关键词: 肺疾病, 慢性阻塞性, 病人医疗护理, 干预性研究, 情绪障碍, 生活质量, 疗效比较研究

Abstract:

Objective To discuss the effects of thanksgiving intervention on the negative emotion and quality of life of the patients with chronic obstructive pulmonary disease (COPD).Methods A total of 108 patients with COPD admitted from January 2016 to June 2016 were selected as the study subjects. Among them, the 54 patients admitted from January 2016 to March 2016 were in the control group, while the 54 patients admitted from April 2016 to June 2016 were in the observation group. After approval of the Ethics Committee of our hospital, patients in the control group were given the routine nursing care, while patients in the observation group received the thanksgiving intervention in addition to the routine nursing care. The negative emotion and the quality of life of the patients in the two groups were evaluated before the thanksgiving intervention and before discharge from the hospital in the stable period.Results After the thanksgiving intervention, the score of Self-Rating Anxiety Scale (SAS) of the patients in the observation group was (37.46±5.49), which was lower than that in the control group (45.38±6.45); the difference was statistically significant (t=-6.38, P<0.01). The score of Self-Rating Depression Scale (SDS) in the observation group was (40.45±5.48), which was lower than that in the control group (46.19±5.45); the difference was statistically significant (t=-4.09, P<0.01). As for the SF-36 score in the observation group after intervention, the scores of overall health, physiologic function, physiologic role, somatic pain, action capacity, social function, emotional function and emotional health of the patients were (77.01±10.80), (83.48±10.87),(82.92±9.18),(76.54±9.45),(76.03±12.25),(84.26±7.39),(78.52±9.13)and(76.24±6.10),which were higher compared with the control group (68.46±7.18),(75.65±9.31),(75.48±7.89),(71.09±5.97),(67.63±7.27),(72.07±7.56),(70.96±8.23)and(69.04±6.16); the differences were statistically significant (t values were 4.85, 4.02, 4.52, 3.58, 4.34, 8.49, 4.52 and 6.11, respectively; P values were all <0.01).Conclusion The thanksgiving intervention to the patients with COPD could effectively relive their negative emotion and improve their quality of life.

Key words: Pulmonary disease, chronic obstructive, Patient care, Intervention studies, Mood disorders, Quality of life, Comparative effectiveness research