Journal of International Psychiatry

[Abstract] Objective To explore the effect of therapeutic communication on lung function and negative emotions in chronic obstructive pulmonary disease (COPD). Methods Eighty-four patients with COPD in our hospital from April 2019 to October 2020 were selected as the study subjects, and they were randomly divided into two groups. The control group was given routine care, and the observation group was treated with therapeutic communication on the basis of the control group for psychological intervention. The forced expiratory volume (FEV1) in 1 second before and after the intervention, the ratio of FEV1 occupancy vital capacity (FVC) (FEV1/FVC) and the Fear Visual Analog Scale (FVAS), Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD) ) And other negative emotions were compared. Results After the intervention, the FEV1 and FEV1/FVC of the two groups increased significantly compared with that before the intervention, and the observation group after the intervention was significantly higher than the control group (P<0.05). After the intervention, the FVAS score, HAMA score, and HAMD score of the two groups of patients were significantly lower than those before the intervention, and the three scores of the observation group after the intervention were significantly lower than those of the control group (P<0.05). Conclusion Patients with COPD can effectively reduce negative emotions such as fear, anxiety, depression, etc. on the basis of conventional airway nursing combined with therapeutic communication, and help improve lung function.

Key words Therapeutic Communication; Respiratory Exercise; Chronic Obstructive Pulmonary Disease; Lung Function; Negative Emotion