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目的探讨家庭行为认知干预用于慢性阻塞性肺疾病(Chronic obstructive pulmonary disease,COPD)合并抑郁焦虑情绪患者的效果。方法选择2015年1月至12月在我院接受治疗的140例合并抑郁焦虑情绪的COPD患者,用随机数表法分为对照组和干预组,每组各70例。对照组给予常规的COPD护理干预,干预组在对照组的基础上给予家庭行为认知干预。结果干预前两组患者的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分组间对比无明显差异(P>0.05),干预后两组患者的SAS和SDS评分均出现明显下降,且干预组患者的SAS和SDS评分低于对照组,上述差异均有统计学意义(P<0.05)。干预前两组患者的第1秒用力呼气量(FEVl)、第1秒用力呼气容积占预计值百分比(FEVl/FVC)和用力肺活量(FVC)等肺功能指标比较,差异无统计学意义(P>0.05),干预后两组患者的肺功能指标与干预前相比均明显改善,且干预组患者的肺功能指标明显优于对照组,差异有统计学意义(P<0.05)。干预前两组患者的圣乔治呼吸问卷(SGRQ)评分中症状部分、活动能力、疾病影响和总分组间差异无统计学意义(P>0.05),干预后两组患者的上述指标评分均明显下降,且干预组患者的评分低于对照组,生活质量更高,差异有统计学意义(P<0.05)。干预前两组患者缩唇呼吸、腹式呼吸和全身性呼吸体操等康复训练的依从性相近(P>0.05),干预后两组患者的依从性均出现提高,且干预组患者的依从性高于对照组,差异有统计学意义(P<0.05)。结论在常规护理干预措施的基础上增加家庭行为认知干预,可以更明显改善COPD合并抑郁焦虑情绪患者的不良情绪,提高康复训练依从性,从而提高肺功能和生活质量。
Objective To investigate the effect of family behavior cognition intervention on patients with chronic obstructive pulmonary disease (COPD) complicated with depression and anxiety. Methods A total of 140 COPD patients with depression and anxiety associated with depression and depression treated in our hospital from January to December in 2015 were divided into control group and intervention group by random number table, each with 70 patients in each group. Control group was given conventional COPD nursing intervention, intervention group on the basis of the control group to give family behavior cognitive intervention. Results There was no significant difference between SAS and SDS scores in the two groups before intervention (P> 0.05). SAS and SDS scores were significantly higher in both groups after intervention , And the score of SAS and SDS in the intervention group was lower than that of the control group. The differences were statistically significant (P <0.05). There was no significant difference in FEV1, FEV1 / FVC and FVC between the two groups before intervention. There was no significant difference between the two groups (P> 0.05). After intervention, the lung function indexes of both groups were significantly improved compared with those before intervention, and the lung function indexes of the intervention group were significantly better than those of the control group (P <0.05). There were no significant differences in symptom scores, activity ability, disease effects and the total score between the two groups before and after the intervention (P> 0.05). After the intervention, the scores of the above two indexes were significantly decreased , And the intervention group patients score lower than the control group, higher quality of life, the difference was statistically significant (P <0.05). The compliance of respiration reduction, abdominal respiration and general respiratory exercises were similar in the two groups before intervention (P> 0.05). The compliance of the two groups increased after the intervention, and the compliance of intervention group was high In the control group, the difference was statistically significant (P <0.05). Conclusions The intervention of family behavior based on routine nursing intervention can significantly improve the negative emotions of patients with COPD with depression and anxiety and improve the compliance of rehabilitation training so as to improve lung function and quality of life.