心理护理对老年慢性阻塞性肺疾病患者抑郁焦虑状态及生活质量的影响  

Effect of psychological nursing intervention on depression,anxiety and the quality of life of elderly patients with chronic obstructive pulmonary disease

作　　者：刘红兵[1] 刘莹[1] 卢云娟[1] 

机构地区：[1]广西医科大学第一附属医院干部门诊,广西南宁530021

出　　处：《西部医学》2016年第1期127-129,共3页Medical Journal of West China

基　　金：广西科学研究与技术开发计划项目(124003B-13)

摘　　要：目的探讨心理护理干预对老年慢性阻塞性肺疾病患者的抑郁焦虑心理状态及生活质量的影响。方法选择80例老年慢性阻塞性肺疾病患者,随机分为观察组和对照组,每组各40例。对照组给予常规护理,观察组在常规护理干预基础上给予心理护理干预。采用Zung氏焦虑和抑郁量表,生活质量综合评估问卷(GQOL-74)对两组患者的焦虑、抑郁及生活质量进行评估,并对护理满意度进行比较。结果干预后观察组SAS评分和SDS评分明显低于干预前和对照组,具有显著性差异(P<0.05)。干预后观察组GQOL-74评分明显优于对照组,具有显著性差异(P<0.05)。干预后观察组护理满意度(95.0%)明显高于对照组(82.5%),具有显著性差异(P<0.05)。结论实施有效的心理护理干预能缓解老年慢性阻塞性肺疾病患者的焦虑抑郁心理状态,改善患者的生活质量,提高患者的护理满意度,可在临床推广应用。Objective To investigate effect of psychological nursing intervention on depression, anxiety and the quality of life of elderly patients with chronic obstructive pulmonary disease. Methods 80 elderly patients with chronic obstructive pulmonary disease in our hospital from December 2010 to December 2012 were randomly divided into observa- tion group and control group, with 40 cases in each group. Control group was given routine nursing intervention, while observation group was given psychological nursing intervention on the basis of control group. Zung＇s anxiety and depres- sion scale and GQOL-74 were adopted to assess anxiety, depression and quality of life of patients respectively. The degree of satisfaction of two groups was compared. Results SAS scores in observation group after intervention was sig- nificantly lower than that before intervention and control group （P〈0.05）. SDS scores in observation group after inter- vention was significantly lower than that before intervention and control group （P〈0.05）. GQOL-74 scores in observa- tion group after intervention was significantly better than that in control group （P〈0.05）. The satisfaction of patients in observation group （95.0%） was significantly higher than that in control group （82.5%） （P〈0.05）. Conclusion Psy- chological nursing intervention for elderly patients with chronic obstructive pulmonary disease can relieve their anxiety and depression, improve quality of life and enhance nursing satisfaction.

关 键 词：心理护理干预 慢性阻塞性肺疾病 焦虑 抑郁 生活质量 

分 类 号：R563[医药卫生—呼吸系统] R473.56[医药卫生—内科学]