基于屈布勒-罗斯理论的心理管理对重症肺炎并呼吸衰竭患者的干预作用  

Intervention Effect of Psychological Management Based on Kübler-Ross Theory on Patients with Severe Pneumonia and Respiratory Failure

作　　者：韩慧娟 李利华 HAN Huijuan;LI Lihua(Department of Respiratory and Critical Care Medicine,People’s Hospital of Henan University of Traditional Chinese Medicine/Zhengzhou People’s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南中医药大学人民医院/郑州人民医院呼吸与危重症医学科,河南郑州450003

出　　处：《河南医学研究》2023年第18期3421-3424,共4页Henan Medical Research

基　　金：河南省医学教育研究项目(Wjlx2020128)。

摘　　要：目的探讨基于屈布勒-罗斯理论的心理管理对重症肺炎并呼吸衰竭患者的干预作用。方法选取2019年6月至2021年5月河南中医药大学人民医院收治的94例重症肺炎并呼吸衰竭患者,采用随机数字表法分为研究组与对照组,各47例。对照组接受常规管理,研究组在对照组的基础上接受基于屈布勒-罗斯理论的心理管理。对比两组血气指标[动脉血二氧化碳分压(PaCO_(2))、动脉血氧分压(PaO_(2))、动脉血氧饱和度(SaO_(2))、氧合指数(PaO_(2)/FiO_(2))]、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、症状(气促、咳嗽)缓解时间、机械通气时间、住院时间及并发症发生情况。结果管理1周后,两组PaCO_(2)、SAS、SDS评分均降低,且研究组低于对照组(P<0.05);PaO_(2)、SaO_(2)、PaO_(2)/FiO_(2)升高,且研究组高于对照组(P<0.05)。研究组症状缓解时间、机械通气时间、住院时间均短于对照组(P<0.05)。研究组总并发症发生率低于对照组(P<0.05)。结论基于屈布勒-罗斯理论的心理管理,可改善重症肺炎并呼吸衰竭患者血气指标,缓解临床症状,减轻焦虑抑郁情绪,缩短机械通气时间与住院时间,减少并发症的发生。Objective To explore the intervention effect of psychological management based on Kübler-Ross theory on patients with severe pneumonia and respiratory failure.Methods From June 2019 to May 2021,94 patients with severe pneumonia complicated with respiratory failure in People’s Hospital of Henan University of Traditional Chinese Medicine were selected and randomly divided into study group and control group,with 47 cases in each group.The control group received routine management,while the research group received psychological management based on K-Roth theory on the basis of the control group.The changes of blood gas indexes[arterial carbon dioxide partial pressure(PaCO 2),arterial oxygen partial pressure(PaO 2),arterial oxygen saturation(SaO 2)and oxygenation index(PaO 2/FiO 2)]were compared,and the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]of patients before and after management were compared.The symptom(shortness of breath,cough)relief time,mechanical ventilation time,hospitalization time and complications were compared.Results After one week of management,the scores of PaCO 2,SAS and SDS in both groups decreased,and the scores in the study group were lower than those in the control group(P<0.05).PaO 2,SaO 2 and PaO 2/FiO 2 increased,and the study group was higher than the control group(P<0.05).The time of symptom relief,mechanical ventilation and hospitalization in the study group were shorter than those in the control group(P<0.05).The incidence of total complications in the study group was lower than that in the control group(P<0.05).Conclusion Psychological management based on Kübler-Ross theory can improve the blood gas index of patients with severe pneumonia complicated with respiratory failure,relieve clinical symptoms,relieve anxiety and depression,shorten the time of mechanical ventilation and hospitalization,and reduce the occurrence of complications.

关 键 词：重症肺炎 屈布勒-罗斯理论 心理管理 呼吸衰竭 

分 类 号：R563.1[医药卫生—呼吸系统]