中医特色人文关怀配合心理疏导对慢性阻塞性肺疾病合并呼吸衰竭患者心理状态、希望水平及日常生活能力的影响
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摘要
目的:研究中医特色人文关怀配合心理疏导对慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者心理状态、希望水平及日常生活能力的影响。方法:将98例COPD合并呼吸衰竭患者随机均分为观察组(中医特色人文关怀配合心理疏导)和对照组(心理疏导)进行干预,比较3个月后两组心理状态、希望水平、日常生活能力及生活质量。结果:干预后两组SAS评分(t=12.189,8.993,P<0.05)、SDS评分(t=11.430,8.276,P<0.05)均明显降低,且观察组SAS评分(t=-2.293,P<0.05)、SDS评分(t=-2.139,P<0.05)显著低于对照组;干预后两组Herth希望水平量表评分(t=10.326,5.204,P<0.05)明显升高,且观察组Herth评分(t=2.588,P<0.05)显著高于对照组;干预后两组MRADL量表活动能力(t=19.257,13.935,P<0.05)、厨房活动(t=20.041,10.379,P<0.05)、家务活动(t=16.542,8.990,P<0.05)、休闲活动(t=13.140,8.499,P<0.05)评分均明显降低,且观察组活动能力(t=-4.366,P<0.05)、厨房活动(t=-6.290,P<0.05)、家务活动(t=-4.631,P<0.05)、休闲活动(t=-2.801,P<0.05)评分显著高于对照组;干预后两组SGRQ量表症状评分(t=7.869,5.472,P<0.05)、活动评分(t=9.930,6.720,P<0.05)、影响评分(t=9.382,6.114,P<0.05)及总评分(t=9.362,6.568,P<0.05)均明显减少,且观察组症状评分(t=-2.364,P<0.05)、活动评分(t=-2.111,P<0.05)、影响评分(t=-2.299,P<0.05)及总评分(t=-2.221,P<0.05)显著低于对照组。结论:中医特色人文关怀配合心理疏导对COPD合并呼吸衰竭患者进行干预可有效改善患者精神心理状态,提高患者希望水平、日常生活能力和生活质量。
Objective:To study the effects of humanistic care with TCM characteristics combined with psychological counseling on the psychological state,hope level and daily living ability of patients with chronic obstructive pulmonary disease(COPD)complicated with respiratory failure.Methods:A total of 98 cases of patients with COPD complicated with respiratory failure were randomly divided into observation group(humanistic care with TCM characteristics combined with psychological counseling)and control group(psychological counseling intervention).The psychological state,hope level,daily living ability and quality of life were compared between the two groups after 3 months.Results:After intervention,the SAS score(t=12.189,8.993,P<0.05)and SDS score(t=11.430,8.276,P<0.05)were significantly decreased,and the SAS score(t=-2.293,P<0.05)and SDS score(t=-2.139,P<0.05)in observation group were significantly lower than those in control group.After intervention,Herth hope level score(t=10.326,5.204,P<0.05)was increased significantly,and the Herth score(t=2.588,P<0.05)in observation groups was significantly higher than that in control group.After intervention,the scores of activity ability(t=19.27,13.935;P<0.05),kitchen activity(t=20.041,10.379,P<0.05),housework activity(t=16.542,8.990,P<0.05)and leisure activity(t=13.140,8.499,P<0.05)of MRADL scale were significantly reduced,and the scores of activity ability(t=4.366,P<0.05),kitchen activity(t=6.290,P<0.05),housework activity(t=4.631,P<0.05)and leisure activity(t=2.801,P<0.05)in observation group were significantly higher than those in control group.After intervention,the symptom score(t=7.869,5.472;P<0.05),activity score(t=9.930,6.720;P<0.05)and impact score(t=9.382,6.114;P<0.05)and the total score(t=9.362,6.568;P<0.05)of SGRQ scale were significantly decreased in the two groups,and the symptom score(t=-2.364,P<0.05),activity score(t=-2.111,P<0.05)and impact score(t=-2.299,P<0.05)and the total score(t=-2.221,P<0.05)in observation group were significantly lower than those in control group.Conclusion:Humanistic care with TCM characteristics combined with psychological counseling intervention for COPD patients with respiratory failure can effectively improve the patient' s psychological state,and promote the patient' s hope level,daily life ability and quality of life.
