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ID:22286995
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时间:2018-10-28
《疏肝培土生金法配合心理护理对慢阻肺合并焦虑抑郁的影响》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、疏肝培土生金法配合心理护理对慢阻肺合并焦虑抑郁的影雷建军[摘要]目的:研究疏肝培土生金法配合心理护理对慢性阻塞性肺疾病合并抑郁焦虑患者生活质量、肺功能的影响。方法:采用汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD}(17项)测量心理状况,将存在轻屮度焦虑抑郁症状的69例COPD患者随机分为疏肝培土生金法组(24例)、疏肝培土生金法配合心理护理组(23例)及呼吸操组(22例),治疗4周。治疗前后检测患者的各项肺功能指标并用圣乔治呼吸问卷(SGRQ)评价生活质量。结果:三组治疗前后HAMA及HAMD评分降低,肺功能均有改善,生活质量评分均降低,差异有统计
2、学意义(P<0.05>,在疾病影响方面,两组屮药组与呼吸操组差异有统计学意义(P<O.05)o在HAMA及HAMD评分方面,屮药配合心理护理组较其他两组差异有统计学意义(P<0.05),结论:疏肝培土也佥法配合心理护理能改善COPD患者的焦虑及抑郁症状,提高生活质量。[关键词]慢性阻塞性肺疾病焦虑抑郁疏肝培土生金法心理护理DOI:10.3760/cma.j.issn.1672-7088.2013.36.14作者单位:610041,四川成都市,成都市第五人民医院作者简介:雷建军(1974—),女,成都市第五人民医院主管护师,主要研究内科护理。本文系成都市卫生
3、局科研专项基金(2012016)。TheInfluenceofStagnancyinliver-Spleen-invigoratingandLung-nourishingDecoctionandMentalNursingontheDepressionandAnxietyinPatientswithChronicObstructivePulmonaryDiseaseLeiJianjunAbstract:ObjectiveToinvestigatetheinfluenceofStagnancyinliver-Spleen-invigoratingandLung-no
4、urishingDecoctionandmentalnursingonthelifequalityofthepatientswithdepressionandanxietytogetherwithchronicobstructivepulmonarydisease(COPD).Method:Atotalof69patientswithmildormoderatedepressionoranxietyCOPDwererandomlydividedintotraditionalChinesemedicinegroup(n=24)andtraditionalChine
5、semedicineandmentalnursinggroup(n=23)andrespiratoryfunctiontraininggroup(n=22),allreceivingtreatmentfor4weeks.TheefficacyandsideeffectswereassessedbytheHamiltonanxietyscale(HAMA)andHamiltondepressivescale(HAMD).QualityoflifebetweenthegroupsbeforeandafterthetreatmentwerecomparedbySt.G
6、eorgesrespiratoryquestionnaire(SGRQ)Results:ThescoresofHAMAandHAMDandSGRQdecreasedsignificantly(P<0.05).TherewasasignificantchanginthescoresofHAMAandHAMDintraditionalChinesemedicineandmentalnursinggroupgroup.Therewasasignificantimprovementinthescoresofsocialactivities(P<0.05)inallthe
7、traditionalChinesemedicinegroup.ConclusionStagnancyinliver-Spleen-invigoratingandLung-nourishingDecoctionandmentalnursingareeffectiveinthetreatmentofdepressionandanxietyinthepatientswithCOPD.Keywords:chronicobstructivepulmonarydisease;anxiety;depression;Stagnancyinliver-Spleen-invigo
8、ratingandLun
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