心理干预对慢性阻塞性肺气肿建立人工气道患者焦虑状况的影响

目的 探讨心理干预对慢性阻塞性肺气肿急性发作合并呼吸衰竭建立人工气道患者焦虑心理的影响.方法 将80例患者随机分为干预组及对照组各40例,对照组按照常规护理方法进行护理,干预组除了常规护理以外,并对患者及家属进行系统全面的心理干预.两组干预后运用汉密顿焦虑量表（HAMA）测评患者焦虑情绪并进行比较.结果 干预组的气管插管天数少于对照组,HAMA评分低于对照组,住ICU时间及医疗花费少于对照组,差异均有统计学意义（P＜0.05）.结论 实施心理干预对减轻慢性阻塞性肺气肿急性发作合并呼吸衰竭建立人工气道患者的焦虑情绪有明显的改善,提高救治率、缩短救治时间、降低医疗费用.

The effect of psychological intervention for chronic obstructive pulmonary disease patients underwent acute exacerbation

Objective To explore the effect of psychological intervention for patients underwent acute exacerbation of chronic obstructive pulmonary disease (AECOPD), and whom were assisted by mechanical ventilator. Methods All of the 80 patients were divided into two groups randomly, there were 40 patients in each group, Both groups were given routing care, and for the intervention group, psychological intervention was added for patients and its family. Then anxiety was compared between the two groups by Hamilton Anxiety Scale (HAMA). Results Compared to the control group, the patients in the intervention group suffered fewer tracheal intubation (P<0.05 ), got less score ( P< 0.05 ), and less given up the therapy ( P < 0.05 ), then lessen the medical cost(P <0.05 ). Conclusions Psychological intervention can greatly relieve the anxiety of AECOPD patients assisted by ventilator, shorten the lCU hospital duration and reduce the medical cost.