基于知信行模式的3H护理对慢性阻塞性肺疾病合并抑郁症患者心理状态及生活质量的影响

Influence of 3H Nursing Based on Knowledge-Attitude-Behavior Mode on Psychological Status and Quality of Life of Patients with Chronic Obstructive Pulmonary Disease Complicated with Depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(2)
作者
作者单位

中国医学科学院北京协和医院 ;

摘要
【摘要】目的:探究基于知信行模式的3H护理对慢性阻塞性肺疾病合并抑郁症患者心理状态及生活质量的影响。方法:选取2014年2月-2016年9月我院收治的慢性阻塞性肺疾病合并抑郁症患者95例,采用随机字母表分为观察组与对照组,对照组患者采用常规护理,观察组患者采用基于知信行模式的3H护理,对比两组患者心理状态、肺功能指标与生活质量。结果:观察组患者护理后HAMD评分及SAS评分均显著低于对照组且组间差异有统计学意义(P<0.05);观察组患者护理后SpO2与对照组相比明显升高且组间差异有统计学意义(P<0.05),FEV1与FEV1/FVC虽有一定程度改善,但与对照组相比无明显差异(P>0.05);观察组患者临床症状、活动能力、疾病影响及总分均明显低于对照组(P<0.05)。结论:基于知信行模式的3H护理可改善慢性阻塞性肺疾病合并抑郁症患者心理状态与肺功能,提高生活质量。
Abstract
[Abstract] Objective: To explore the influence of 3H nursing based on knowledge-attitude-behavior mode on psychological status and quality of life of patients with chronic obstructive pulmonary disease complicated with depression. Methods: 95 cases of patients with chronic obstructive pulmonary disease complicated with depression treated in our hospital from February 2014 to September 2016 were selected, and were divided into observation group and control group according to random alphabet table method. The control group were given routine nursing, and the observation group were given 3H nursing based on knowledge-attitude-behavior mode. Psychological status, lung function index and quality of life were contrasted in the two groups. Results: HAMD and SAS scores in the observation group were significantly lower than those in the control group, with statistically significant difference between the two groups (P < 0.05). SpO2 in the observation group significantly increased when compared with that in the control group, with statistically significant difference (P < 0.05), and FEV1 and FEV1/FVC improved to some degree, without statistically significant difference when compared with those in the control group (P > 0.05). Clinical symptoms, activity ability, disease influence and total score of the observation group were significantly lower than those of the control group (P < 0.05). Conclusion: 3H nursing based on knowledge-attitude-behavior can improve psychological status and lung function of patients with chronic obstructive pulmonary disease complicated with depression, and improve quality of life.
关键词
【关键词】知信行模式;3H护理;慢性阻塞性肺疾病;抑郁症
KeyWord
[Keywords] Knowledge-attitude-behavior mode; 3H nursing; Chronic obstructive pulmonary disease; Depression
基金项目
页码 371-373
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徐颖臻,潘瑞丽*,赵迪,赵珠俪. 基于知信行模式的3H护理对慢性阻塞性肺疾病合并抑郁症患者心理状态及生活质量的影响 [J]. 国际精神病学杂志. 2019; 46; (2). 371 - 373.

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