强化心理干预对重症肺炎伴呼吸衰竭患者肺功能及心理状况的影响  

Study on pulmonary function and psychological condition in patients with severe pneumonia and respiratory failure

作　　者：刘文玉[1] 马娜[1] 李燕[1] 李月霞[1] LIU Wen-yu(Binzhou Medical College Affiliated Hospital,BinZhou 256600,China)

机构地区：[1]滨州医学院附属医院,山东滨州256600

出　　处：《牡丹江医学院学报》2023年第3期78-81,共4页Journal of Mudanjiang Medical University

摘　　要：目的探讨强化心理干预对重症肺炎伴呼吸衰竭患者肺功能及心理状况的影响,为患者的临床治疗提供参考价值。方法选取2021年3月至2022年3月在某院就诊的重症肺炎伴呼吸衰竭患者82例作为研究对象,采用随机数字表法分为观察组(41例)和对照组(41例)。观察组的护理干预形式为强化心理干预,对照组进行常规的护理干预。观察干预前后两组患者抑郁自评量表(SDS)、焦虑自评量表(SAS)和术后患者肺功能的评分情况,并统计患者对护理干预方式的满意度。结果观察组患者经强化心理干预干预后,焦虑、抑郁得分均低于对照组,差异具有统计学意义(P<0.05),且观察组患者的焦虑和抑郁评分比对照组降低的更明显,差异具有统计学意义(P<0.001);观察组患者的第1秒用力呼气容积(FEV1)、用力肺活量(FVC)评分均明显高于对照组,差异具有统计学意义(P<0.001);观察组患者的满意度高于对照组,差异具有统计学意义(P<0.05)。结论重症肺炎伴呼吸衰竭患者采用强化心理干预,有助于提高患者的护理满意度,减轻患者的焦虑、抑郁情绪,可有效改善患者的肺功能。Objective To explore the influence of intensive psychological intervention on lung function and psychological condition in patients with severe pneumonia with respiratory failure,and to provide reference value for the clinical treatment.Methods A total of 82 patients with severe pneumonia and respiratory failure in a hospital from March 2021 to March 2022 were selected as study subjects and divided into the observation group(41 patients)and the control group(41 patients)by random number table.The nursing intervention of the observation group was in the form of intensive psychological intervention,and the control group conducts routine nursing intervention.The self-rating scale(SDS),anxiety scale(SAS)and pulmonary function before and after the intervention were observed,and the patients’satisfaction with the nursing intervention was counted.Results After the implementation of intensive psychological intervention,the anxiety and depression scores of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05),and the anxiety and depression scores of the observation group were more significantly lower than the control group,the difference was statistically significant(P<0.001);the 1s forced expiratory volume(FEV 1)and forced lung capacity(FVC)scores were significantly higher than the control group,and the difference was statistically significant(P<0.001);The satisfaction of the observation group patients is higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Intensive psychological intervention in patients with severe pneumonia with respiratory failure can improve patients’satisfaction with care,reduce patients’anxiety and depression,and effectively improve patients’lung function.

关 键 词：强化心理干预 重症肺炎伴呼吸衰竭患者 肺功能 心理状况 

分 类 号：R776.1[医药卫生—眼科]