护理干预对慢性阻塞性肺疾病急性加重期患者负性情绪及治疗依从性的影响

目的：：探讨护理干预对慢性阻塞性肺疾病急性加重期( AECOPD)患者负性情绪及治疗依从性的影响，促进患者康复。方法：选择AECOPD患者60例，随机分为观察组和对照组各30例，对照组实施常规护理，观察组实施护理干预，采用抑郁自评量表( SDS )评价抑郁程度，采用焦虑自评量表( SAS)评价焦虑状态，Morisky量表评估患者用药治疗依从性。结果：护理前两组患者SDS及SAS评分相似，差异无统计学意义( P>0.05)；护理后两组患者SDS及SAS评分较本组护理前均下降，但是观察组下降幅度更显著，差异有统计学意义( P<0.05)。护理4周时，观察组患者治疗依从性较好27例、一般3例，对照组较好20例、一般8例和较差2例，差异有统计学意义( P<0.05)。结论：护理干预能有效缓解AECOPD患者焦虑及抑郁程度，使其治疗态度更为积极，提高治疗依从性，有助于改善患者的生存质量。

Effects of Nursing Intervention on the Treatment Compliance and Negative Emotions in Patients with AECOPD

Objective:To investigate the effects of nursing intervention on the treatment compliance and negative emotions, to promote the rehabilitation in patients with acute exacerbation of chronic obstructive pul-monary disease ( AECOPD) . Methods: A total of 60 AECOPD patients were selected and randomly divided into observation group and control group, with 30 patients in each group. The patients of the control group used usual care, while those of the observation group used nursing intervention, and the conditions of depression and anxiety, as well as treatment compliance were evaluated by self-rating depression scale ( SDS) , self-rat-ing anxiety scale ( SAS) , and Morisky scale, respectively. Results:Before the nursing cares, the two groups had insignificantly different scores of SDS and SAS ( P>0.05);while after the nursing cares, both groups had significantly decreased SDS and SAS scores, but the observation group had significantly greater decreasing ex-tents than the control group ( P<0.05) . After 4 weeks of nursing care, the numbers of patients with good, or-dinary, and poor treatment compliances were 27, 3, and 0 case, respectively;while those of the control group were 20, 8, and 2 cases, respectively; and the differences were statistically significant (P<0.05). Conclu-sion:Nursing intervention can effectively relieve the anxiety and depression, make the attitude to treatment more active, and elevate the treatment compliance, and consequently is helpful to improve the quality of life in AECOPD patients.