心理护理对伴呼吸衰竭的慢性阻塞性肺气肿患者的效果

The effect of psychological nursing intervention on respiratory failure patients with chronic obstructive pulmonary emphysema

目的 探讨对伴呼吸衰竭的慢性阻塞性肺气肿患者实施心理护理干预后对其负性情绪及精神状态的改善效果。方法 于2022年1月~2022年12月采集病例展开研究,实施对象为100例慢性阻塞性肺气肿伴呼吸衰竭患者,采用随机数字表法规范化分组,分为对照组(实行常规护理)与观察组(实行心理护理干预),各组50例;观察对比两组负性情绪、精神状态、生活质量、患者满意度。结果 干预后,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均降低,其中观察组更低(P<0.05);干预后,两组症状自评量表(SCL-90)评分均显著下降,且观察组较对照组更低(P<0.05);干预后,两组生活质量评定问卷(GQOLI-74)评分均呈不同程度升幅,且观察组较对照组升幅更大(P<0.05);观察组患者满意度比对照组高(P<0.05)。结论 慢性阻塞性肺气肿伴呼吸衰竭患者实施心理护理干预,有利于缓解患者焦虑抑郁负性情绪,改善精神状态,进而改善生活质量,提高患者满意度。

Objective To explore the effectiveness of psychological nursing intervention on the improvement of negative emotions and mental state in patients with chronic obstructive pulmonary emphysema and respiratory failure.Methods From January 2022 to December 2022,100 patients with chronic obstructive pulmonary emphysema accompanied by respiratory failure were divided into the control group(receiving routine nursing)and the observation group(receiving psychological nursing intervention)by randomized number table method,with 50 cases in each group;The negative emotions,mental state,quality of life,and patient satisfaction between the two groups were compared.Results After intervention,the scores of the Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)decreased in both groups,with the observation group having a lower score(P<0.05).After intervention,the symptom checklist 90(SCL-90)scores of both groups significantly decreased,and the observation group was lower than the control group(P<0.05).After intervention,the scores of the two groups of quality of life assessment questionnaires(GQOLI-74)showed varying degrees of increase,and the observation group showed a greater increase than the control group(P<0.05).The satisfaction of patients in the observation group was higher than that in the control group(P<0.05).Conclusion Psychological nursing intervention for patients with chronic obstructive pulmonary emphysema and respiratory failure is beneficial for improving negative emotions of anxiety and depression,improving mental state,improving quality of life,and increasing patient satisfaction.