积极心理学团体护理干预对慢性阻塞性肺疾病患者心理健康水平及主观幸福感的影响  

Effects of positive psychology group nursing intervention on mental health and subjective well-being of patients with chronic obstructive pulmonary disease

作　　者：张蒙 张东亚[1] 蒋波 Zhang Meng;Zhang Dongya;Jiang Bo(Department of Respiratory and Critical Care Medicine,Huai’an First People’s Hospital,Huai’an 223300,China)

机构地区：[1]淮安市第一人民医院呼吸与危重症医学科,江苏淮安223300

出　　处：《海军医学杂志》2025年第2期200-204,共5页Journal of Navy Medicine

基　　金：江苏省医院协会医院管理创新研究课题(JSYGY-1-2019-404)。

摘　　要：目的探讨积极心理学团体护理干预对慢性阻塞性肺疾病(COPD)患者主观幸福感、希望水平和心理健康水平的影响。方法选取淮安市第一人民医院2019年1月至2022年12月110例COPD患者作为研究对象,根据随机数字表法将其分为研究组(55例)、对照组(55例)。研究组男、女分别为33、22例,年龄30~68岁[(53.42±11.68)岁],病程4~12个月[(7.45±2.40)个月];对照组男、女分别为31、24例,年龄28~66岁[(53.30±11.42)]岁,病程3~11个月[(7.40±2.36)个月]。研究组和对照组分别给予积极心理学团体护理干预、常规护理干预。干预前后采用总体幸福感量表(GWB)、Herth希望量表(HHI)和心理健康症状自评量表(SCL-90)评价2组患者主观幸福感情况、希望水平和心理健康水平,干预后采用纽卡斯尔护理满意度量表评价2组患者护理满意度。结果干预后,研究组和对照组GWB总分及各维度评分高于干预前,且研究组升高幅度更大(P<0.01)。干预后,研究组和对照组HHI量表总分及各维度评分高于干预前,且研究组升高幅度更大(P<0.01)。干预后,研究组和对照组SCL-90评分低于干预前,且研究组降低幅度更大(P<0.01)。干预后,研究组护理总满意率高于对照组(P<0.05)。结论积极心理学团体护理干预可增加COPD患者主观幸福感,提高患者希望水平和心理健康水平,改善患者护理满意度。Objective To explore the effects of positive psychology group nursing intervention on subjective well-being,hope and mental health of patients with chronic obstructive pulmonary disease(COPD).Methods A total of 110 COPD patients who were admitted to the Huai’an First People’s Hospital from January 2019 to December 2022 were selected as research objects.The patients were divided into study group and control group according to the random number table method,with 55 cases in each group.There were 33 males and 22 females in the study group with a mean age of(53.42±11.68)years(range,30-68 years)and a mean disease course of(7.45±2.40)months(range,4-12 months).There were 31 males and 24 females in the control group with a mean age of(53.30±11.42)years(range,28-66 years)and a mean disease course of(7.40±2.36)months(range,3-11 months).Positive psychology group nursing and routine nursing were given to the study group and control group,respectively.Before and after the intervention,the General Well Being Scale(GWB),Herth Hope Index(HHI),and Symptom Checklist 90(SCL-90)were used to evaluate the subjective well-being,hope,and mental health.After the intervention,the Newcastle Nursing Satisfaction Scale was used to evaluate the nursing satisfaction rate.Results The total score and the scores in all dimensions of GWB and HHI were increased after intervention in both groups,and these scores in the study group were significantly higher than those in the control group(P<0.01).SCL-90 score was decreased after intervention in both groups,and SCL-90 score in the study group was significantly lower than that in the control group(P<0.01).The satisfaction rate of nursing in the study group was higher than that in the control group(P<0.05).Conclusion Positive psychology group nursing intervention can improve the subjective well-being,hope,mental health and nursing satisfaction rate of COPD patients.

关 键 词：积极心理学 团体护理 慢性阻塞性肺疾病 主观幸福感 希望 心理健康 

分 类 号：R473.5[医药卫生—护理学]