自我管理干预对COPD患者负性情绪及生活质量的影响

张喆

（延安市宝塔区人民医院，陕西 延安，716000）

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摘要：

目的 探讨自我管理干预对慢性阻塞性肺病（COPD）患者负性情绪及生活质量的影响。方法 选择2014年8月至2016年2月在我院住院的COPD患者90例，根据入院顺序分为观察组与对照组，各45例。对照组患者接受常规护理，观察组患者在对照组护理的基础上给予积极的自我管理干预，两组患者护理周期均为3个月，记录两组预后负性情绪及生活质量状况。结果 观察组与对照组护理后的焦虑评分分别为（33.45±5.14）分和（41.40±4.98）分，分别明显低于护理前的（54.24±8.24）分和（53.98±7.14）分（P<0.05），且观察组评分明显低于对照组（P<0.05）。护理后，观察组的躯体化、强迫症状、人际关系、敌对等评分明显低于对照组(P<0.05)。结论 自我管理干预能缓解COPD患者的负性情绪，有利于为生活质量的提高创造条件，有很好的应用价值。

关键词：自我管理干预；慢性阻塞性肺疾病；负性情绪；生活质量

中图分类号：R473.5文献标志码：A文章编号：2096-1413(2017)07-0158-02

Influence of self-management intervention on negative emotion and life quality on patients with COPD
ZHANG Zhe
(Baota District People's Hospital of Yan'an, Yan'an 716000, China)

ABSTRACT: Objective To explore the impact of self -management intervention on negative emotion and life quality on patients with COPD. Methods Ninety cases of patients with COPD who treated in our hospital from August 2014 to February 2016 were selected as the research objects. According to the order of hospitalization, all the patients were divided into observation group and control group, with 45 cases in each group. The control group received conventional treatment and nursing, while the observation group was given positive self-management intervention on the basis of the control group. The nursing cycle of both groups were three months. The rognostic negative emotion and life quality status of the patients in the two groups were recorded. Results Before nursing, the anxiety scores of the observation group and the control group were (54.24±8.24) and (53.98±7.14) respectively. After nursing, the anxiety scores of the observation group and the control group were (33.45±5.14) and (41.40±4.98) respectively, which were significantly lower than those before nursing (P<0.05). The anxiety score of the observation group was obviously lower than that of the control group (P<0.05). Additionally, the scores of somatization, obsessive-compulsive symptom, interpersonal relationship and hostility after nursing of the observation group were significantly lower than those of the control group (P<0.05). Conclusion Self-management intervention can alleviate negative emotion of the patients with COPD and improve their life quality, which has profound application value.

KEYWORDS: self-management intervention; COPD; negative emotion; quality of life

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