Application of feedback education combined with incentive psychological intervention patients with chronic obstructive pulmonary disease
10.3760/cma.j.cn115682-20200713-04353
- VernacularTitle:回馈教育联合激励式心理干预在COPD患者中的应用
- Author:
Li YANG
1
;
Qiaoling ZHANG
;
Yan LIU
;
Wenjuan BAI
;
Xiaoli FENG
;
Haiyan PAN
Author Information
1. 西安市中心医院呼吸与危重症医学科 710000
- Keywords:
Pulmonary disease, chronic obstructive;
Feedback education;
Incentive psychological intervention;
Compliance behavior;
Mental state
- From:
Chinese Journal of Modern Nursing
2021;27(12):1661-1665
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore effects of feedback education combined with incentive psychological intervention on compliance behavior and psychological state of patients with chronic obstructive pulmonary disease (COPD) .Methods:Using the convenient sampling method, a total of 104 COPD patients who were admitted to Xi'an Central Hospital from January 2016 to January 2019 were selected as the research objects. According to the random number table method, they were divided into the observation group and the control group, with 52 cases in each group. Patients in the control group were given conventional intervention measures, while patients in the observation group were given feedback education and incentive psychological intervention on this basis. The compliance behaviors (reasonable diet, respiratory function exercise, airway inhalation administration, rehabilitation training, disease prevention) were compared between the two group. The changes of self-care ability [Exercise of Self-care Agency Scale (ESCA) ] and mental state [Short Form of the Profile of Mood States (POMS-SF) ]before and after intervention were observed.Results:The scores of compliance with reasonable diet, respiratory function exercise, airway inhalation administration, rehabilitation training and disease prevention of patients in observation group were higher than those in control group (χ 2=4.300, 4.522, 4.833, 4.887, 4.514) . The scores of dimensions of ESCA of patients in the two groups after intervention were all higher than those before the intervention ( t=-7.189, -4.280, -8.404, -5.588, -7.51, -3.228, -8.153, -3.694) , and scores of dimensions of ESCA in the observation group were all higher than those in the control group ( t=4.819, 3.913, 5.228, 4.258) . After intervention, scores of Vigor-Activity (VA) subscale in POMS-SF of patients in the two groups were higher than those before the intervention ( t=-9.830, -8.866) , and score of the VA subscale in POMS-SF of the observation group after the intervention was higher than that of the control group ( t=5.598) . The remaining subscale scores of POMS-SF in the two groups after intervention were lower than those before intervention ( t=6.697, 6.253, 9.233, 6.612, 6.774, 5.307, 6.700, 3.096, 5.228, 2.342) , and the remaining subscale scores of the observation group after intervention were lower than those of the control group ( t=3.327, 2.675, 4.399, 4.201, 4.417) . The above differences were all statistically significant ( P<0.05) . Conclusions:During the treatment of COPD patients, feedback education and incentive psychological intervention can effectively improve compliance behaviors of patients, enhance their self-care ability, reduce their negative emotions and help them to face the disease with a positive attitude.
