论文部分内容阅读
目的探讨对老年慢性阻塞性肺疾病(慢阻肺)患者应用心理护理干预的效果。方法选取芮城县人民医院2012年8月—2015年8月收治的老年慢阻肺患者220例,分为对照组和观察组,各110例。对照组接受常规护理干预,观察组在对照组基础上进行心理护理干预。比较两组患者护理干预效果〔抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、动脉血氧分压(PaO_2)及动脉血二氧化碳分压(Pa CO2)〕及患者护理满意度。结果护理前,两组患者SDS评分、SAS评分、PaO_2及Pa CO2比较,差异无统计学意义(P>0.05)。护理后,两组患者SDS评分、SAS评分及Pa CO2低于护理前,PaO_2高于护理前,差异有统计学意义(P<0.05);且观察组SDS评分、SAS评分及Pa CO2低于对照组,PaO_2高于对照组,差异有统计学意义(P<0.05)。观察组患者护理满意度高于对照组,差异有统计学意义(P<0.05)。结论心理护理干预在老年慢阻肺患者中效果显著,可有效减轻患者抑郁、焦虑等不良心理,对患者康复具有重要的促进意义,值得在临床护理中推广。
Objective To investigate the effect of psychological nursing intervention on elderly patients with chronic obstructive pulmonary disease (COPD). Methods 220 patients with COPD who were admitted to Ruicheng County People’s Hospital from August 2012 to August 2015 were divided into control group and observation group, with 110 cases in each group. The control group received routine nursing intervention, and the observation group received psychological nursing intervention on the basis of the control group. The effects of nursing interventions (SDS, SAS, PaO_2 and PaCO 2) and patient care were compared between the two groups Satisfaction. Results Before nursing, there was no significant difference in SDS score, SAS score, PaO_2 and PaCO_2 between two groups (P> 0.05). After nursing, the SDS scores, SAS scores and PaCO 2 in both groups were lower than those before nursing, PaO 2 was higher than that before nursing (P <0.05), and the SDS scores, SAS scores and PaCO 2 in the observation group were lower than those in the control Group, PaO_2 higher than the control group, the difference was statistically significant (P <0.05). The nursing satisfaction of the observation group was higher than that of the control group, the difference was statistically significant (P <0.05). Conclusion Psychological nursing intervention in elderly patients with COPD significant effect, which can effectively reduce depression, anxiety and other adverse psychological patients rehabilitation of patients with an important role in promoting, it is worth to promote in clinical nursing.