理性情绪行为疗法在轻度慢性阻塞性肺气肿患者中的应用效果  

Application Effect of Rational Emotional Behavior Therapy in Patients with Mild Chronic Obstructive Pulmonary Emphysema

作　　者：江涛 李华 Jiang Tao;Li Hua(Shanghai Pudong New Area Yangjing Community Health Service Center,Shanghai 200135,China;Shanghai Pudong New Area Gaoqiao Community Health Service Center,Shanghai 200137,China)

机构地区：[1]上海市浦东新区洋泾社区卫生服务中心,上海200135 [2]上海市浦东新区高桥社区卫生服中心,上海200137

出　　处：《中国社区医师》2025年第3期102-104,共3页Chinese Community Doctors

摘　　要：目的:探讨理性情绪行为疗法在轻度慢性阻塞性肺气肿患者中的应用效果。方法:选取2020年1月—2022年12月上海市浦东新区洋泾社区卫生服务中心收治的轻度慢性阻塞性肺气肿患者84例作为观察对象,随机分成对照组(n=42)与试验组(n=42)。对照组给予常规护理,试验组在对照组基础上给予理性情绪行为疗法。对比两组肺功能、心理状态、护理依从性。结果:干预前,两组用力肺活量(FVC)和第1秒用力呼气容积(FEV1)比较,差异无统计学意义(P>0.05);干预后,两组FVC、FEV1均升高,且试验组高于对照组(P<0.05)。干预前,两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分比较,差异无统计学意义(P>0.05);干预后,两组HAMA、HAMD评分均降低,且试验组低于对照组(P<0.05)。试验组护理总依从性为97.62%,高于对照组(P<0.05)。结论:理性情绪行为疗法在轻度慢性阻塞性肺气肿患者中的应用效果显著,能提高患者护理依从性,显著改善患者肺功能和心理状态。Objective:To explore the application effect of rational emotional behavior therapy in patients with mild chronic obstructive pulmonary emphysema.Methods:A total of 84 patients with mild chronic obstructive pulmonary emphysema who were admitted to Shanghai Pudong New Area Yangjing Community Health Service Center from January 2020 to December 2022 were selected as the observation objects.They were randomly divided into a control group(n=42)and an experimental group(n=42).The control group received routine care,while the experimental group received rational emotional behavior therapy on the basis of control group.The lung function,psychological state,and nursing compliance in the two groups were compared.Results:Before intervention,there was no statistically significant difference in forced vital capacity(FVC)and forced expiratory volume in 1 second(FEV1)between the two groups(P>0.05).After intervention,FVC and FEV1 in two groups increased,and these parameters in the experimental group were higher than those in the control group(P<0.05).Before intervention,there was no statistically significant difference in the scores of Hamilton Anxiety Rating Scale(HAMA)and Hamilton Depression Rating Scale(HAMD)between the two groups(P>0.05).After intervention,the scores of HAMA and HAMD in two groups decreased,and the scores in the experimental group were lower than those in the control group(P<0.05).The total nursing compliance in the experimental group was 97.62%,which was higher than that in the control group(P<0.05).Conclusion:The application of rational emotional behavior therapy in patients with mild chronic obstructive pulmonary emphysema has a significant effect,which can improve patients'nursing compliance and significantly ameliorate patients'lung function and psychological state.

关 键 词：慢性阻塞性肺气肿 理性情绪行为疗法 肺功能 心理状态 

分 类 号：R473.56[医药卫生—护理学]