【摘要】 目的 探讨慢性阻塞性肺气肿患者实施心理护理干预的临床效果。方法 于2018年1月～2022年12月采集病例资料入档，对象为医院收治的慢性阻塞性肺气肿患者，共计纳入173例，纳入对象基于“随机数字表法”分组，划分为对照组86例（实行常规护理）与观察组87例（常规护理基础上开展心理护理）；观察对比两组焦虑抑郁程度、心理弹性、希望水平和知觉压力水平、护理满意度。结果 干预后，两组焦虑自评量表（SAS）、抑郁自评量表（SDS）评分均降低，其中观察组更低（P<0.05）；干预后，两组心理弹性量表（CD-RISC）评分均升高，其中观察组更高（P<0.05）；干预后，两组希望水平量表（herth hope index,HHI）评分均升高、知觉压力量表（CPSS）评分均下降，其中观察组更优（P<0.05）；观察组护理满意度较对照组显著高（P<0.05）。结论 慢性阻塞性肺气肿伴呼吸衰竭患者实行心理护理干预，可使患者焦虑抑郁程度得到显著改善，提高心理弹性，调动其治疗自信心，降低心理压力和负担，临床意义重大。更多还原

【Abstract】 Objective To explore the clinical effect of psychological nursing intervention on patients with chronic obstructive pulmonary emphysema. Methods From january 2018 to December 2022,case data were collected and entered into the file. The subjects were 173 patients with chronic obstructive pulmonary emphysema admitted to the hospital. The subjects were divided into a control group of 86 patients(who received routine nursing)and an observation group of 87 patients(who received psychological nursing on the basis of routine nursing)based on a standardized grouping of "random number table”. The levels of anxiety and depression,resilience,hope,perceived stress,and nursing satisfaction were observed and compared between the two groups. Results After intervention,the scores of the Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)in both groups decreased,with the observation group having a lower score(P<0.05). After intervention,the scores of the psychological resilience scale(CD-RISC)increased in both groups,with the observation group having a higher score(P<0.05). After intervention,both groups showed an increase in the hope index(HHI)score and a decrease in the perceived stress scale(CPSS)score,with the observation group performing better(P<0.05). The nursing satisfaction of the observation group was significantly higher than that of the control group(P<0.05). Conclusion Psychological nursing intervention for patients with chronic obstructive pulmonary emphysema and respiratory failure can significantly improve their anxiety and depression levels,enhance psychological resilience,mobilize their treatment confidence,and reduce psychological pressure and burden.更多还原