Objective:To study the effects of humanistic care with TCM characteristics combined with psychological counseling on the psychological state,hope level and daily living ability of patients with chronic obstructive pulmonary disease(COPD)complicated with respiratory failure.Methods:A total of 98 cases of patients with COPD complicated with respiratory failure were randomly divided into observation group(humanistic care with TCM characteristics combined with psychological counseling)and control group(psychological counseling intervention).The psychological state,hope level,daily living ability and quality of life were compared between the two groups after 3 months.Results:After intervention,the SAS score(t=12.189,8.993,P<0.05)and SDS score(t=11.430,8.276,P<0.05)were significantly decreased,and the SAS score(t=-2.293,P<0.05)and SDS score(t=-2.139,P<0.05)in observation group were significantly lower than those in control group.After intervention,Herth hope level score(t=10.326,5.204,P<0.05)was increased significantly,and the Herth score(t=2.588,P<0.05)in observation groups was significantly higher than that in control group.After intervention,the scores of activity ability(t=19.27,13.935;P<0.05),kitchen activity(t=20.041,10.379,P<0.05),housework activity(t=16.542,8.990,P<0.05)and leisure activity(t=13.140,8.499,P<0.05)of MRADL scale were significantly reduced,and the scores of activity ability(t=4.366,P<0.05),kitchen activity(t=6.290,P<0.05),housework activity(t=4.631,P<0.05)and leisure activity(t=2.801,P<0.05)in observation group were significantly higher than those in control group.After intervention,the symptom score(t=7.869,5.472;P<0.05),activity score(t=9.930,6.720;P<0.05)and impact score(t=9.382,6.114;P<0.05)and the total score(t=9.362,6.568;P<0.05)of SGRQ scale were significantly decreased in the two groups,and the symptom score(t=-2.364,P<0.05),activity score(t=-2.111,P<0.05)and impact score(t=-2.299,P<0.05)and the total score(t=-2.221,P<0.05)in observation group were significantly lower than those in control group.Conclusion:Humanistic care with TCM characteristics combined with psychological counseling intervention for COPD patients with respiratory failure can effectively improve the patient' s psychological state,and promote the patient' s hope level,daily life ability and quality of life.
引文
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[2]金巍,徐靖华,刘建光,等.舒利迭无创通气对慢性阻塞性肺疾病合并呼吸衰竭患者肺功能及动脉血气分析的影响[J].现代生物医学进展,2016,16(26):5085-5087+5144
[3]邹莹,李少杰,黄兰花.慢性阻塞性肺疾病急性加重期病原菌的研究进展[J].广东医学,2017,38(4):634-636+640
[4]刘红兵,刘莹,卢云娟.心理护理对老年慢性阻塞性肺疾病患者抑郁焦虑状态及生活质量的影响[J].西部医学,2016,28(1):127-129
[5]雷春华,张玲,魏金荣,等.中医人文护理对骨外伤患者的护理效果[J].实用临床医药杂志,2016,20(12):98-100
[6]中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2007年修订版)[J].中华结核和呼吸杂志,2007,46(1):8-17
[7]陆汪洋,崔妙玲,黄文婷,等.慢性阻塞性肺疾病病人家庭照顾者希望水平及影响因素分析[J].护理研究,2017,31(8):924-928
[8]孙小燕,沈玉.健康管理对慢性阻塞性肺疾病稳定期老年病人的影响[J].护理研究,2016,30(4):470-472
[9]李静芬,田景炜,陈瑞,等.圣乔治呼吸问卷对慢性阻塞性肺疾病患者生活质量的调查[J].现代生物医学进展,2016,16(36):7091-7094
[10]巩亚男,杜渐,李志荣,等.中医疾病观视角下的叙事医学[J].现代中医临床,2016,23(3):17-19+22
[11]刘珍珠,杜渐,王昊,等.人文关怀在中医临床中的价值[J].中国中医基础医学杂志,2016,22(7):925-926
[12]陆汪洋,崔妙玲,王自秀,等.慢性阻塞性肺疾病患者希望体验的质性研究[J].广西医学,2017,39(5):727-730