心理干预对无创机械通气患者的影响(1)
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[摘要] 目的 探讨心理干预对无创机械通气患者依从性和情绪状态的影响。方法 将56例使用无创机械通气治疗的呼吸衰竭患者随机分为观察组32例，对照组24例。两组均接受常规的护理措施，观察组在此基础上进行系统的心理干预。比较两组对无创机械通气治疗的依从性以及干预前及干预后1个月的POMS-SF(简明心境问卷)评分。结果 两组患者对无创机械通气治疗依从性比较有显著差异(P<0.05)；干预前两组患者的POMS-SF评分比较无显著性差异(P>0.05)。干预后两组的POMS-SF总分及分量表评分比较均有显著性差异(P<0.05)。结论 心理干预对无创性机械通气患者的治疗依从性和情绪状态有显著改善的效果，值得临床推广。
[关键词] 无创性机械通气；心理干预；依从性；情绪状态
[中图分类号] R563.8 [文献标识码] B [文章编号] 1673-9701(2011)34-112-02
Psychological Nursing Intervention in Improving Patients with Non-invasive Mechanical Ventilation
ZOU Yulan
Department of Respiratory, Nanchong Central Hospital, Nanchong 637100, China.
[Abstract] Objective To investigate the effect of psychological care interventions in improving the treatment compliance and emotional state of patients with non-invasive mechanical ventilation. Methods All 56 patients with respiratory failure and in the treatment of non-invasive mechanical ventilation were randomly divided into observation group (n=32) and control group (n=24). Both groups received regular nursing care while observation group received psychological intervention in addition. The patients’medication adherence of non-invasive mechanical ventilation was compared between two groups. And also the emotion states were compared by using a simple heart Questionnaire(POMS-SF) in two groups before intervention and one month after intervention. Results After psychological care intervention，There were of significant difference in the medication adherences of two groups(P<0.05); The POMS-SF scores were no significant difference between two groups before intervention(P>0.05), but there is significant difference in two groups after intervention(P<0.05). Conclusion Psychological care interventions improved the medication adherence and emotion state of patients with non-invasive ventilation treatment.
[Key words] Non-invasive ventilation; Psychological intervention; Medication adherence; Emotional state
呼吸衰竭是由多种病因引起的肺通气或换气功能严重障碍，导致缺氧，伴或不伴二氧化碳潴留，造成一系列生理功能障碍和代谢紊乱的临床综合征[1]。无创机械通气是一种无需气管插管或切开的辅助通气方法，能有效避免有创机械通气引起的各种副损伤和并发症，是治疗各种原因引起的急性和慢性呼吸衰竭的重要手段，近年来被广泛应用于临床[2]。但存在诸多问题，若使用不当可影响疗效甚至降低患者的治疗依从性。在此过程中，心理护理干预对患者的心理体验和依从性起到很大作用。本研究现将心理干预对无创机械通气患者的影响进行分析总结，报告如下。
1 对象与方法 ......
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