摘要
目的:探讨动机性访谈式心理干预对老年慢性阻塞性肺疾病(COPD)患者呼吸锻炼依从性、希望水平及心理状况的影响。方法:随机数字法将96例老年COPD患者分为对照组48例与观察组48例。对照组采取常规心理护理,观察组在对照组基础上行动机性访谈式心理干预。比较两组干预前后希望水平、心理状况[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、干预后呼吸锻炼依从性、生活质量SF-36评分。结果:观察组干预后希望水平总分显著高于对照组得分(t=5.193,P<0.05);观察组干预后SAS评分、SDS评分均显著低于对照组(t=-3.607,-3.387;P<0.05);观察组干预后3个月呼吸锻炼依从性显著优于对照组(Z=9.649,P<0.05);观察组干预后3个月SF-36量表八大维度评分均显著高于对照组(t=4.554,16.687,17.943,6.769,4.529,13.180,12.030,10.713;P<0.05)。结论:动机性访谈式心理干预能明显缓解老年COPD患者焦虑、抑郁状况,提高其希望水平及呼吸锻炼依从性,显著改善其生活质量。
Objective:To explore the effect of psychological intervention by motivational interviewing on the breathing exercise compliance,hope level and mental state of elderly patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 96 elderly patients with COPD were divided into the control group(48 cases)and the observation group(48 cases)by random number method.The control group were given routine psychological nursing,and the observation group were given psychological intervention by motivational interviewing.The hope levels and mental state[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)]before and after the intervention,the breathing exercise compliance after intervention and quality of life SF-36 score were compared between the two groups.Results:The total score of hope level of the observation group after intervention was significantly higher than that of the control group(t=5.193,P<0.05).After intervention,the SAS score and SDS scores in the observation group were significantly lower than those in the control group(t=-3.607,-3.387;P<0.05).The breathing exercise compliance of observation group at 3 months after intervention was significantly better than that of the control group(Z=9.649,P<0.05).Scores of eight dimensions in SF-36 scale of the observation group were significantly higher than those of the control group(t=4.554,16.687,17.943,6.769,4.529,13.180,12.030 and 10.713;P<0.05).Conclusion:Psychological intervention by motivational interviewing can significantly relieve anxiety and depression of elderly patients with COPD,improve their hope level and breathing exercise compliance,and significantly improve their quality of life.
作者
高艳华
GAO Yanhua(Suining Hospital of Traditional Chinese Medicine,Suining 629000,China)
出处
《中国健康心理学杂志》
2019年第1期83-86,共4页
China Journal of Health Psychology
关键词
慢性阻塞性肺疾病
动机性访谈
心理干预
依从性
希望水平
Chronic obstructive pulmonary disease
Motivational interviewing
Psychological intervention
Compliance
Hope level
