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目的探讨综合护理干预对慢性阻塞性肺疾病急性加重期(AECOPD)焦虑、抑郁情绪及肺功能的影响。方法选取该院收治的AECOPD患者94例,将其随机分为观察组和对照组,各47例。两组患者均给予吸氧、抗感染、解痉平喘、止咳化痰及对症支持等常规治疗,对照组给予常规护理,观察组在对照组基础上给予综合护理干预。结果两组患者护理后焦虑自评量表及抑郁自评量表评分、心率(HR)、呼吸频率(RR)均较护理前明显下降,用力肺活量及第1秒用力呼气容积均较护理前明显升高,且观察组护理后各项指标均优于对照组,差异均有统计学意义(P<0.05)。结论综合护理干预措施可以明显改善AECOPD患者的焦虑、抑郁等负性情绪,改善肺功能、HR及RR,值得临床推广应用。
Objective To investigate the effect of comprehensive nursing intervention on anxiety, depression and lung function in acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods Ninety-four patients with AECOPD admitted to our hospital were randomly divided into observation group and control group, with 47 cases in each group. Patients in both groups were given conventional therapy such as oxygen inhalation, anti-infection, antispasmodic and antiasthmatic, cough and phlegm and symptomatic support. The control group was given routine nursing. The observation group was given comprehensive nursing intervention on the basis of the control group. Results The scores of anxiety self-rating anxiety scale and depression self-rating scale (HR) and respiratory rate (RR) of the two groups were significantly lower than those before nursing, and the forced vital capacity and forced expiratory volume in 1 second were significantly lower than those before nursing (P <0.05). The indexes in the observation group were superior to those in the control group after nursing, the differences were statistically significant (P <0.05). Conclusion Comprehensive nursing intervention can significantly improve the negative emotions such as anxiety and depression in patients with AECOPD and improve pulmonary function, HR and RR, which deserves clinical application.