慢性阻塞性肺病患者抑郁调查与心理护理  

Investigation of the morbidity of depression in COPD patients and psychological nursing

作　　者：顾珍凤 白玉琴[1] 张慧娟[1] 陈振林 

机构地区：[1]江苏省泰州市第四人民医院内科,225300 [2]泰州市精神病院

出　　处：《国际护理学杂志》2012年第9期1582-1585,共4页international journal of nursing

摘　　要：目的探讨慢性阻塞性肺病（COPD）患者抑郁发生率与影响因素及心理护理对COPD合并抑郁患者的疗效。方法应用抑郁自评量表（SDS）评价116例COPD患者，调查患者性别、年龄、文化程度、经济状况、病程、一年内加重次数等与抑郁症发生率的关系。将49例COPO并发抑郁症患者随机分为试验组26例和对照组23例，两组患者均采用COPD治疗指南进行常规治疗和护理，试验组增加心理护理，疗程3个月，治疗前后应用SDS进行评估对比。结果COPO患者抑郁症发病率为42．24％，抑郁症的发生与文化程度、经济状况、病程长短、一年内加重次数等因素有关，与年龄、性别因素无关。试验组心理护理治疗后较治疗前SDS评分显著下降（P〈0．05），且明显低于对照组（P〈0．05）。结论COPO患者常伴有抑郁障碍，其发生与多种因素有关，心理护理可有效地缓解COPD合并抑郁症患者的抑郁情绪，改善生活质量。Objective To investigate the morbidity and influence factors of depression in patients with chronic obstructive pulmonary. And investigate the effects of psychological nursing on COPD patients with depression. Methods A total of 116 COPD patients were investigated by self-rating depression scale （SDS）. The relationship between depression and their gender, age, educational level, economic status, duration was investigated. The 49 eases complicated with depression were randomly divided into experimental group （26 eases） and control group （23 eases） , all of them received a routine treatment and care by COPD treatment guidelines. The experimental group had an additional psychological nursing for 3 months. The effects was compared before and after the psychological nursing by the scale of SDS assessment. Results The morbidity of depression in COPD patients was 42. 24% , the occurrence had no relationship with gender, age, but had relationship with education level, economic status, duration of disease and so on. After psychological nursing, the score of SDS was lower in experimental group than that in control group （ P 〈 0. 05 ） . Conclusions The results showed that chronic obstructive pulmonary, disease is often accompanied by depression, which occurs with a variety of factors. Psychological nursing can effectively relieve depression in patients with COPD, improve quality of life.

关 键 词：慢性阻塞性肺病 抑郁症 心理护理 

分 类 号：R473.5[医药卫生—护理学]