护理干预在呼吸内科住院患者生活质量中的临床应用研究  

Clinical application study of nursing intervention in life quality of inpatients in department of respiratory medicine

作　　者：易仁[1] 

机构地区：[1]中南大学湘雅医院麻醉科,湖南长沙410008

出　　处：《中国医药导报》2012年第25期146-147,共2页China Medical Herald

摘　　要：目的探讨提高呼吸内科住院患者生活质量的护理干预方法及途径。方法对2007年9月～2011年9月入住我院的580例呼吸内科患者的临床资料进行回顾性分析,将其随机分为对照组与观察组。对照组(n=290)不提供护理服务,观察组(n=290)给予心理护理、系统化健康教育等方面的优质护理服务。对两组患者的生活质量进行对比,运用抑郁自评量表(SDS)、焦虑自评量表(SAS)对两组患者的心理状况进行评分,对两组患者的健康意识的知晓度进行对比与分析。结果①对照组生活质量评分明显低于观察组,差异有高度统计学意义(P<0.01);②对照组SAS及SDS评分均低于观察组,且差异有高度统计学意义(P<0.01);③对照组在呼吸内科健康知识的知晓度、自我保健意识以及健康习惯的养成等方面的比例均显著低于观察组,差异均有高度统计学意义(P<0.01)。结论将护理干预用于呼吸内科住院患者生活质量的改善之中,能够极大地提高患者的生活质量,改善患者的不良心理状况以及增强患者的自我保健意识。因此,应对呼吸内科住院患者实施科学的护理干预。Objective To explore nursing intervention and approaches to improve life quality of inpatients in department of respiratory medicine. Methods Clinical data of 580 inpatient in respiratory department from September 2007 to September 2011 were analyzed retrospectively and were evenly divided into control group and observation group randomly, each group had 290 cases. In observation group, nursing interventions were offered including psychological care and systematic health education and so on, while in control group, no nursing service was provided. Quality of life was compared between control group and observation group by Chi-square Test, and psychological status of the two groups was scored by self-rating de- pression scale （SDS） and self-rating anxiety scale in order to compare and analyze health awareness of patients in these two groups. Results Scores of life quality in control group was obviously lower than that of observation group in a signifi- cant difference （P 〈 0.01）. Scores of psychological status by SAS and SDS were statistically lower than those of observation group （P 〈 0.01）. Percentages of awareness of health knowledge, self-health care consciousness, and health habit cultivation in respiratory department in control group were all remarkable inferior to those of observation group with a statistical differ- ence （P 〈 0.01）. Conclusion Nursing intervention applied in life quality of inpatients in respiratory medicine can greatly improve their life qualities, better their unhealthy psychological status and strengthen their self-health care consciousness. Therefore, to inpatients of respiratory department, it is beneficial for them to accept scientific nursing intervention.

关 键 词：呼吸内科 护理干预 抑郁自评量表 焦虑自评量表 系统化健康教育 

分 类 号：R473.5[医药卫生—护理学]