正念行为护理联合健康教育对COPD合并肺结核患者负面情绪及营养风险指数的影响被引量：8

Effects of mindfulness behavior care and health education on negative emotion and nutritional risk index in COPD patients with tuberculosis

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摘要目的探讨正念行为护理联合健康教育对慢性阻塞性肺疾病(COPD)合并肺结核患者负面情绪及营养风险指数的影响。方法选择乌鲁木齐市友谊医院2017年6月-2020年6月收治的COPD合并肺结核患者150例,按随机数字表法分为两组,各75例。对照组采用健康教育,在此基础上,观察组采用正念行为护理。测定两组干预前、干预8周后的负性情绪[心理抑郁自评量表(SDS)、心理焦虑自评量表(SAS)]、正念水平[正念注意觉知量表(MAAS)]及营养风险指数。结果干预后,两组SDS评分、SAS评分均降低,且观察组较对照组低,差异有统计学意义(P<0.05);干预后,两组MAAS评分均提升,营养风险指数均降低,且观察组上述指标改善更为显著,差异有统计学意义(P<0.05)。结论正念行为护理联合健康教育可改善COPD合并肺结核患者负性情绪,提高正念水平,利于改善营养状况。 Objective To investigate the effect of mindfulness behavior nursing combined with health education on negative emotion and nutritional risk index in patients with chronic obstructive pulmonary disease(COPD)complicated with pulmonary tuberculosis.Methods From June 2017 to June 2020,150 COPD patients combinedwith pulmonarytuberculosis admitted tothe Friendship Hospital of Urumqiwereselected,divided into two groups according to the random number table method,with 75 cases in each group.Health education were carried outin the control group.On that basis,the observation group adopted mindfulness behavior nursing.Negative emotions[self-rating scale of psychological depression(SDS),self-rating scale of psychological anxiety(SAS)],positivemindfulness level[mindfulness awareness scale(MAAS)]and nutritional risk index were measured in both groups before the intervention,and after 8 weeks of the intervention.Results After the intervention,the SDS scores and SAS scores were reduced in both groups,and the observation group was lower than the control group,thedifference was statistically significant(P<0.05);after the intervention,the MAAS score of both groups was elevated,the nutritional risk index was reduced,and the above indexes in the observation group improved more significantly,the difference was statistically significant(P<0.05).Conclusion Mindfulness-based behavior nursing combined with health education can improve the negative emotions in COPD patients combinedwith tuberculosis,improvingthe level of mindfulness,it is beneficial to improve nutritional status.

作者钟长娥朱玉梅 ZHONG Change;ZHU Yumei(Department of CCU,the Friendship Hospital of Urumqi,Urumqi,830046,China)

机构地区乌鲁木齐市友谊医院呼吸与危重症医学科

出处《新疆医学》 2023年第8期1011-1013,1023,共4页 Xinjiang Medical Journal

关键词慢性阻塞性肺疾病肺结核正念行为健康教育负面情绪营养风险指数 Chronic obstructive pulmonary disease Tuberculosis Mindfulness Health education Negative emotions Nutritional risk index

分类号 R473.5 [医药卫生—护理学]