品格优势的心理干预对老年重症肺炎并呼吸衰竭患者焦虑抑郁情绪、领悟社会支持及生活质量的影响  

Effects of psychological intervention based on character strengths on anxiety/depression,perceived social support and quality of life in elderly patients with severe pneumonia and respiratory failure

作　　者：王志明 魏燕斌 钟蓉 WANG Zhiming;WEI Yanbin;ZHONG Rong(Department of Respiratory and Critical Care,Lishui Second People's Hospital,Lishui 323000,China)

机构地区：[1]浙江省丽水市第二人民医院,323000

出　　处：《中国健康心理学杂志》2025年第3期430-434,共5页China Journal of Health Psychology

基　　金：丽水市科技计划项目(编号:2023SJZC105)。

摘　　要：目的:探讨基于品格优势的心理干预对老年重症肺炎并呼吸衰竭患者焦虑抑郁情绪、领悟社会支持及生活质量的影响。方法:选取某院呼吸与危重症科收治的86例老年重症肺炎并呼吸衰竭患者,采用随机数字表法将其分为观察组与对照组,各43例。两组均接受对症治疗,对照组行常规护理干预,观察组在对照组的基础上联合基于品格优势的心理干预。比较两组干预前、干预7d后的焦虑[焦虑自评量表(SAS)]/抑郁情绪[抑郁自评量表(SDS)]、领悟社会支持程度[领悟社会支持量表(PSSS)]、生活质量[世界卫生组织生存质量测定简表(WHOQOL-BREF)],记录并比较两组临床指标。结果:相较于对照组患者,观察组患者SAS、SDS评分显著降低(t=3.962,2.480;P<0.05),家庭支持、朋友支持、其他支持评分及PSSS总分显著升高(t=3.169,4.209,3.708,5.994;P<0.01),生理领域、心理领域、环境领域及社会关系领域的WHOQOL-BREF评分显著升高(t=2.806,9.758,4.608,5.443;P<0.01)。观察组患者机械通气时间、气促缓解时间、咳嗽基本消失时间、住院时间均较对照组明显缩短(t=2.782,2.508,3.680,2.280;P<0.05)。结论:基于品格优势的心理干预可有效改善老年重症肺炎并呼吸衰竭患者焦虑/抑郁情绪,提升其社会支持领悟度及生活质量。Objective:To investigate the effects of psychological intervention based on character strengths on anxiety/depression,perceived social support and quality of life in elderly patients with severe pneumonia and respiratory failure.Methods:Eighty-six elderly patients with severe pneumonia and respiratory failure admitted to the respiratory and critical care Department of our hospital were divided into observation group and control group by random number table method,with 43 cases in each group.Both groups received symptomatic treatment,the control group received routine nursing intervention,and the observation group combined psychological intervention based on character strengths o on the basis of the control group.The anxiety[Self-rating Anxiety Scale(SAS)]/depressive[Self-rating depression scale(SDS)],perceived social support[Perceived Social Support Scale(PSSS)]and quality of life[World Health Organization Quality of Life-Brief(WHOQOL-BREF)]of the two groups were compared before intervention and 7 days after intervention.The two groups of clinical indicators were recorded and compared.Results:Compared with control group,SAS and SDS scores in observation group were significantly decreased(t=3.962,2.480;P<0.05),family support,friend support,other support score and PSSS total score were significantly increased(t=3.169,4.209,3.708,5.994;P<0.01),WHOQOL-BREF scores in physiological,psychological,environmental and social domains were significantly increased(t=2.806,9.758,4.608,5.443;P<0.01).The time of mechanical ventilation,the time of relief of shortness of breath,the time of cough basically disappearing and the time of hospitalization in the observation group were significantly shorter than those in the control group(t=2.782,2.508,3.680,2.280;P<0.05).Conclusion:Psychological intervention based on character strengths can effectively improve anxiety/depression in elderly patients with severe pneumonia and respiratory failure,improve their social support awareness and quality of life.

关 键 词：品格优势 心理干预 重症肺炎 呼吸衰竭 焦虑/抑郁 社会支持 生活质量 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]