分类评估式心理护理联合康复训练在慢阻肺患者中的效果

The Effect of Classified Evaluation of Psychological Care Combined with Rehabilitation Training in COPD Patients

目的:探究分类评估式心理护理联合康复训练在改善慢阻肺患者肺功能指标中的效果。方法:选取萍乡市第二人民医院呼吸与危重症医学科2018年11月—2021年11月收治的92例慢阻肺患者。以计算机完全随机分组法将其分为试验组(n=46)、参照组(n=46)。参照组行康复训练,试验组在参照组的基础上加用分类评估式心理护理。对比两组负性情绪[症状自评量表(symptom checklist 90,SCL-90)]、肺功能指标、生活质量[健康调查简表(the MOS item short form health survey,SF-36)]。结果:干预后,试验组负性情绪均低于参照组,差异均有统计学意义(P<0.05);试验组肺功能指标均优于参照组,差异均有统计学意义(P<0.05);试验组生活质量评分均高于参照组,差异均有统计学意义(P<0.05)。结论:分类评估式心理护理联合康复训练可以降低患者的负性情绪,改善患者的肺功能指标,并提高患者的生活质量。

Objective:To explore the effect of classified evaluation of psychological care combined with rehabilitation training in improving pulmonary function indicators in COPD patients.Method:A total of 92 COPD patients admitted to the Department of Respiratory and Critical Care Medicine of Pingxiang NO.2 People's Hospital from November 2018 to November 2021 were selected.They were divided into experimental group(n=46)and reference group(n=46)by computer complete randomization method.The reference group was given rehabilitation training,and the experimental group added classified evaluation of psychological care on the basis of the reference group.The negative mood[symptom self-rating scale(symptom checklist 90,SCL-90)],lung function indicators and quality of life[health survey brief table(the MOS item short form health survey,SF-36)]in two groups were compared.Result:After intervention,the negative emotion of the experimental group were lower than those of the reference group,the differences were statistically significant(P<0.05);the pulmonary function indexes of the experimental group were better than those of the reference group,the differences were statistically significant(P<0.05);the quality of life scores of the experimental group were higher than those of the reference group,the differences were statistically significant(P<0.05).Conclusion:Classified evaluation of psychological care combined with rehabilitation training can reduce their negative emotions,improve their lung function indicators,and improve their quality of life.