间断式呼吸训练法对老年慢性阻塞性肺疾病负性情绪和治疗依从性的影响  

Effect of Intermittent Respiratory Training on Negative Emotions and Treatment Compliance in Older Patients with COPD

作　　者：刘佳[1] Liu Jia(Respiratory Department, the Second Affiliated Hospital, Harbin Medical University , Harbin 150000, China)

机构地区：[1]哈尔滨医科大学附属第二医院呼吸科

出　　处：《国际老年医学杂志》2019年第2期104-106,共3页International Journal of Geriatrics

摘　　要：目的 探讨间断式呼吸训练法对于改善老年慢性阻塞性肺疾病( COPD)患者负性情绪和提高其治疗依从性的作用.方法 选取2016 年3 月~2017 年3 月在我院接受治疗的92 例老年COPD患者, 按照随机数表法分为两组, 每组46 例, 对照组采用常规护理指导, 实验组在对照组基础上进行间断式呼吸训练两个月.分别采用morisky依从性量表、焦虑自评量表( SAS) 、抑郁自评量表( SDS)及纽卡斯尔治疗满意度量表( NSNS)评估患者治疗依从性、焦虑程度、抑郁程度及治疗满意度.结果 实验组依从率及治疗满意度明显高于对照组( P <0. 05 );实验组 SAS 及 SDS 评分均明显低于对照组( P <0. 05) .结论 间断式呼吸训练法可以有效缓解老年COPD患者的负面情绪, 提高患者治疗依从性, 患者满意度高, 值得临床推广.Objective To determine the effects of intermittent breathing training on negative emotions and treatment compliance in older patients with chronic obstructive pulmonary disease ( COPD). Methods A total of 92 patients with COPD who were treated in our hospital between March 2016 and March 2017 were randomly divided into the experimental group (46 patients) and the control group (46 patients). The patients in the control group received routine nursing procedure. The patients in the experimental group received routine nursing and intermittent breathing training for 2 months. Morisky medication adherence scale ( MMAS) was used to calculate the patient' s treatment compliance. Self - rating anxiety scale ( SAS) and self - rating depression scale ( SDS) were used to evaluate the anxiety and depression respectively. Newcastle satisfaction with nursing scale ( NSNS) was used to assess the patient' s satisfaction. Results After intervention, the compliance rate in the experimental group was significantly higher than that in the control group ( P < 0. 05 ). The scores of SAS and SDS in the experimental group were significantly lower than those in the control group (P < 0. 05 ). Conclusion Intermittent breathing training can effectively improve the negative emotions and treatment compliance in older patients with COPD.

关 键 词：间断式呼吸训练法 老年 慢性阻塞性肺疾病 治疗依从性 抑郁 焦虑 

分 类 号：R473.5[医药卫生—护理学]