PERMA模式下系统性护理应用于老年稳定期慢性阻塞性肺疾病患者的效果

Effect of Systematic Nursing under PERMA Mode on Elderly Patients with Stable Chronic Obstructive Pulmonary Disease

目的:探讨PERMA模式下系统性护理应用于老年稳定期慢性阻塞性肺疾病患者(COPD)的效果。方法:选取2022年9月—2023年9月武穴市中医医院收治的150例老年稳定期COPD患者作为研究对象,按随机数表法将患者分为对照组(常规干预)与观察组(PERMA模式下系统性护理),各75例。比较两组护理前、护理2个月后(护理后)负性情绪、心理弹性、肺功能及总体康复效果。结果:护理后,两组抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、慢性阻塞性肺疾病评估测试(CAT)评分与圣乔治呼吸问卷(SGRQ)评分低于护理前,且观察组低于对照组,两组坚韧、自强及乐观评分、第1秒用力呼气容积(FEV1)、用力肺活量(FVC)及FEV1/FVC%高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:老年稳定期COPD患者予以PERMA模式下系统性护理,可降低负性情绪,提高心理弹性水平、肺功能及总体康复效果。

Objective:To exprole the effect of systematic nursing under PERMA mode on elderly patients with stable chronic obstructive pulmonary disease(COPD).Method:A total of 150 elderly patients with stable COPD who admitted to TCM Hospital of Wuxue City from September 2022 to September 2023 were selected as the research objects,the patients were divided into the control group(routine intervention)and observation group(systematic nursing under PERMA mode)according to the random number table method,with 75 cases in each group.The negative emotions,psychological elasticity,lung function and overall rehabilitation effect of two groups before and after 2 months of nursing(after nursing)were compared.Result:After nursing,the scores of self-rating depression scale(SDS),selfrating anxiety scale(SAS),chronic obstructive pulmonary disease assessment test(CAT)and St.George's respiratory questionnaire(SGRQ)in two groups were lower than those before nursing,and those in the observation group were lower than the control group,the scores of tenacity,self-improvement and optimism,forced expiratory volume in one second(FEV1),forced vital capacity(FVC)and FEV1/FVC%in two groups were higher than those before nursing,and those in the observation group were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Systemic nursing under PERMA mode in elderly patients with stable COPD can reduce negative emotions,improve psychological resilience level,lung function and overall rehabilitation effect.