CAJ | 학술논문

目的探讨心理护理程序对慢性阻塞性肺疾病急性加重期患者治疗的影响.方法将80例慢性阻塞性肺病患者随机分为心理组(40例)和对照组(40例).对照组按常规治疗及护理.心理组在常规治疗和护理的同时运用心理护理程序收集各种资料集中进行分类,找出问题,引起疾病的原因,然后分析原因,制订护理措施,针对个体不同进行心理疏导后评价其效果,然后根据评价的情况再制定下一步的心理护理计划.两组病人均采用症状自评量表(SCL-90)对护理干预前后进行测评分析.结果两组干预前后SCL-90评分比较,心理组恐惧、焦虑、抑郁较对照组差异有显著性,而干预后的自身人际关系因子评分均明显低于干预前评分(P<0.05).但两组人际关系差异无显著性.两组住院天数差异有显著性.结论心理护理要贯穿整个护理活动过程,对患者要热情、真诚,要有爱心,工作要认真负责,还要解除病痛,提出可行的健康方式,以真心及实际行动感化患者取得配合,对促进患者早日康复起到积极作用.
목적 탐토심리호리정서대만성조새성폐질병급성가중기환자치료적영향.방법 장80례만성조새성폐병환자수궤분위심리조(40례)화대조조(40례).대조조안상규치료급호리.심리조재상규치료화호리적동시운용심리호리정서수집각충자료집중진행분류,조출문제,인기질병적원인,연후분석원인,제정호리조시,침대개체불동진행심리소도후평개기효과,연후근거평개적정황재제정하일보적심리호리계화.량조병인균채용증상자평량표(SCL-90)대호리간예전후진행측평분석.결과 량조간예전후SCL-90평분비교,심리조공구、초필、억욱교대조조차이유현저성,이간예후적자신인제관계인자평분균명현저우간예전평분(P<0.05).단량조인제관계차이무현저성.량조주원천수차이유현저성.결론 심리호리요관천정개호리활동과정,대환자요열정、진성,요유애심,공작요인진부책,환요해제병통,제출가행적건강방식,이진심급실제행동감화환자취득배합,대촉진환자조일강복기도적겁작용.
Objective To explore the influence of psychological nursing procedure for patients with acute exacerbation of chronic obstructive pulmonary disease. Methods 80 patients with chronic obstructive pulmo-nary disease were randomly divided into psychological group (n=40) and control group (n=40). The patients only accepted routine therapy and nursing in the control group; the patients in the psychological group accepted routine therapy and nursing; at same time all kinds of data were collected and classified by psychological nursing procedure, found problems and causes; made nursing measures and special psychological nursing. The symptom check list (SCL-90) was used to evaluate all patients before and after nursing intervention. Results Before and after nursing intervention, there was significant difference in the fear, anxiety and depression between psychological group and control group; the score of interpersonal relationship factor after nursing intervention was significantly lower than that before nursing intervention (P<0.05), but there was no significant difference in interpersonal relationship. There was significant difference in the hospitalization days between two groups. Conclusion The psychological nursing should run though the whole course of nursing. The nursing staffs should be enthusiasm, sincerity, love and earnestness to patients; relieve the suffering of patients and bring forward feasible health education method. The patients' cooperation plays an active role to promote patients recovery early.