回馈教育联合激励式心理干预在COPD患者中的应用  

Application of feedback education combined with incentive psychological intervention patients with chronic obstructive pulmonary disease

作　　者：杨莉[1] 张巧玲[2] 刘艳[1] 白文娟 冯小利 潘海燕 Yang Li;Zhang Qiaoling;Liu Yan;Bai Wenjuan;Feng Xiaoli;Pan Haiyan(Department of Respiratory and Critical Care Medicine,Xi'an Central Hospital,Xi'an 710000,China;Nursing Department,Xi'an Cental Hospital,Xi'an 710000,China)

机构地区：[1]西安市中心医院呼吸与危重症医学科,710000 [2]西安市中心医院护理部,710000

出　　处：《中华现代护理杂志》2021年第12期1661-1665,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨回馈教育联合激励式心理干预对COPD患者遵医行为及心理状态的影响。方法采用便利抽样法,选择2016年1月—2019年1月西安市中心医院收治的104例COPD患者为研究对象,采用随机数字表法分为观察组和对照组,各52例。对照组患者予以常规干预措施,观察组患者在此基础上予以回馈教育和激励式心理干预。比较两组患者的遵医行为(合理饮食、呼吸功能锻炼、气道吸入给药、康复训练、疾病预防),观察两组干预前后的自护能力[自护能力测定量表(ESCA)]、心理状态[简明心境问卷(POMS-SF)]变化情况。结果观察组患者的合理饮食、呼吸功能锻炼、气道吸入给药、康复训练、疾病预防等方面的依从性高于对照组(χ^(2)值分别为4.300、4.522、4.833、4.887、4.514);两组患者干预后的ESCA各维度评分均高于干预前(t值分别为-7.189、-4.280、-8.404、-5.588、-7.751、-3.228、-8.153、-3.694),且观察组干预后的ESCA各维度评分高于对照组(t值分别为4.819、3.913、5.228、4.258);两组患者干预后POMS-SF中的精力-活力(VA)分量表得分高于干预前(t值分别为-9.830、-8.866),且观察组患者干预后POMS-SF中的VA分量表得分高于对照组(t=5.598);两组干预后POMS-SF中的其余分量表得分低于干预前(t值分别为6.697、6.253、9.233、6.612、6.774、5.307、6.700、3.096、5.228、2.342),且观察组干预后POMS-SF中的其余分量表得分低于对照组(t值分别为3.327、2.675、4.399、4.201、4.417)。上述差异均有统计学意义(P<0.05)。结论COPD患者治疗期间采取回馈教育和激励式心理干预可有效改善患者遵医行为,提升患者自护能力,减轻患者负面情绪,帮助患者以积极心态面对疾病。Objective To explore effects of feedback education combined with incentive psychological intervention on compliance behavior and psychological state of patients with chronic obstructive pulmonary disease(COPD).Methods Using the convenient sampling method,a total of 104 COPD patients who were admitted to Xi'an Central Hospital from January 2016 to January 2019 were selected as the research objects.According to the random number table method,they were divided into the observation group and the control group,with 52 cases in each group.Patients in the control group were given conventional intervention measures,while patients in the observation group were given feedback education and incentive psychological intervention on this basis.The compliance behaviors(reasonable diet,respiratory function exercise,airway inhalation administration,rehabilitation training,disease prevention)were compared between the two group.The changes of self-care ability[Exercise of Self-care Agency Scale(ESCA)]and mental state[Short Form of the Profile of Mood States(POMS-SF)]before and after intervention were observed.Results The scores of compliance with reasonable diet,respiratory function exercise,airway inhalation administration,rehabilitation training and disease prevention of patients in observation group were higher than those in control group(χ^(2)=4.300,4.522,4.833,4.887,4.514).The scores of dimensions of ESCA of patients in the two groups after intervention were all higher than those before the intervention(t=-7.189,-4.280,-8.404,-5.588,-7.51,-3.228,-8.153,-3.694),and scores of dimensions of ESCA in the observation group were all higher than those in the control group(t=4.819,3.913,5.228,4.258).After intervention,scores of Vigor-Activity(VA)subscale in POMS-SF of patients in the two groups were higher than those before the intervention(t=-9.830,-8.866),and score of the VA subscale in POMS-SF of the observation group after the intervention was higher than that of the control group(t=5.598).The remaining subscale scores of POMS-SF

关 键 词：肺疾病 慢性阻塞性 回馈教育 激励式心理干预 遵医行为 心理状态 

分 类 号：R473.5[医药卫生—护理学]