认知行为护理干预对慢性阻塞性肺疾病患者急性加重风险的改善作用研究

目的研究认知行为护理干预对慢性阻塞性肺疾病(COPD)患者急性加重风险的改善作用。方法将2017年5月至2019年5月深圳市龙岗区第二人民医院收治的COPD患者108例纳入研究,按随机数字表分成研究组及对照组,每组各54例。对照组予以常规护理干预,研究组在常规护理基础上增用认知行为护理干预。比较两组患者急性加重次数,干预前后自我护理能力、心理状态、生活质量以及自我效能感水平变化情况。结果研究组干预后急性加重次数为(2.75±0.77)次,明显低于对照组的(3.41±0.89)次(P<0.05)。干预后两组自我护理能力评分明显提高,且研究组提高程度高于对照组(P<0.05)。干预后两组SAS及SDS评分相较于干预前均明显降低,且研究组降低程度高于对照组(均P<0.05)。干预后研究组患者的生活质量及自我效能感评分提高程度也高于对照组(均P<0.05)。结论认知行为护理干预可有效降低COPD患者急性加重几率,且在改善患者心理状态、自我护理能力、生活质量以及自我效能感方面效果明显。

Effect of cognitive behavioral nursing intervention on patients with acute exacerbation of chronic obstructive pulmonary disease

Objective To study the improvement of acute exacerbation risk in patients with chronic obstructive pulmonary disease (COPD) by cognitive behavioral nursing intervention. Methods One hundred and eight COPD patients admitted to the Second People"s Hospital of Longgang District from May 2017 to May 2019 were included and divided into study group and control group by random number table method, with 54 cases in each group. The patients in control group received routine nursing intervention. While the patients in study group were treated with cognitive behavioral nursing intervention in addition. The incidences of acute exacerbations, self-care ability, psychological state, quality of life and level of self-efficacy before and after intervention were compared between the two groups. Results The frequency of acute exacerbations after intervention in the study group was 2.75±0.77 times, which was significantly lower than that in the control group (3.41±0.89)times (P<0.05). After intervention, the scores of self-nursing ability in the study group were higher than those in the control group (all P < 0.05). And the SAS and SDS scores of the study group were lower than those of the control group (all P<0.05). After intervention, the scores of life quality in study group were higher than those in the control group (all P<0.05). The self-efficacy scores increased significantly in both of the two groups after intervention, which was higher in the study group compared to the control group (all P<0.05). Conclusion Cognitive behavioral nursing intervention can effectively improve the acute exacerbation risk of COPD patients, which improves patients" self-care ability and quality of life.