心理干预联合延续性管理对肺部感染患者生存质量、睡眠质量及SCL-90评分的影响

Effects of psychological intervention combined with continuous management on the life quality,sleep quality and SCL-90 score of patients with pulmonary infection

目的探究并分析心理干预联合延续性管理对合并肺部感染的慢性阻塞性肺疾病(chronic obstructive pulmoriary disease,COPD)患者生存质量、睡眠质量及SCL-90评分的影响。方法选取2020年1月至2021年1月收治的83例肺部感染患者,按照随机数字表法将其分为观察组(n=42例)和对照组(n=41例)。对照组患者采用常规护理方案,观察组患者采用心理干预联合延续性护理,记录2组患者一般资料[性别、年龄、BMI、COPD病程、合并症(包括急性肾功能衰竭、急性心力衰竭、糖尿病、高血压、高血脂等)]、自我管理评分、前后生存质量评分、SCL-90评分、匹茨堡睡眠质量指数量表(PSQI)。结果经重复方差分析,2组患者自我管理评分比较差异有统计学意义(P<0.05),干预前2组患者自我管理评分比较差异无统计学意义(P>0.05),干预后1个月、3个月,2组患者自我管理评分较干预前显著升高(P<0.05),干预后3个月观察组患者自我管理评分显著高于对照组(P<0.05),2组患者干预前后生存质量评分差异有统计学意义(P<0.05),干预前2组患者生存质量评分差异无统计学意义(P>0.05),干预后1个月、3个月,2组患者生存质量评分较干预前均有明显升高(P<0.05),干预后3个月观察组患者生存质量评分明显高于对照组(P<0.05),2组患者干预前后SCL-90评分比较差异有统计学意义(P<0.05),干预前2组患者SCL-90评分比较无差异(P>0.05),干预后2组患者SCL-90评分均较干预前显著降低(P<0.05),干预后1个月、干预后3个月,观察组患者SCL-90评分显著低于对照组(P<0.05),2组患者治疗前后PSQI评分比较差异有统计学意义(P<0.05),干预前2组患者PSQI评分比较无差异(P>0.05),干预后1个月、3个月,2组患者PSQI评分较干预前显著降低(P<0.05),干预后3个月观察组患者PSQI评分显著低于对照组(P<0.05)。结论心理干预联合延续性护理能有效提高肺部感染患者生存质量,改善患者睡眠质量及SCL-90评分,值得临床推广。

Objective To investigate the effects of psychological intervention combined with continuous management on the life quality,sleep quality and SCL-90 score of patients with chronic obstructive pulmonary disease(COPD)complicated by pulmonary infection.Methods A total of 83 patients with pulmonary infection were enrolled in the study,who were randomly divided into control group(n=41)and observation group(n=42).The patients in control group were treated by routine nursing care,however,those in observation group were treated by psychological intervention combined with continuity nursing.The general data including patient’s gender and age,BMI,COPD course and complications(acute renal failure,acute heart failure,diabetes,hypertension,hyperlipidemia),and self-management score,life quality score before and after nursing intervention,and SCL-90 score as well as Pittsburgh sleep quality index(PSQI)Were observed and compared between the two groups.Results However the self-management scores at 1m and 3m after intervention in both groups were significantly improved,moreover,which at 3 months after intervention in observation group were significantly higher than those in control group(P<0.05).Before intervention there were no significant differences in life quality scores between the two groups(P>0.05).However the life quality scores at 1m and 3m after intervention in both groups were significantly increased,moreover,which at 3 months after intervention in observation group were significantly higher than those in control group(P<0.05).The repeated analysis of variance showed that the SCL-90 scores after intervention in both groups were significantly decreased,moreover,which at 1m and 3m after intervention in observation group were significantly lower than those in control group(P<0.05).In addition the PSQI scores at 1m and 3m after intervention in both groups were significantly decreased.moreover,which at 3m after intervention in observation group were significantly lower than those in control group(P<0.05).Conclusion The psychological intervention combined with continuous nursing can effectively improve the life quality,sleep quality and SCL-90 score of patients with pulmonary infection,therefore,which is worthy of clinical promotion.