Journal of International Psychiatry

[Abstract] Objective: To analyze the application effect of noninvasive ventilator intervention and psychological nursing on COPD patients with respiratory failure and its effect on anxiety and depression. Methods: The subjects of this study were 120 patients with COPD complicated with respiratory failure hospitalized in our hospital from June 2020 to June 2021. They were divided into groups according to the random number table method (n = 60 in each group). Both groups were given noninvasive ventilator treatment, the control group was given routine nursing, and the observation group was given psychological nursing on the basis of the control group. The MMRC score (dyspnea score), cat score (chronic obstructive pulmonary disease evaluation test) and HAMA (Hamilton Anxiety Scale) score, HAMD (Hamilton Depression Scale) score, patient satisfaction, SGRQ (St. Georges Respiratory Questionnaire) score. Results: The scores of MMRC and cat in the observation group before and after nursing were compared with those in the control group (P>0.05). After nursing, HAMA score and HAMD score were lower than those in the control group, and the difference was statistically significant (P<0.05). After nursing, the scores and total scores of SGRQ in the observation group were lower than those in the control group, and the satisfaction of patients in the observation group (96.67%) was higher than that in the control group (76.67%). The difference was statistically significant (P<0.05). Conclusion: Noninvasive ventilator therapy combined with psychological intervention can effectively reduce the bad mood, improve the quality of life and improve the satisfaction of patients with COPD complicated with respiratory failure.

[Key words] noninvasive ventilator; Psychological nursing; Chronic obstructive pulmonary disease; respiratory failure