心理护理对慢性阻塞性肺疾病患者睡眠质量和心理状况的影响

陈丹凤 翁克姬 江发英

摘要目的：分析和探讨心理护理对慢性阻塞性肺疾病患者睡眠质量和心理状况的影响。方法：选取2016年9月至2018年9月福建省老年医院的慢性阻塞性肺疾病患者42例作为研究对象，采用“单双号分组”法分为对照组和观察组，每组21例。对照组常规护理干预，观察组则进行心理护理干预。比较2组患者的心理状态[焦虑自评量表（SAS）与抑郁自评量表（SDS）]、睡眠质量[匹兹堡睡眠质量指数（PSQI）]、生命质量[生命质量评估量表（SF36）]及护理满意度。结果：护理后观察组的SAS评分、SDS评分及PSQI评分显著低于对照组，SF36评分及护理满意度均显著高于对照组，差异有统计学意义（P<005）。结论：心理护理可显著改善慢性阻塞性肺疾病患者的睡眠及心理状态，值得临床实施。

关键词慢性阻塞性肺疾病;心理护理;睡眠质量;心理状况

Influence of Psychological Nursing for Sleep Quality and Mental State of Patients with Chronic Obstructive Pulmonary Disease

CHEN Danfeng，WENG Keji，JIANG Faying

（Geriatric Hospital of Fujian Province，Fuzhou 350003，China）

AbstractObjective：To analyze and explore the influence of psychological nursing for sleep quality and psychological status of patients with chronic obstructive pulmonary diseaseMethods：A total of 42 patients with chronic obstructive pulmonary disease in Geriatric Hospital of Fujian Province from September 2016 to September 2018 were divided into control group and observation group with 21 cases in each group according to “single and even number grouping” methodThe control group were with routine nursing intervention，the observation group were with psychological nursing interventionThen the psychological state[selfrating anxiety scale（SAS）and selfrating depression scale（SDS）] and life quality[short form 36 questionnaire（SF36）]，satisfaction degree for nursing of two groups were comparedResults：The SAS score，SDS score and PSQI score of observation group were significantly lower than those of control group，and the SF36 scores and nursing satisfaction for nursing，were significantly higher than those of control group，there were statistically significant differences（P<005）Conclusion：The psychological nursing can significantly improve the sleep and psychology of patients with chronic obstructive pulmonary disease，so it is worth implementing.

KeywordsChronic obstructive pulmonary disease;Psychological nursing;Sleep quality;Psychological status

中圖分类号：R4735;R33863文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.042

慢性阻塞性肺疾病，即慢阻肺[1]，临床较为常见。由于慢阻肺的病程较长，会引起患者出现焦虑、抑郁等负面情绪，从而对生命质量、睡眠等造成不同程度的影响[2]。本文探讨心理护理对慢性阻塞性肺疾病患者睡眠质量和心理状况的影响，现报道如下。

1资料与方法

11一般资料选取2016年9月至2018年9月福建省老年医院的慢性阻塞性肺疾病患者42例作为研究对象，采用“单双号分组”法分为对照组和观察组，每组21例。对照组中男10例，女11例，年龄52～87岁，平均年龄（6653±231）岁;病程2～5年，平均病程（313±112）年。观察组中男11例，女10例，年龄51～85岁，平均年龄（6677±221）岁;病程2～6年，平均病程（318±115）年。2组患者的一般资料比较，差异无统计学意义（P>005），具有可比性。

12纳入标准所有患者均诊断为慢性阻塞性肺疾病;所有患者均在知情同意书上签字，并且知晓相关研究流程。