临床医学研究与实践2024,Vol.9Issue(10) :119-122.DOI:10.19347/j.cnki.2096-1413.202410029

团体心理辅导干预模式对支气管扩张患者肺功能恢复及心理状态的影响

Effects of group psychological counseling intervention model on pulmonary function recovery and psychological state in patients with bronchiectasis

苟玥君 刘馨 李屏
临床医学研究与实践2024,Vol.9Issue(10) :119-122.DOI:10.19347/j.cnki.2096-1413.202410029

团体心理辅导干预模式对支气管扩张患者肺功能恢复及心理状态的影响

Effects of group psychological counseling intervention model on pulmonary function recovery and psychological state in patients with bronchiectasis

苟玥君 1刘馨 1李屏2
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作者信息

  • 1. 安康市中心医院,陕西 安康,725000
  • 2. 西安交通大学第一附属医院,陕西 西安,710061
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摘要

目的 分析团体心理辅导干预模式在支气管扩张患者中的应用效果及对肺功能恢复、心理状态的影响.方法 选取2021年1月至2022年1月呼吸科收治的80例支气管扩张患者为研究对象,按随机数字表法将其分为对照组(n=40,常规护理干预)和观察组(n=40,在对照组基础上给予团体心理辅导干预模式).比较两组的肺功能指标、心理弹性、自我护理能力.结果 干预后,观察组的第 1 秒用力呼吸容积(FEV1)、呼气峰流速(PEF)、用力肺活量(FVC)及FEV1/FVC高于对照组,差异具有统计学意义(P<0.05).干预后,观察组的心理弹性量表(CD-RISC)各维度评分及总分高于对照组,差异具有统计学意义(P<0.05).随访结束时,观察组的自我护理能力量表(ESCA)各维度评分及总分高于对照组,差异具有统计学意义(P<0.05).结论 团体心理辅导干预模式可有效调整支气管扩张患者的心理状态,增强健康信念,提高自我护理管理水平,改善肺功能.

Abstract

Objective To analyze the application effect of group psychological counseling intervention model in patients with bronchiectasis and its influences on pulmonary function recovery and psychological state.Methods A total of 80 patients with bronchiectasis admitted in the respiratory department from January 2021 to January 2022 were selected as the research objects.According to the random number table method,the patients were divided into control group(n=40,routine nursing intervention)and observation group(n=40,group psychological counseling intervention model was given on the basis of the control group).The pulmonary function indexe,psychological resilience and self-care ability of the two groups were compared.Results After intervention,the forced expiratory volume in one second(FEV1),peak expiratory flow(PEF),forced vital capacity(FVC)and FEV1/FVC in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of each dimension and total score of Connor-Davidson Resilience Scale(CD-RISC)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).At the end of follow-up,the scores of each dimension and total score of the Exercise of Self-Care Agency Scale(ESCA)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The group psychological counseling intervention model can effectively adjust the psychological state of patients with bronchiectasis,enhance health beliefs,improve self-care management level,and promote pulmonary function.

关键词

支气管扩张/团体心理辅导干预模式/肺功能/心理状态

Key words

bronchiectasis/group psychological counseling intervention model/pulmonary function/psychological state

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基金项目

陕西省重点研发计划(2020SF-398)

出版年

2024
临床医学研究与实践

临床医学研究与实践

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