首页|基于人文关怀的治疗性沟通在慢阻肺患者吸入糖皮质激素治疗期间的干预效果

基于人文关怀的治疗性沟通在慢阻肺患者吸入糖皮质激素治疗期间的干预效果

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目的:探讨基于人文关怀的治疗性沟通在慢阻肺(COPD)患者吸入糖皮质激素(ICS)治疗期间的干预效果.方法:选取医院2023年1月—2024年1月收治的78例COPD患者,使用随机数字表法分为对照组(n=39)和观察组(n=39),对照组接受治疗性沟通+常规干预,观察组接受基于人文关怀的治疗性沟通+常规干预,从入院持续干预至出院.比较两组负性情绪状况[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、干预依从性、自护能力水平[自护能力测定量表(ESCA)]及干预满足度.结果:干预后,观察组HAMA、HAMD评分低于对照组(P<0.05);观察组干预期间整体干预依从性优于对照组,干预总依从率高于对照组(P<0.05);观察组ESCA评分高于对照组(P<0.05);观察组整体满意度优于对照组,干预总满意率高于对照组(P<0.05).结论:为COPD患者行ICS治疗期间实施基于人文关怀的治疗性沟通,可有效调节患者负面情绪、提高其依从性,患者自护能力改善,对干预的实施更为满意.
Intervention Effect of Therapeutic Communication Based on Humanistic Care During The Treatment of Inhaled Glucocorticoids in Patients with COPD
Objective:To explore the intervention effect of therapeutic communication based on humanistic care during inhaled corticosteroids(ICS)treatment in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 78 COPD patients admitted to the hospital from January 2023 to January 2024 were randomly divided into a control group(n=39)and an observation group(n=39)using a random number table method.The control group received therapeutic communication and routine nursing,while the observation group received therapeutic communication based on humanistic care,with continuous intervention from admission to discharge.The negative emotional status[Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)],nursing compliance,self-care ability level[Exercise of Self-Care Agency(ESCA)]and nursing satisfaction were compared between the two groups.Results:After intervention,the HAMA and HAMD scores in the observation group were lower than those in the control group(P<0.05).During the nursing period,the overall nursing compliance of the observation group was better than that of the control group,and the total nursing compliance rate was higher than that of the control group(P<0.05).The ESCA score of the observation group was higher than that of the control group(P<0.05).The overall satisfaction of the observation group was better than that of the control group,and the overall satisfaction rate of nursing was higher than that of the control group(P<0.05).Conclusion:The implementation of therapeutic communication based on humanistic care during ICS treatment for COPD patients can effectively regulate the negative emotions of patients,improve their compliance,improve their self-care ability,and be more satisfied with the implementation of nursing.

Chronic obstructive pulmonary diseaseInhaled corticosteroidTherapeutic communicationHumanistic careSelf efficacyCompliance

凌超民、司华

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南阳市第二人民医院呼吸与危重症四病区,河南 南阳 473000

慢性阻塞性肺疾病 吸入糖皮质激素 治疗性沟通 人文关怀 自我效能 依从性

河南省医学科技攻关计划联合共建项目

2020120950

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(7)