目的 探讨人性化护理对慢性阻塞性肺疾病患者急性期心理状态的影响.方法 选取2007年1月-2009年12月,慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者120例为研究对象,按照随机数字法,根据患者入院顺序分为对照组60例和观察组60例.对照组给常规氧疗、抗感染、解痉平喘、祛痰止咳等治疗并配合营养护理、体位护理、排痰护理等基础护理;观察组在对照组的基础上给予全方位的人性化护理,比较2者患者治疗前后的心理状态.结果 观察组抑郁自评量表(self-rating depression scale,SDS)评分明显下降,与对照组相比,差异有统计学意义(P<0.05),且观察组自身前后比较SDS评分也明显下降,差异有统计学意义(t=5.63,P<0.05).而对照组自身前后对照SDS评分,差异无统计学意义(t=0.21,P>0.05);观察组和对照组SDS＞50分者分别为18例和58例,差异有统计学意义(χ2=19.49,P<0.05).结论 人性化护理有助于改善患者抑郁症状,使患者保持良好心态,对疾病的治疗和预后有积极作用,值得临床推广.%Objective To investigate the influence of humanistic nursing care on the psychological state of patients with chronic obstructive pulmonary disease ( COPD ) in acute phase.Methods Using random number table method , 120 COPD patients from Jan. 2007 to Dec. 2009 were randomly divided into observation group and control group according to the order of admission , with 60 patients in each group . Gender , age , disease condition and other general indexes had no significant difference between the two groups, The control group received conventional oxygen therapy, anti-infection, anti -spasmodic and antiasthmatic treatment, relieving congh and expectorant treatment in addition to basic care such as nutrition care, posture care, expectorant care and so on. The observation group was given humanistic care on the basis of that of control group. The psychological state of patients before and after treatment was compared between the two groups. Results The self- rating depression scale( SDS ) score of observation group was significantly decreased compared with the control group, the difference was statistically significant ( P ＜ 0.05 ), and in the observation group SDS scores after treatment were significantly decreased compared with before treatment, the difference was statistically significant ( t＝ 5.63, P ＜ 0.05 ). In the control group, the SDS score after treatment did not change significantly compared with that of before treatment, the difference was not statistically significant ( t ＝0.21, P ＞0.05 ),The number of patients whose SDS score were more than 50 were 18 cases in observation group and 58 cases in control group, which were statistically significant different ( x2 ＝ 19.49, P ＜ 0.05 ).Conclusion The humanistic nursing care is helpful to improve the symptoms of depression and maintain a good psychology which is very important for the treatment and prognosis of disease. It is worthy of clinical popularization.
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