国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2012年
9期
1582-1585
,共4页
顾珍凤%白玉琴%张慧娟%陈振林
顧珍鳳%白玉琴%張慧娟%陳振林
고진봉%백옥금%장혜연%진진림
慢性阻塞性肺病%抑郁症%心理护理
慢性阻塞性肺病%抑鬱癥%心理護理
만성조새성폐병%억욱증%심리호리
Chronic obstructive pulmonary disease%Depression%Psychological nursing
目的 探讨慢性阻塞性肺病(COPD)患者抑郁发生率与影响因素及心理护理对COPD合并抑郁患者的疗效.方法 应用抑郁自评量表(SDS)评价116例COPD患者,调查患者性别、年龄、文化程度、经济状况、病程、一年内加重次数等与抑郁症发生率的关系.将49例COPO并发抑郁症患者随机分为试验组26例和对照组23例,两组患者均采用COPD治疗指南进行常规治疗和护理,试验组增加心理护理,疗程3个月,治疗前后应用SDS进行评估对比.结果 COPO患者抑郁症发病率为42.24%,抑郁症的发生与文化程度、经济状况、病程长短、一年内加重次数等因素有关,与年龄、性别因素无关.试验组心理护理治疗后较治疗前SDS评分显著下降(P<0.05),且明显低于对照组(P<0.05).结论 COPO患者常伴有抑郁障碍,其发生与多种因素有关,心理护理可有效地缓解COPD合并抑郁症患者的抑郁情绪,改善生活质量.
目的 探討慢性阻塞性肺病(COPD)患者抑鬱髮生率與影響因素及心理護理對COPD閤併抑鬱患者的療效.方法 應用抑鬱自評量錶(SDS)評價116例COPD患者,調查患者性彆、年齡、文化程度、經濟狀況、病程、一年內加重次數等與抑鬱癥髮生率的關繫.將49例COPO併髮抑鬱癥患者隨機分為試驗組26例和對照組23例,兩組患者均採用COPD治療指南進行常規治療和護理,試驗組增加心理護理,療程3箇月,治療前後應用SDS進行評估對比.結果 COPO患者抑鬱癥髮病率為42.24%,抑鬱癥的髮生與文化程度、經濟狀況、病程長短、一年內加重次數等因素有關,與年齡、性彆因素無關.試驗組心理護理治療後較治療前SDS評分顯著下降(P<0.05),且明顯低于對照組(P<0.05).結論 COPO患者常伴有抑鬱障礙,其髮生與多種因素有關,心理護理可有效地緩解COPD閤併抑鬱癥患者的抑鬱情緒,改善生活質量.
목적 탐토만성조새성폐병(COPD)환자억욱발생솔여영향인소급심리호리대COPD합병억욱환자적료효.방법 응용억욱자평량표(SDS)평개116례COPD환자,조사환자성별、년령、문화정도、경제상황、병정、일년내가중차수등여억욱증발생솔적관계.장49례COPO병발억욱증환자수궤분위시험조26례화대조조23례,량조환자균채용COPD치료지남진행상규치료화호리,시험조증가심리호리,료정3개월,치료전후응용SDS진행평고대비.결과 COPO환자억욱증발병솔위42.24%,억욱증적발생여문화정도、경제상황、병정장단、일년내가중차수등인소유관,여년령、성별인소무관.시험조심리호리치료후교치료전SDS평분현저하강(P<0.05),차명현저우대조조(P<0.05).결론 COPO환자상반유억욱장애,기발생여다충인소유관,심리호리가유효지완해COPD합병억욱증환자적억욱정서,개선생활질량.
Objective To investigate the morbidity and influence factors of depression in patients with chronic obstructive pulmonary.And investigate the effects of psychological nursing on COPD patients with depression.Methods A total of 116 COPD patients were investigated by self - rating depression scale (SDS).The relationship between depression and their gender,age,educational level,economic status,duration was investigated.The 49 cases complicated with depression were randomly divided into experimental group (26 cases) and control group (23 cases),all of them received a routine treatment and care by COPD treatment guidelines.The experimental group had an additional psychological nursing for 3 months.The effects was compared before and after the psychological nursing by the scale of SDS assessment. Results The morbidity of depression in COPD patients was 42.24%,the occurrence had no relationship with gender,age,but had relationship with education level,economic status,duration of disease and so on.After psychological nursing,the score of SDS was lower in experimental group than that in control group (P < 0.05).Conclusions The results showed that chronic obstructive pulmonary disease is often accompanied by depression,which occurs with a variety of factors.Psychological nursing can effectively relieve depression in patients with COPD,improve quality of life.