CAJ | 학술논문

目的探讨心理干预对慢性阻塞性肺气肿急性发作合并呼吸衰竭建立人工气道患者焦虑心理的影响.方法将80例患者随机分为干预组及对照组各40例,对照组按照常规护理方法进行护理,干预组除了常规护理以外,并对患者及家属进行系统全面的心理干预.两组干预后运用汉密顿焦虑量表(HAMA)测评患者焦虑情绪并进行比较.结果干预组的气管插管天数少于对照组,HAMA评分低于对照组,住ICU时间及医疗花费少于对照组,差异均有统计学意义(P＜0.05).结论实施心理干预对减轻慢性阻塞性肺气肿急性发作合并呼吸衰竭建立人工气道患者的焦虑情绪有明显的改善,提高救治率、缩短救治时间、降低医疗费用.
목적 탐토심리간예대만성조새성폐기종급성발작합병호흡쇠갈건립인공기도환자초필심리적영향.방법 장80례환자수궤분위간예조급대조조각40례,대조조안조상규호리방법진행호리,간예조제료상규호리이외,병대환자급가속진행계통전면적심리간예.량조간예후운용한밀돈초필량표(HAMA)측평환자초필정서병진행비교.결과 간예조적기관삽관천수소우대조조,HAMA평분저우대조조,주ICU시간급의료화비소우대조조,차이균유통계학의의(P＜0.05).결론 실시심리간예대감경만성조새성폐기종급성발작합병호흡쇠갈건립인공기도환자적초필정서유명현적개선,제고구치솔、축단구치시간、강저의료비용.
Objective To explore the effect of psychological intervention for patients underwent acute exacerbation of chronic obstructive pulmonary disease (AECOPD), and whom were assisted by mechanical ventilator. Methods All of the 80 patients were divided into two groups randomly, there were 40 patients in each group, Both groups were given routing care, and for the intervention group, psychological intervention was added for patients and its family. Then anxiety was compared between the two groups by Hamilton Anxiety Scale (HAMA). Results Compared to the control group, the patients in the intervention group suffered fewer tracheal intubation (P<0.05 ), got less score ( P< 0.05 ), and less given up the therapy ( P < 0.05 ), then lessen the medical cost(P <0.05 ). Conclusions Psychological intervention can greatly relieve the anxiety of AECOPD patients assisted by ventilator, shorten the lCU hospital duration and reduce the medical cost.