彭清梅 张学玉 彭美连 黄会招

[摘要]目的 探讨心理护理干预在慢性阻塞性肺疾病（COPD）伴呼吸衰竭患者中的应用效果。方法 选取2018年10月～2019年9月在我院住院的86例COPD伴呼吸衰竭患者为研究对象，按照抛硬币法分为对照组（n=43）与观察组（n=43）。对照组实施常规护理，观察组实施常规护理结合心理护理，比较两组护理前后心理焦虑、抑郁状态及护理满意度。结果 观察组护理干预后的心理焦虑、抑郁状态评分低于对照组，护理总满意度高于对照组，生活质量评分高于对照组，差异均有统计学意义（P<0.05）。结论 心理护理干预能有效改善COPD伴呼吸衰竭患者心理焦虑及抑郁状态，提高患者的护理满意度，应用价值显著。

[关键词]心理护理;慢性阻塞性肺疾病;呼吸衰竭;焦虑抑郁;护理满意度

[中图分类号] R472.12          [文献标识码] A          [文章编号] 1674-4721（2020）7（c）-0208-04

Application effect of psychological nursing intervention in patients with chronic obstructive pulmonary disease and respiratory failure

PENG Qing-mei   ZHANG Xue-yu   PENG Mei-lian   HUANG Hui-zhao

Department of Respiratory Medicine， Yichun Second People′s Hospital， Jiangxi Province， Yichun   336000， China

[Abstract] Objective To explore the application effect of psychological nursing intervention in patients with chronic obstructive pulmonary disease （COPD） with respiratory failure. Methods A total of 86 patients with COPD and respiratory failure who were hospitalized in our hospital from October 2018 to September 2019 were selected as the research subjects. They were divided into the control group （n=43） and the observation group （n=43） according to coin tossing method. The control group performed routine nursing， the observation group performed routine nursing combined with psychological nursing， the two groups of patients with psychological anxiety， depression and nursing satisfaction before and after nursing were compared. Results The psychological anxiety and depression of the observation group were lower than those in the control group， and the nursing total satisfaction was higher than that in the control group， the differences were statistically significant （P<0.05）. Conclusion Psychological nursing intervention can effectively improve the psychological anxiety and depression of patients with COPD and respiratory failure， and improve the patient′s nursing satisfaction. It has significant application value.

[Key words] Psychological nursing; Chronic obstructive pulmonary disease; Respiratory failure; Anxiety and depression; Nursing satisfaction

慢性阻塞性肺疾病（COPD）是一组以慢性咳嗽、咳痰、气短、呼吸困难为主要症状疾病，具有不完全可逆气流受限点，与慢性支气管炎和肺气肿密切相关[1]。该疾病居全球死亡原因第四名，研究表明，西方国家脑血管疾病发病率下降，但COPD死亡率则升高，危及患者生命健康，我国数据统计COPD死亡率也持續升高，研究有效的治疗方法，提高疾病治疗康复效果，是当前临床研究主要内容[2]。采取有效的护理干预措施，缓解患者负面情绪，对提高护理效果有积极意义。常规护理干预并未强调对患者护理展开护理服务，因此用于改善患者负面情绪效果不佳，不利于患者抑郁焦虑情绪改善。国外学者关于护理方面研究，提出以患者为中心的护理干预理念，将其应用于临床，应用价值得到临床认可[3]。……