中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
2期
141-143
,共3页
肺疾病,慢性阻塞性%焦虑%抑郁%Neuman理论
肺疾病,慢性阻塞性%焦慮%抑鬱%Neuman理論
폐질병,만성조새성%초필%억욱%Neuman이론
Pulmonary disease,chronic obstructive%Anxiety%Depression%Neuman theory
目的：探讨Neuman理论对住院慢性阻塞性肺疾病（ COPD）患者焦虑、抑郁状况的影响。方法选取2012年1月—2014年1月120例焦虑、抑郁COPD患者作为研究对象，应用随机数字表法将其分为观察组和对照组各60例。对照组采用常规护理方法，观察组应用以Neuman理论为基础的模式进行护理。护理前后分别应用汉密尔顿焦虑量表（ HAMA）和汉密尔顿抑郁量表（ HAMD）评估两组患者焦虑、抑郁状况。结果护理前两组患者HAMA与HAMD评分比较，差异无统计学意义（ t值分别为0．9340，0．4506；P＞0．05）；护理后两组患者HAMA评分均下降，观察组为（12．6±6．4）分，低于对照组的（17．2±7．9）分，差异有统计学意义（t＝3．5046，P＜0．05）；护理后两组患者HAMD评分亦均下降，观察组为（11．9±6．7）分，低于对照组的（16．1±6．3）分，差异有统计学意义（t ＝3．5375，P＜0．05）。结论应用Neuman理论可以缓解住院COPD患者的焦虑、抑郁情绪。
目的：探討Neuman理論對住院慢性阻塞性肺疾病（ COPD）患者焦慮、抑鬱狀況的影響。方法選取2012年1月—2014年1月120例焦慮、抑鬱COPD患者作為研究對象，應用隨機數字錶法將其分為觀察組和對照組各60例。對照組採用常規護理方法，觀察組應用以Neuman理論為基礎的模式進行護理。護理前後分彆應用漢密爾頓焦慮量錶（ HAMA）和漢密爾頓抑鬱量錶（ HAMD）評估兩組患者焦慮、抑鬱狀況。結果護理前兩組患者HAMA與HAMD評分比較，差異無統計學意義（ t值分彆為0．9340，0．4506；P＞0．05）；護理後兩組患者HAMA評分均下降，觀察組為（12．6±6．4）分，低于對照組的（17．2±7．9）分，差異有統計學意義（t＝3．5046，P＜0．05）；護理後兩組患者HAMD評分亦均下降，觀察組為（11．9±6．7）分，低于對照組的（16．1±6．3）分，差異有統計學意義（t ＝3．5375，P＜0．05）。結論應用Neuman理論可以緩解住院COPD患者的焦慮、抑鬱情緒。
목적：탐토Neuman이론대주원만성조새성폐질병（ COPD）환자초필、억욱상황적영향。방법선취2012년1월—2014년1월120례초필、억욱COPD환자작위연구대상，응용수궤수자표법장기분위관찰조화대조조각60례。대조조채용상규호리방법，관찰조응용이Neuman이론위기출적모식진행호리。호리전후분별응용한밀이돈초필량표（ HAMA）화한밀이돈억욱량표（ HAMD）평고량조환자초필、억욱상황。결과호리전량조환자HAMA여HAMD평분비교，차이무통계학의의（ t치분별위0．9340，0．4506；P＞0．05）；호리후량조환자HAMA평분균하강，관찰조위（12．6±6．4）분，저우대조조적（17．2±7．9）분，차이유통계학의의（t＝3．5046，P＜0．05）；호리후량조환자HAMD평분역균하강，관찰조위（11．9±6．7）분，저우대조조적（16．1±6．3）분，차이유통계학의의（t ＝3．5375，P＜0．05）。결론응용Neuman이론가이완해주원COPD환자적초필、억욱정서。
Objective To discuss the impact of Neuman theory on anxiety and depression of hospitalized chronic obstructive pulmonary disease( COPD) patients.Methods Totals of 120 COPD patients in anxiety and depression condition were admitted to our department for treatment from January 2012 to January 2014.In accordance with the principles of randomized controlling, patients were equally divided into observation group and control group.The control group received routine care, while the observation group got care based on Neuman theory.Their anxiety and depression level before and after treatments were measured using Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD).Results Before treatment, there was no significant difference in the level of anxiety and depression between the two groups ( t =0.934 0, 0.450 6, respectively;P>0.05);however, after treatment, the anxiety level of the observation group was (12.6 ±6.4), which was significantly lower than (17.2 ±7.9) of the control group (t=3.504 6,P<0.05).The depression level of the observation group was (11.9 ±6.7), which was significantly lower than (16.1 ±6.3) of the control group (t=3.537 5,P<0.05).Conclusions The application of Neuman theory can relive the anxiety and depression of COPD patients and it is worthy of promotion.
