接纳-承诺理念护理模式在老年慢阻肺护理工作中的应用效果及对患者生存质量的影响

Application Effect of Accept-commitment Nursing Model in the Nursing Work of Elderly Patients with COPD and Its Influence on the Quality of Life of Patients

目的 探究老年慢性阻塞性肺疾病(简称慢阻肺)护理中应用接纳-承诺理念护理模式的效果及对患者生存质量的影响。方法 随机选择2022年1—12月厦门市第三医院收治的120例老年慢阻肺患者为研究对象,根据随机数表法分为对照组(n=60)和观察组(n=60)。对照组接受常规护理,观察组实施接纳-承诺理念护理。比较两组情绪、生存质量、自我效能。结果 观察组患者焦虑(Self-rating Anxiety Scale, SAS)、抑郁(Self-rating Depression Scale, SDS)量表减分幅度均大于对照组,差异有统计学意义(P<0.05)。观察组生存质量评分(MOS 36 item short from health survey, SF-36)提升幅度均大于对照组,差异有统计学意义(P<0.05)。护理前,观察组、对照组自我效能量表得分(87.64±4.24)分、(87.66±4.25)分比较,差异无统计学意义(t=0.028,P>0.05)。护理后观察组为(124.24±4.05)分,对照组为(112.31±5.15)分,两组比较,差异有统计学意义(t=11.241,P<0.05)。结论 老年慢阻肺护理工作中实施接纳-承诺理念护理可以缓解焦虑、抑郁,提升生存质量及自我效能,护理价值高。

Objective To explore the effect of the accept-commitment nursing model and its influence on the quality of life of patients with chronic obstructive pulmonary disease(COPD)in the elderly.Methods A total of one hundred 120 elderly COPD patients admitted to Xiamen Third Hospital from January to December 2022 were randomly se-lected as the study objects,and were divided into control group(n=60)and observation group(n=60)by random num-ber table method.The control group received routine nursing,and the observation group received accept-commitment nursing.Mood,quality of life and self-efficacy in two grouos were compared.Results The reduction of self-rating anxi-ety scale(SAS)and self-rating depression scale(SDS)in observation group were greater than those in control group,and the difference was statistically significant(P<0.05).The increase of MOS 36 item short from health survey(SF-36)score of observation group was significantly higher than that of control group,and the difference was statistically significant(P<0.05).Before nursing,the self-efficacy scale scores of observation group and control group were(87.64±4.24)points and(87.66±4.25)points respectively,and the difference was not statistically significant(t=0.028,P>0.05).After nursing,the observation group(124.24±4.05)points and control group(112.31±5.15)points were com-pared,and the difference was statistically significant(t=11.241,P<0.05).Conclusion In the nursing work of the el-derly COPD patients,the nursing concept of accept-commitment can alleviate anxiety and depression,improve the quality of life and self-efficacy,and is of high nursing value and worthy of application.