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论文编号:HL211 论文字数:7075,页数:11
论文题目： 个性化心理干预对COPD患者生活质量及应对方式的影响
摘 要
研究背景
慢性阻塞性肺病（COPD)是一种常见的气道阻塞不可逆的呼吸系统慢性疾病，严重影响患者的身心健康和生活能力，甚至危及生命。国内外研究发现，本病患者不仅有严重的躯体疾病，同时伴有明显的心理问题，通过对该病患者个性化心理干预，有利于增强患者的认知能力，提高生活质量及应对方式。
研究目的
通过对徽州区人民医院内科2009年1月-2010年1月COPD住院患者个性化心理干预，了解对该病患者生活质量和应对方式的影响
研究方法
对徽州区人民医院内科2009年1月-2010年1月确诊的COPD住院患者个性化心理干预，选取实验组和对照组各42人。护师根据病人焦虑抑郁的评分结果对实验组的患者给予针对性的健康教育和个性化心理干预，住院期间连续心理干预，对照组不给予心理干预，只给规护理和健康宣教，出院前责任护士再次对两组患者进行焦虑抑郁评估，比较两组的生活质量及应对方式的影响。
研究结果
个性化心理干预后，该病患者都能更自觉地了解并加深了对预防发病知识的的认识，改变不良生活方式，能有效地遏制了发病的次数和发病的程度。患者在心理干预后焦虑抑郁状况得到较为显著的改善，且前后差异具有统计学意义( P ＜ 0. 05)
研究结论
科学有效的心理干预，是今后医疗机构的重点工作，通过对疾病防治知识的了解，改善不良生活方式(戒烟限酒等），能有效地遏制了发病的次数和发病的程度，提高了患者对医护人员的依从性，提高了患者的生存质量，提升患者对该病应对方式。
关键词
个性化、心理干预、COPD、生活质量
论文类型：研究报告
Title: individualized psychological intervention on quality of life of patients with COPD and the effects of coping style
Take to
Research background
Chronic obstructive pulmonary disease ( COPD ) is a common cause of airway obstruction irreversible respiratory chronic disease, serious impact on the patient''''s physical and mental health and life skills, and even endanger the life. The domestic and foreign research discovery, the patients have severe somatic disease, accompanied by obvious psychological problems, based on the patient individualized psychological intervention, enhance patients'''' cognitive abilities, improve the quality of life and the way to deal with.
Study objective
Through to the Huizhou District People''''s Hospital in 2009 January - 2010 January hospitalized patients with COPD personalized psychological intervention, to understand the patients'''' quality of life and the effects of coping style
Research methods
Nurse according to patient anxiety and depression score results in the experimental group patients give targeted health education and psychological intervention during hospitalization individualization, continuous psychological intervention, control group was not given psychological intervention, only to the regulation of nursing and health education, prior to discharge the responsibility of nurses to patients in two groups were anxiety depression assessment, compared with two groups of life the quality and effects of coping style.
The research results
Individual psychological intervention, the patients were able to consciously understand and deepen the knowledge on prevention knowledge, change the unhealthy life styles, can effectively prevent the incidence of the number and incidence degree.
The conclusion of the study
The effective psychological intervention, is the future of medical institutions of the focus of the work, through to the disease prevention knowledge, improve the bad way of life ( quit alcohol limit etc. ), can effectively prevent the incidence of the number and the extent of morbidity, and improve the patient compliance to medical staff, improved the life quality of patients, improve patients with the disease coping style.
Key word
Personalized, psychological intervention, the COPD, quality of life
Type of thesis: Research Report
目录
1前 言………………………………………………………………………………9
1.1研究背景及意义 ………………………………………………………………9
1.2研究目的及目标 ………………………………………………………………9
1.2.1研究目的……………………………………………………..……………… 9
1.2.2研究目标………………………………………………………..…………… 9
1.3关键词及定义………………………………………………………..…………9
1.3.1个性化………………………………………………………………..……… 9
1.3.2COPD………………………………………………………………………… 10
1.3.3心理干预………………………………………………………..……….. ….10
1.3.4生活质量………………………………………………………….……….… 10
1.4文献回顾…………………………………………………………….………… 10
1.4.1心理障碍对患者、家庭和社会的负面影响……………………………..… 10
1.4.2 COPD患者的心理特征…………………………………………………….. 10
1.4.3满足患者的自尊心理…………………………………………….………… 11
1.4.4焦虑、抑郁…………………………………………….…………………… 11
2研究设计与方法…………………………………………………………………11
2.1研究设计…………………………………………………………….…………11
2.2研究对象…………………………………………………………….…………12
2.3研究步骤…………………………………………………………….…………12
2.4研究工具及方法…………………………………………………….…………13
2.5资料分析………………………………………………………….……………14
3结果与分析………………………………………………………………………14
3.1基线调查……………………………………………………………….………14
3.2心理护理干预前后COPD患者焦虑抑郁评分的比较………………………15
3.3两组病人心理干预前后生活应对比较…………………………….…………15
3.4对生活习惯的改变的比较…………………………………………………… 16
3.5对生活方式的改变比较………………………………………………..….…..17
3.6在对COPD的认知方面的比较………………………………………………17
4讨论 …………………………………………………………………….……… 18
4.1个性化心理干预对COPD患者生活质量及应对方式的影响……….……..18
4.2健康教育对COPD患者生活质量及应对方式的影响……………….……….18
5结论………………………………………………………………………………19
6致谢………………………………………………………………………………20
7参考文献………………………………………………………………………… 20
8附表……………………………………………………………………………… 21
