叙事疗法对慢性阻塞性肺疾病终末期患者的心理干预作用

doi:10.3969/j.issn.2095-9400.2020.06.011

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Abstract Objective: To explore the effect of narrative therapy on improving the mental state of patients with chronic obstructive pulmonary disease (COPD) at the end of the period and its influence on the attitude towards death. Methods: From January 2018 to June 2019, 112 patients with COPD in the Second Affiliated Hospital of Wenzhou Medical University were selected. Due to 6 patients lost to follow-up, there were 52 patients in the control group and 54 patients in the experimental group. The control group was given routine psychological care, while the patients in the experimental group was treated by narrative therapy to give psychological intervention. SDS, SAS, POMS and EORTC QLQ-C30 were conducted on patients and their death fear was assessed by the death fear scale. Results: There was no significant difference between the two groups (P>0.05). Compared with the general nursing of the control group, narrative therapy can significantly improve depression and anxiety degree (control group vs. experimental group, SAS score: 30.31±4.29 vs. 22.12±3.28; SDS score: 33.35±2.64 vs. 24.23±3.98). The difference between the two groups was statistically significant (P<0.05). Narrative therapy can significantly improve patients’ mood (P<0.05). The intervention of therapy could significantly improve the natural acceptance score and reduced fear of death and acceptance of escape (P<0.05), thus significantly improving the life quality of patients (P<0.05). Conclusion: Narrative psychological intervention can effectively reduce the level of anxiety and depression in patients with COPD at the end of the period, alleviate the pessimistic mood of patients and fear of death, and therefore improve the life quality of patients.

Key words： pulmonary disease, chronic obstructive narrative therapy psychological intervention

Received: 24 January 2020

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	HU Danhong
	MA Ping
	XIANG Fei
	WANG Mifang
	ZHANG Chunmei

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https://xb.wmu.edu.cn/EN/10.3969/j.issn.2095-9400.2020.06.011 OR https://xb.wmu.edu.cn/EN/Y2020/V50/I6/485

[1] WANG C, XU J, YANG L, et al. Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health [CPH] study): a national cross-sectional study[J]. Lancet, 2018, 391(10131): 1706-1717.
[2] 段玉香, 范晔, 杨海峰, 等. 慢性阻塞性肺疾病急性加重期患者肺部真菌感染对血清炎症因子的影响[J]. 中华医院感染学杂志, 2017, 27(4): 754-757.
[3] 孙亚妮, 贾珊, 周小莎, 等. 支气管镜肺减容术治疗重度肺气肿的的临床护理[J].中华肺部疾病杂志(电子版), 2016, 1(1): 106-107.
[4] IVZIKU D, CLARI M, PIREDDA M, et al. Anxiety, depression and quality of life in chronic obstructive pulmonary disease patients and caregivers: an actor-partner interdependence model analysis[J]. Qual Life Res, 2019, 28(2): 461-472.
[5] KIRCH R, REAMAN G, FEUDTNER C, et al. Advancing a comprehensive cancer care agenda for children and their families: Institute of Medicine Workshop highlights and next steps[J]. CA Cancer J Clin, 2016, 66(5): 398-407.
[6] 马骏, 苏兴, 王芬, 等. 游离脂肪酸与老年慢性心力衰竭患者焦虑和抑郁的相关性分析[J]. 中华老年医学杂志, 2019, 38(7): 733-736.
[7] 中华医学会, 中华医学会杂志社, 中华医学会全科医学分会, 等. 慢性阻塞性肺疾病基层诊疗指南(2018年)[J]. 中华全科医师杂志, 2018, 17(11): 856-870.
[8] 王春燕, 许新梅. 家庭赋权方案对葡萄膜炎患者主要照顾者积极感受程度与情绪状况的影响[J]. 中华现代护理杂志, 2019, 25(9): 1125-1129.
[9] 徐晟, 闫灿灿, 吴捷, 等. 老年人死亡恐惧量表的编制[J]. 中国临床心理学杂志, 2015, 23(1): 7-12.
[10] 陈敏. 基于慢性疾病轨迹模式的护理干预在脑胶质瘤术后放疗患者中的应用[J]. 中华现代护理杂志, 2019, 25(35): 4610-4614.
[11] VON LEUPOLDT A. Treating anxious expectations can improve dyspnoea in patients with COPD[J]. Eur Respir J, 2017, 50(3): 1701352.
[12] 刘贤兵, 李芳, 郑晓燕. 长程预防用量白葡奈氏菌片对中重度COPD患者机体免疫功能及生活质量的影响[J]. 温州医科大学学报, 2018, 48(9): 676-679, 683.
[13] FAES K, COHEN J, ANNEMANS L. Resource use during the last six months of life among COPD patients: A population-level study[J]. J Pain Symptom Manage, 2018, 56(3): 318-326.
[14] 杨波, 余中子. 焦点解决短程治疗对老年COPD患者自我感受负担的影响[J]. 中华现代护理杂志, 2019, 25(12): 1547-1550.
[15] 伍艳, 李亮, 郎成允. 共享决策干预对脑梗死患者决策意愿及病情管理的影响[J]. 温州医科大学学报, 2019, 49(4): 301-305.