以家庭为中心的人文关怀在慢阻肺患者布地奈德雾化吸入治疗期间的干预效果  

Effect of Family-centered Humanistic Care During the Treatment of Budesonide Inhalation in Patients with Chronic Obstructive Pulmonary Disease

作　　者：李亚娜[1] 王少芳[1] LI Yana;WANG Shaofang(Department of Respiratory and Critical Care Medicine,the People's Hospital of Anyang City,Anyang 455000,Henan,China)

机构地区：[1]河南省安阳市人民医院呼吸与危重症医学科,河南安阳455000

出　　处：《中国药物滥用防治杂志》2024年第2期269-274,共6页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：安阳市科技公关项目(编号:2023C01SF107)。

摘　　要：目的:探讨以家庭为中心的人文关怀应用在慢性阻塞性肺疾病(COPD)患者布地奈德雾化吸入治疗中的干预效果。方法:纳入2021年1月—2023年9月在医院门诊就诊的102例COPD患者为研究对象,按照随机信封法分为干预组和对照组,各51例。两组均在常规治疗基础上联合布地奈德雾化吸入治疗。对照组在此期间行以家庭为中心的干预,观察组行以家庭为中心的人文关怀干预。比较两组干预前后自我管理能力、肺功能[6min步行试验(6MWT)]、负性情绪[汉密尔顿焦虑量表(HAMA)评分,汉密尔顿抑郁量表(HAMD)]及生活质量[圣乔治呼吸问卷(SGRQ)]。结果:干预3个月,干预组自我管理能力各项评分、6MWT值高于对照组,HAMA评分、HAMD评分及SGRQ评分低于对照组(P<0.05)。结论:在COPD患者布地奈德雾化吸入治疗期间行以家庭为中心的人文关怀可改善患者心理状态,提升自我管理能力,更利于改善患者肺功能,进而提高其生活质量。Objective: To explore the application effect of family-centered humanistic care nursing in patients with chronic obstructive pulmonary disease(COPD) treated with budesonide atomization inhalation. Methods: A total of 102 patients with COPD who were admitted to the outpatient department of the hospital from January 2021 to September 2023 were included in the study. They were divided into intervention group and control group according to the random envelope method, with 51 patients in each group. Both groups were treated with budesonide atomization inhalation on the basis of routine treatment. The control group received family-centered nursing intervention during this period, and the observation group received family-centered humanistic care nursing intervention. The self-management ability, lung function [6 min walking test(6MWT)], negative emotions [Hamilton Anxiety Scale(HAMA) score, Hamilton Depression Scale(HAMD)] and quality of life [St. George's Respiratory Questionnaire(SGRQ)] were compared between the two groups before and after intervention. Results: After 3 months of intervention, the selfmanagement ability scores and 6MWT values of the intervention group were higher than those of the control group, while the HAMA score, HAMD score, and SGRQ score were lower than those of the control group(P<0.05). Conclusion: Family-centered humanistic care during budesonide nebulization therapy in COPD patients can improve their psychological state, enhance selfmanagement ability, and be more conducive to improving lung function, thereby enhancing their quality of life.

关 键 词：慢性阻塞性肺疾病 布地奈德 以家庭为中心 人文关怀 自我管理能力 肺功能 

分 类 号：R473.5[医药卫生—护理学]