The effect of cognitive behavior intervention on improving prognosis of elderly patients with chronic obstructive pulmonary disease
10.7619/jcmp.201708011
- VernacularTitle:认知行为干预护理改善老年慢性阻塞性肺疾病患者预后的效果分析
- Author:
Yuan XIE
1
;
Huifen TONG
;
Lingyun LI
Author Information
1. 广东医科大学附属深圳龙华中心医院呼吸内科
- Keywords:
cognitive behavioral intervention;
psychological nursing;
elderly patients with chronic obstructive pulmonary disease
- From:
Journal of Clinical Medicine in Practice
2017;21(8):34-38
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of cognitive behavior intervention nursing on the prognosis of elderly patients with chronic obstructive pulmonary disease (COPD).Methods A total of 80 elderly patients with COPD were randomly divided into observation group with 40 cases and control group with 40 cases in our hospital.Control group was given conventional nursing and observation group was given cognitive behavioral intervention nursing based on conventional nursing.The Chinese version of WHO (WHO) quality of life questionnaire (WHOQOL-BREF) were selected to evaluate and compare quality of life,detection and second forced expiratory volume (FEV1) and forced vital capacity (FVX) were compared on admission (T0),after 14 d of nursing intervention (T1) and 3 months after discharge (T2).Self rating Anxiety Scale (SAS) and the self rating Depression Scale (SDS) were used to evaluate the psychological status of the two groups at T0 and T1.Results The values of FEV1 and FVX in the two groups were dependently increased (P ＜0.05).At T1,FEV1 and FVX in the observation group were significantly higher than that in the control group (P ＜ 0.05).WHOQOL-BREF scores and total scores of the two groups showed a rise of time dependence (P ＜0.05).At T1,the score and total score of WHOQOL-BREF in the observation group were significantly higher than that of the control group (P ＜ 0.01).Conclusion Cognitive behavioral intervention nursing can significantly improve the quality of life and psychological status of patients with COPD,and promote the prognosis of patients with benign prognosis.
