中医情志护理干预对慢性阻塞性肺疾病急性加重期患者不良情绪的影响
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R563;R248.1

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Effect of Emotional Nursing of Chinese Medicine Intervening Adverse Emotions of Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
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    摘要:

    目的:观察中医情志护理干预对慢性阻塞性肺疾病急性加重期患者不良情绪的影响。方法:将慢阻肺急性加重期患者 140 例,按照随机数字表法分为对照组与观察组各 70 例。对照组在基础治疗的同时给予常规护理,观察组在对照组的基础上给予中医情志护理进行干预。比较分析 2 组患者焦虑抑郁情绪、生活质量及疾病疗效指标变化情况。结果:护理干预后,观察组患者轻度焦虑比率为 60.00%,对照组为 30.00%,2 组比较,差异有统计学意义 (P<0.05)。护理干预后,观察组患者轻度抑郁比率为 62.29%,对照组为 32.86%,2 组比较,差异有统计学意义(P<0.05)。护理后,2 组患者躯体功能、社会功能、物质生活及心理功能评分及总分均较治疗前升高(P<0.05),且观察组各项评分均高于对照组(P<0.05)。护理后,观察组呼吸机使用时间、急性加重发作次数、住院时间均明显小于对照组,差异有统计学意义(P<0.05)。结论:在常规治疗及护理的基础上,联合中医情志护理干预慢性阻塞性肺疾病急性加重期患者,可有效减轻焦虑抑郁等不良情绪,提高生活质量,缩短呼吸机使用时间及住院时间。

    Abstract:

    Abstract:Objective:To observe the effect of emotional nursing of Chinese medicine in intervening adverse emotions of patients with acute exacerbation of chronic obstructive pulmonary disease. Methods:A total of 140 cases of patients with acute exacerbation of chronic obstructive pulmonary disease were divided into the control group and the observation group according to the random number table method,70 cases in each group. The control group was given basic treatment and routine nursing,and the observation group was additionally intervened with emotional nursing of Chinese medicine based on the treatment of the control group. The changes in anxiety and depression,quality of life,and indexes of curative effect of the disease were analyzed and compared between the two groups. Results:After nursing intervention,the ratio of mild anxiety was 60.00% in the observation group,and 30.00% in the control group,the difference being significant(P<0.05). After nursing intervention,the ratio of mild depression was 62.29% in the observation group,and 32.86% in the control group,the difference being significant(P<0.05). After nursing,scores of physical functioning,social functioning,material life and psychological functioning as well as the total score in the two groups were increased when compared with those before treatment(P<0.05),and each score above in the observation group was higher than that in the control group(P<0.05). After nursing,duration of ventilator use and hospitalization time in the observation group were significantly shorter than those in the control group,and the seizure frequency of acute exacerbation was significantly smaller,differences being significant (P<0.05). Conclusion:Based on routine treatment and nursing on patients with acute exacerbation of chronic obstructive pulmonary disease, the additional intervention of emotional nursing of Chinese medicine can effectively alleviate anxiety, depression and other adverse emotions,improve quality of life,and shorten duration of ventilator use and hospitalization time.

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易雄英,苏琳珠,林彬芬.中医情志护理干预对慢性阻塞性肺疾病急性加重期患者不良情绪的影响[J].新中医,2021,53(7):158-161

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  • 在线发布日期: 2021-04-08
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