正压通气的慢性阻塞性肺疾病(COPD)患者睡眠质量、焦虑及抑郁情绪、肺功能指标的影响。方法选取2018年1月至2020年12月实施100例无创正压通气治疗的COPD患者作为研究对象,按照随机数字表法将其分为研究组和对照组,每组50例。住院期间给予对照组患者常规护理措施,研究组患者在常规护理基础上采用运动性引导想象护理干预措施。干预前后采用匹兹堡睡眠质量指数(PQSI)、医院焦虑抑郁量表(HADS)、测定用力肺活量(FVC)、1 s用力呼气容积(FEV1),FEV1/FVC评价干预效果。结果干预前2组患者PQSI量表、HADS量表总分及各维度评分、FVC、FEV1、FEV1/FVC比较,差异无统计学意义(P>0.05);干预后,研究组患者PQSI总分及各维度评分,HADS量表各分量表评分均低于对照组患者,肺功能指标FVC、FEV1、FEV1/FVC改善情况优于对照组患者,差异均有统计学意义(P<0.05)。结论运动性引导想象护理干预措施可提高无创正压通气的COPD患者睡眠质量,缓解焦虑及抑郁情绪,改善其肺功能指标。

Objective To investigate the effects of muscle relaxation and interactive guided imagination nursing intervention on the sleep quality,anxiety,depression and pulmonary function indexes of patients with chronic obstructive pulmonary disease(COPD).Methods A total of 100 patients with COPD who were treated by noninvasive positive pressure ventilation in our hospital from January 2018 to December 2020 were randomly divided into research group and control group,with 50 cases in each group.The patients in control group were treated by routine nursing measures,however,the patients in research group,on the basis of control group,were treated by muscle relaxation and interactive guided imagination nursing intervention.The intervention effects were evaluated by PSQI and HADS scales,and FVC,FEV1 and FEV1/FVC indexes were observed and compared between the two groups.Results Before intervention there were no significant differences in the total scores of PQSI,and HADS,FVC,FEV1,FEV1/FVC between the two groups(P>0.05).After intervention,the total scores of PQSI、HADS and the scores of each dimension in research group were significantly lower than those in control group,moreover,the improvement degree of pulmonary function indexes including FVC,FEV1,FEV1/FVC in research group was superior to that in control group(P<0.05).Conclusion The muscle relaxation and interactive guided imagination nursing intervention can improve the sleep quality of patients with COPD undergoing noninvasive positive pressure ventilation,which can relieve the anxiety and depression emotions,and improve the lung function indexes of patients.