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心理护理对慢性阻塞性肺疾病呼吸衰竭患者的影响

Psychological nursing effect on chronic obstructive pulmonary disease patients with respiratory failure.

作者信息

Chen Zhong-Zhi, Yang Cheng-Ye, He Yi, Yang Ke, Wang Zhen-Ping

机构信息

Ya'an Hospital of Traditional Chinese Medicine, Ya'an, Sichuan Province, China.

Yucheng District People's Hospital of Ya'an, Ya'an, Sichuan Province, China.

出版信息

Medicine (Baltimore). 2025 Jul 25;104(30):e43515. doi: 10.1097/MD.0000000000043515.

Abstract

This study explores the effect of psychological nursing interventions on the improvement of negative emotions and psychological states in patients with chronic obstructive pulmonary disease (COPD) combined with respiratory failure. A total of 100 patients with COPD complicated by respiratory failure, admitted from January 2023 to December 2024, were selected. They were randomly assigned to 2 groups: the control group (received routine nursing) and the experimental group (received psychological nursing interventions), with 50 patients in each group. The differences in negative emotions, mental states, quality of life, and nursing satisfaction before and after the intervention were compared between the 2 groups. After the intervention, both the Self-Rating Anxiety Scale and Self-Rating Depression Scale scores in both groups significantly decreased, with the experimental group showing a more significant reduction (P < .05). The Symptom Checklist-90 scores also showed a decreasing trend after the intervention in both groups, and the experimental group exhibited a greater decrease (P < .05). The Generic Quality of Life Inventory-74 improved in both groups after the intervention, with the experimental group showing a more significant improvement than the control group (P < .05). The satisfaction rate of the experimental group was also significantly higher than that of the control group (P < .05). Implementing psychological nursing interventions in patients with COPD and respiratory failure can effectively alleviate negative emotions such as anxiety and depression, improve mental states, enhance quality of life, and increase patient satisfaction with nursing services.

摘要

本研究探讨心理护理干预对慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者负性情绪及心理状态改善的影响。选取2023年1月至2024年12月收治的100例COPD合并呼吸衰竭患者,随机分为2组:对照组(接受常规护理)和实验组(接受心理护理干预),每组50例。比较两组干预前后负性情绪、心理状态、生活质量及护理满意度的差异。干预后,两组的自评焦虑量表和自评抑郁量表评分均显著降低,实验组降低更显著(P<0.05)。两组干预后症状自评量表-90评分也呈下降趋势,实验组下降幅度更大(P<0.05)。两组干预后生活质量综合评定问卷-74均有所改善,实验组改善程度显著高于对照组(P<0.05)。实验组的满意度也显著高于对照组(P<0.05)。对COPD合并呼吸衰竭患者实施心理护理干预可有效缓解焦虑、抑郁等负性情绪,改善心理状态,提高生活质量,增加患者对护理服务的满意度。

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