陪护参与式心理干预对实施肺康复的有创机械通气COPD患者康复治疗依从性的影响  

Influence of psychological intervention by accompanying participation on rehabilitation treatment compliance in patients with COPD undergoing invasive mechanical ventilation for pulmonary rehabilitation

作　　者：陈晓琳 刘金炜 李杰 孙晖[1] Chen Xiaolin;Liu Jinwei;Li Jie;Sun Hui(Department of Intensive Care,Dezhou People's Hospital,Dezhou 253000,China)

机构地区：[1]德州市人民医院重症医学科,山东253000

出　　处：《国际医药卫生导报》2021年第13期1946-1949,共4页International Medicine and Health Guidance News

基　　金：山东省医药卫生科技发展计划项目(2017WS676)。

摘　　要：目的研究重症监护室陪护参与式心理干预对实施肺康复的有创机械通气慢性阻塞性肺疾病(chronicobstructivepulmonarydisease,COPD)患者康复治疗依从性的影响。方法选取本院重症监护室2017年7月至2019年7月收治的符合研究标准的实施肺康复有创机械通气COPD患者70例纳入研究对象,采用随机数字表法将其分为两组,各35例。观察组男性22例,女性13例,年龄(65.77±6.32)岁;对照组男性24例,女性11例,年龄(65.89±6.51)岁。观察组选择承担主要陪护任务的家属进行患者心理干预、肺康复知识的培训,利用探视时间联合陪护人员参与患者心理干预及肺康复计划的实施,对照组采取常规护理。比较两组肺康复治疗的依从性、利用焦虑自评量表(SAS)及抑郁自评量表(SDS)分析患者心理状态。结果观察组患者肺康复训练治疗依从性为97.14%(34/35),明显优于对照组[82.86%(29/35)],差异有统计学意义(P<0.05)。干预前,观察组与对照组患者的SAS评分及SDS评分比较,差异均无统计学意义(均P>0.05)。干预后,观察组患者的SAS评分为(40.74±1.97)分,SDS评分为(41.14±2.06)分,对照组分别为(57.88±2.03)分、(57.94±2.99)分;两组患者SAS、SDS评分均较干预前降低,且观察组SAS、SDS评分明显低于对照组,差异均有统计学意义(均P<0.05)。结论陪护参与式心理干预措施可纠正患者的负面情绪,改善其心理状态,提高肺康复治疗的依从性,为治疗顺利进行奠定了良好基础。Objective To study the influence of psychological intervention by accompanying participation at ICU on the rehabilitation treatment compliance in patients with chronic obstructive pulmonary disease(COPD)undergoing invasive mechanical ventilation for pulmonary rehabilitation.Methods Seventy COPD patients,taking invasive mechanical ventilation for pulmonary rehabilitation at the ICU of our hospital from July 2017 to July 2019 and who met the research criteria,were selected as the research objects.They were divided into an observation group and a control group by the random number table method,with 35 cases in each group.In the observation group,there were 22 males and 13 females;they were(65.77±6.32)years old.In the control group,there were 24 males and 11 females;they were(65.89±6.51)years old.The observation group selected the family members who undertook the main escort task to receive the training of patients'psychological intervention and pulmonary rehabilitation knowledge,and to use the visiting time to participate in the implementation of patients'psychological intervention and pulmonary rehabilitation plan together with the attendants;while the control group received routine nursing.The compliances to pulmonary rehabilitation treatment between the two groups were compared.The patients'psychological status was analyzed by the Self-Rating Anxiety Scale(SAS)and the Self-Rating Depression Scale(SDS).Results The compliance was 97.14%(34/35)in the observation group,and was 82.86%(29/35)in the control group(P<0.05).Before the intervention,there were no statistical differences in the scores of SAS and SDS between the observation group and the control group(both P>0.05).After the intervention,the scores of SAS and SDS were lower than those before the intervention in both groups(both P<0.05);and the scores of SAS and SDS in the observation group were significantly lower than those in the control group[(40.74±1.97)vs.(57.88±2.03)and(41.14±2.06)vs.(57.94±2.99);both P<0.05].Conclusion Psychological intervention me

关 键 词：陪护参与式 心理干预 肺康复 有创机械通气 COPD 依从性 

分 类 号：R473.5[医药卫生—护理学]