基于“积极心理学理论”的护理干预在纤维支气管镜肺泡灌洗患者中的应用  

Study on the effect of nursing intervention based on "positive psychology theory" on mental state,lavage knowledge awareness rate and comfort level of patients undergoing alveolar lavage via fiberoptic bronchoscopy

作　　者：王婕[1] 岳燕蓉 刘敏慧 何晓蓉 WANG Jie;YUE Yan-rong;LIU Min-hui;HE Xiao-rong

机构地区：[1]四川省广元市第一人民医院呼吸内科,广元市628017

出　　处：《护理实践与研究》2018年第18期29-31,共3页Nursing Practice and Research

摘　　要：目的探讨基于"积极心理学理论"的护理干预对纤维支气管镜肺泡灌洗患者收缩压、心率、呼吸频率、心理状态、灌洗知识知晓率、舒适度的影响。方法选取我院2016年3月至2017年2月收治的215例纤维支气管镜肺泡灌洗患者作为研究对象,随机将其分为对照组(107例)和研究组(108例)。对照组患者给予常规护理干预,研究组患者给予基于"积极心理学理论"的护理干预,比较两组患者收缩压、心率、呼吸频率、心理状态、灌洗知识知晓率和护理舒适度。结果研究组患者生命体征收缩压、心率、呼吸频率等改善效果显著优于对照组(P <0. 05);护理后两组患者抑郁自评量表(SDS)评分和焦虑自评量表(SAS)评分均高于护理前,其中研究组SDS和SAS评分均高于对照组(P <0. 05);研究组患者对灌洗知识知晓率和舒适度高于对照组(P <0. 05)。结论基于"积极心理学理论"的护理干预对纤维支气管镜肺泡灌洗患者应用效果显著,可有效改善患者收缩压、心率、呼吸频率、患者心理状态,增加患者灌洗知识知晓率和舒适度,使患者早日康复。Objective To explore the effect of nursing intervention based on ＂positive psychology theory＂ on systolic blood pressure,heart rate,respiratory frequency, mental state, lavage knowledge awareness rate and comfort level of patients undergoing alveolar lavage via fiberoptic bronchoscopy. Methods The 215 cases of patient who underwent alveolar lavage via fiberoptic bronchoscopy and were admitted to our hospital from March 2016 to February 2017 were selected as subjects and randomly divided into control group （107 cases） and study group （108 cases）. Patients in the control group were given a routine nursing intervention. Patients in the study group were given a nursing intervention based on ＂positive psychology theory＂. The systolic blood pressure, heart rate, respiratory rate, mental state, lavage knowledge awareness rate and nursing comfort level were compared between the two groups of patient. Results The improvement of vital signs of the patients,sush as systolic blood pressure, heart rate,espiratory rate and so on in the study group were significantly better than that of the ones in the control group （ P 〈0.05）. The self-rating depression scale（SDS） score and self-rating anxiety scale（SAS） score of the two groups of patient after nursing were both higher than they were before the nursing was performed, and the SDS and SAS scores of the study group were equally higher than that of the control group（ P 〈0.05）; patients in the study group had a higher lavage knowledge awareness rate and comfort level than the ones in the control group had（ P 〈0.05）. Conclusion Nursing intervention based on ＂positive psychology theory＂ has significant effects on patients undergoing alveolar lavage via fiberoptic bronchoscopy and can effectively improve the patient＇s systolic blood pressure, heart rate, respiratory rate, mental state, and increase patient＇s lavage knowledge awareness rate and comfort level. The patients are allowed to get well soon.

关 键 词：积极心理学 纤维支气管镜肺泡灌洗 心理状态 灌洗知识知晓率 舒适度 

分 类 号：R473.5[医药卫生—护理学]