摘要
目的:探讨共情护理联合治疗性沟通在老年慢性阻塞性肺疾病(COPD)患者中的应用价值。方法:选取2022年1月—2024年1月于三明市第一医院就诊的100例COPD老年患者作为研究对象,采用随机数表法分为对照组(n=50,实施常规护理)和观察组(n=50,共情护理联合治疗性沟通),比较两组干预前后症状改善情况、心理状态以及生活质量。结果:干预前,两组慢性阻塞性肺疾病评估测试(CAT)、心理韧性量表(CD-RISC)、圣乔治呼吸问卷(SGRQ)评分比较,差异无统计学意义(P>0.05);干预后,观察组CAT、SGRQ症状、活动能力、疾病影响维度评分低于对照组,CD-RISC评分高于对照组,差异有统计学意义(P<0.05)。结论:共情护理联合治疗性沟通应用于老年慢性阻塞性肺疾病患者中,能够有效改善患者的症状,提升患者的心理韧性,并提高其生活质量。
Objective:To explore the value of empathic care combined with therapeutic communication in elderly patients with chronic obstructive pulmonary disease.Method:100 cases of elderly patients with chronic obstructive pulmonary disease(COPD)attending the First Hospital of Sanming City from January 2022 to January 2024 were selected as the study subjects,and were divided into the control group(n=50,implementation of conventional care)and the observation group(n=50,empathic care combined with therapeutic communication)by using the random number table method.Improvement of symptoms,psychological status and quality of life were compared between the two groups before and after the intervention.Result:Before the intervention,the difference between the scores of Chronic Obstructive Pulmonary Disease Assessment Test(CAT),Mental Toughness Scale(CD-RISC),and St.George's Respiratory Questionnaire(SGRQ)was not statistically significant when comparing the two groups(P>0.05).After the intervention,the CAT,SGRQ symptom,mobility,and disease impact dimension scores of the observation group were lower than those of the control group,and the CD-RISC scores were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:Empathic nursing combined with therapeutic communication applied to elderly patients with chronic obstructive pulmonary disease(COPD)can effectively improve patients'symptoms,enhance their psychological resilience,and improve their quality of life.
作者
刘文娟
叶莹莹
LIU Wenjuan;YE Yingying(Sanming First Hospital,Sanming 365000,China;不详)
出处
《中外医学研究》
2025年第27期90-93,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
共情护理
治疗性沟通
老年
慢性阻塞性肺疾病
症状改善
心理韧性
生活质量
Empathetic nursing
Therapeutic communication
Elderly
Chronic obstructive pulmonary disease
Symptom improvement
Resilience
Quality of life
