屈布勒-罗斯理论下心理干预用于重症肺炎伴呼衰患者对血气指标及康复效果的影响  

Influence of psychological intervention on blood gas index and rehabilitation effect in patients with severe pneumonia with respiratory failure under Kubler-Rose theory

作　　者：曹鑫 孙之敏 周云 赵继庆 Cao Xin;Sun Zhimin;Zhou Yun;Zhao Jiqing(Jiujiang First People's Hospital,Jiujiang,Jiangxi 332000,China)

机构地区：[1]江西省九江市第一人民医院,江西九江332000

出　　处：《首都食品与医药》2024年第11期143-146,共4页Capital Food Medicine

摘　　要：目的探讨重症肺炎并发呼吸衰竭患者应用屈布勒-罗斯理论下心理干预取得的效果。方法研究对象纳入时间起点为2020年1月,截止时间为2023年8月,纳入患者总数100例,均经过系统治疗且病情趋于稳定,以随机数字表法为依据实施分组,将其分为甲组和乙组各50例。甲组采用常规护理,乙组在常规护理基础上加用屈布勒-罗斯理论下心理干预。观察两组患者情绪状态、依从性及血气指标,统计患者症状消失时间及及住院时间。结果两组患者干预2周后的正性负性情绪量表(PANAS)正性情绪评分均高于干预前,负性情绪评分均低于干预前,且乙组正性情绪评分相较于甲组更高,负性情绪评分相较于甲组更低(P<0.05);干预2周后,乙组患者依从率高于甲组(P<0.05);两组干预2周后的氧分压水平均高于干预前,二氧化碳分压水平均低于干预前,且乙组氧分压高于甲组,二氧化碳分压低于甲组(P<0.05);乙组各项康复时间指标相较于甲组均更短(P<0.05)。结论屈布勒-罗斯理论下心理干预能够缓解重症肺炎伴呼吸衰竭患者负性情绪,提高患者依从性,有助于改善患者血气指标,促进其早期康复。Objective To explore the effects obtained by psychological intervention under the theory of Kubler-Ross severe pneumonia with severe pneumonia and respiratory failure.Methods The starting point of the research object was in January 2020,and the deadline was in August 2023,a total of 100 patients were included,all of whom underwent systematic treatment and their condition tended to stabilize.They were divided into two groups based on the random number table method,and there were 50 cases of group A and group B.Group A uses conventional nursing as a care method,and group B uses psychological intervention under the theory of Qubel Rose on the basis of conventional nursing.Observe the emotional status,compliance and blood gas indicators of the two groups,and statistically disappear the symptoms and hospitalization time of patients.Results After 2 weeks of intervention,the positive emotion score of PANAS in both groups was higher than before intervention,and the negative emotion score was lower than before intervention,and the positive emotion score of group B was higher than that of group A,and the negative emotion score was lower than that of group A(P<0.05).After 2 weeks of intervention,the compliance rate of group B was higher than that of group A(P<0.05);after 2 weeks of intervention,the partial pressure of oxygen was higher than before intervention,and the partial pressure of carbon dioxide was lower than before intervention,and the partial pressure of oxygen in group B was higher than that in group A,and the partial pressure of carbon dioxide was lower than that in group A(P<0.05).The recovery time indexes of group B were shorter than those of group A(P<0.05).Conclusion Psychological intervention under Kubler-Ross theory can alleviate the negative emotions of patients with severe pneumonia and respiratory failure,improve the compliance of patients,help to improve the blood gas index of patients,and promote their early recovery.

关 键 词：屈布勒-罗斯理论 心理干预 重症肺炎 呼吸衰竭 血气指标 康复效果 

分 类 号：R563.1[医药卫生—呼吸系统]