Shi Xian-Rong, Wu Wen-Li, Li Chun-Yan, Ao Jiao, Xiong Hai-Xia, Guo Jing, Fang Yan
Department of Nursing, The First People's Hospital of Jiangxia District, Wuhan 430000, Hubei Province, China.
Respiratory and Critical Care Medicine, The First People's Hospital of Jiangxia District, Wuhan 430000, Hubei Province, China.
World J Clin Cases. 2024 Jul 16;12(20):4057-4064. doi: 10.12998/wjcc.v12.i20.4057.
Psychological factors such as anxiety and depression will not only aggravate the symptoms of chronic obstructive pulmonary disease (COPD) patients and reduce the quality of life of patients, but also affect the treatment effect and long-term prognosis. Therefore, it is of great significance to explore the clinical application of senile comprehensive assessment in the treatment of COPD and its influence on psychological factors such as anxiety and depression.
To explore the clinical application of comprehensive geriatric assessment in COPD care and its impact on anxiety and depression in elderly patents.
In this retrospective study, 60 patients with COPD who were hospitalized in our hospital from 2019 to 2020 were randomly divided into two groups with 30 patients in each group. The control group was given routine nursing, and the observation group was given comprehensive assessment. Clinical symptoms, quality of life [COPD assessment test (CAT) score], anxiety and depression Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Rating Scale (HAMD) were compared between the two groups.
CAT scores in the observation group decreased from an average of 24.5 points at admission to an average of 18.3 points at discharge, and in the control group from an average of 24.7 points at admission to an average of 18.3 points at discharge. The average score was 22.1 ( < 0.05). In the observation group, HAMA scores decreased from 14.2 points at admission to 8.6 points at discharge, and HAMD scores decreased from 13.8 points at admission to 7.4 points at discharge. The mean HAMD scores in the control group decreased from an average of 14.5 at admission to an average of 12.3 at discharge, and from an average of 14.1 at admission to an average of 11.8 at discharge.
The application of comprehensive geriatric assessment in COPD care has a significant effect on improving patients' clinical symptoms and quality of life, and can effectively reduce patients' anxiety and depression.
焦虑和抑郁等心理因素不仅会加重慢性阻塞性肺疾病（COPD）患者的症状，降低患者的生活质量，还会影响治疗效果和长期预后。因此，探讨老年综合评估在COPD治疗中的临床应用及其对焦虑和抑郁等心理因素的影响具有重要意义。
探讨老年综合评估在COPD护理中的临床应用及其对老年患者焦虑和抑郁的影响。
在这项回顾性研究中，将2019年至2020年在我院住院的60例COPD患者随机分为两组，每组30例。对照组给予常规护理，观察组给予综合评估。比较两组患者的临床症状、生活质量[慢性阻塞性肺疾病评估测试（CAT）评分]、焦虑和抑郁[汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）]。
观察组CAT评分从入院时的平均24.5分降至出院时的平均18.3分，对照组从入院时的平均24.7分降至出院时的平均22.1分（<0.05）。观察组HAMA评分从入院时的14.2分降至出院时的8.6分，HAMD评分从入院时的13.8分降至出院时的7.4分。对照组HAMA评分从入院时的平均14.5分降至出院时的平均12.3分，HAMD评分从入院时的平均14.1分降至出院时的平均11.8分。
老年综合评估应用于COPD护理对改善患者临床症状和生活质量有显著效果，能有效减轻患者的焦虑和抑郁。
