中医情志护理对慢性阻塞性肺疾病急性加重期患者生活质量的影响

An Observation on Effect of Emotional Nursing of Chinese Medicine on Quality of Life of Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

目的:观察中医情志护理对慢性阻塞性肺疾病(COPD)急性加重期患者生活质量的影响。方法:将纳入观察的80例患者按照随机数字的方法分为2组各40例,对照组给予常规护理干预,包括针对患者的疾病症状护理,康复护理。观察组在对照组护理方案的基础上给予中医情志护理,观察比较2组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、圣乔治量表(SGRQ)及治疗依从性。结果:经过干预后,2组HAMA和HAMD评分均降低,且组间比较,观察组HAMA和HAMD评分低于对照组,差异均有统计学意义(P <0.05)。2组SGRQ量表各维度评分均降低,且观察组的SGRQ量表各维度评分低于对照组,差异均有统计学意义(P <0.05);观察组治疗依从性优于对照组,差异有统计学意义(P <0.05)。结论:中医情志护理干预COPD急性加重期患者,可以改善焦虑与抑郁的情绪,提升患者的生活质量,保证患者接受治疗的依从性。

Objective:To observe the effect of emotional nursing of Chinese medicine on the quality of life of patients with acute exacerbation of chronic obstructive pulmonary disease(COPD).Methods:A total of 80 patients were divided into two groups according to random number method,40 patients in each group.The control group was given routine nursing intervention,including disease symptomatic nursing and rehabilitation nursing.The observation group was additionally given emotional nursing of Chinese medicine based on the treatment of the control group.The Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),St.George’s Respiratory Questionnaire(SGRQ)and the treatment compliance in the two groups were observed and compared.Results:After intervention,the scores of HAMA and HAMD in the two groups were reduced,and the ones in the observation group were lower than those in the control group between the two groups,differences being significant(P<0.05).The scores of all dimensions of SGRQ in the two groups were decreased,and the ones in the observation group were lower than those in the control group,differences being significant(P<0.05).The treatment compliance in the observation group was better than that in the control group,the difference being significant(P<0.05).Conclusion:The intervention of emotional nursing of Chinese medicine in patients with acute exacerbation of COPD can improve anxiety and depression and improve their quality of life,which ensures the treatment compliance.