正性暗示效应在慢性阻塞性肺疾病急性加重期患者护理中的应用效果研究
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安徽省自然科学基金项目(2008085QH123);


Application effect of positive suggestion effect in nursing care of patients with acute exacerbation of chronic obstructive pulmonary disease
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    摘要:

    目的:探讨正性暗示效应在慢性阻塞性肺疾病急性加重期(AECOPD)患者护理中的应用效果。方法:将80例AECOPD患者,按照护理方式不同分为干预组(n=40)和对照组(n=40)。对照组患者行常规护理;干预组患者在该基础上联合正性暗示干预,两组干预时间均为1周。比较两组患者干预前、干预1周后呼吸功能、焦虑/抑郁/恐惧状态、睡眠质量、生活质量,并于出院前调查患者护理满意度。结果:干预1周后,两组患者用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、FEV1/FVC均高于干预前(P<0.05),且干预组高于对照组(P<0.05);两组焦虑自评量表(SAS)、抑郁自评量表(SDS)、视觉模拟评分(VAS)均低于干预前(P<0.05),且干预组低于对照组(P<0.05);两组患者匹兹堡睡眠质量指数(PSQI)评分、圣乔治呼吸问卷(SGRQ)中症状、活动能力、疾病生活影响维度评分均低于干预前(P<0.05),且干预组低于对照组(P<0.05)。出院前,干预组患者护理满意度高于对照组(95.00%vs.80.00%,P<0.05)。结论:正性暗示效应可有效改善AECOPD患者呼吸功能,缓解其焦虑、抑郁、恐惧情绪,并提升患者睡眠质量及生活质量。

    Abstract:

    Objective:To investigate the application effect of positive suggestion in the nursing of patients with acute exacerba-tion of chronic obstructive pulmonary disease(AECOPD).Methods:80 patients with AECOPD were divided into intervention group(n=40)and control group(n=40)according to different nursing methods.The control group was given routine nursing,and the inter-vention group was combined with positive suggestion intervention on the basis of the control group.The intervention time of both groups was 1 week.Respiratory function,anxiety/depression/fear state,sleep quality and quality of life were compared between the two groups before intervention and 1 week after intervention,and patients'nursing satisfaction was investigated before discharge.Results:After 1 week of intervention,forced vital capacity(FVC),forced expiratory volume at the first second(FEV1)and FEV1/FVC in both groups were higher than before intervention(P<0.05),and those in intervention group were higher than those in control group(P<0.05).The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS)and visual analogue scale(VAS)in both groups were lower than before intervention(P<0.05),and the scores in intervention group were lower(P<0.05).The scores of symptoms,mobil-ity and life impact of disease on Pittsburgh sleep quality index(PSQI)and Saint George's respiratory questionnaire(SGRQ)of both groups were lower than before intervention(P<0.05),and intervention group was lower than the control group(P<0.05).Before discharge,the nursing satisfaction of patients in the intervention group was higher than that in the control group(95.00%vs.80.00%,P<0.05).Conclusion:The positive suggestion effect can effectively improve the respiratory function of AECOPD patients,relieve their anxiety,depression and fear,and improve their sleep quality and quality of life.

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龚志娟;陈雅辞;高姗姗;.正性暗示效应在慢性阻塞性肺疾病急性加重期患者护理中的应用效果研究[J].川北医学院学报,2025,40(4):541-544.

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  • 在线发布日期: 2025-07-24
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