感恩拓延-建构理论在COPD伴焦虑症患者延续护理中的应用效果
Application effect of broaden-and-build theory of gratitude in continued nursing of COPD patients with anxiety disorders
目的 观察感恩拓延-建构理论在COPD伴焦虑症患者延续护理中的应用,并进行积极心理干预.方法 选择COPD伴焦虑症患者182例(各91例)为研究对象,选择其中一家医院为观察组,另一家医院为对照组.对照组患者实施COPD延续护理方案,观察组患者在对照组的基础上实施基于感恩拓延-建构理论制定的积极行为干预.分别于干预前、干预3、6、12个月后采用焦虑自评量表(SAS)对两组患者进行问卷调查,对比分析患者焦虑症状的改善情况.结果 观察组SAS得分明显下降,差异有统计学意义(P<0.01),对照组无明显趋势变化,差异无统计学意义(P>0.05);时间和干预存在明显交互作用(P<0.01);进一步两两比较发现,干预第3、6、12个月,观察组SAS得分分别为(45.85±3.88)、(41.14±3.29)、(37.94±2.64)分,对照组分别为(47.27±4.27)、(45.22±3.85)、(43.47±3.44)分,差异有统计学意义(F组间=39.91,F时间=660.61,F组间×时间=23.14;P<0.01),且差异随干预时间的延长而增大.结论 将感恩拓延-建构理论运用到COPD伴焦虑症患者的延续护理中能有效改善患者的焦虑症状.
更多Objective To explore the application effect of broaden-and-build theory of gratitude on continued nursing of COPD patients with anxiety disorders, and to conduct corresponding positive psychological intervention. Methods Totals of 182 COPD patients with anxiety disorders were selected as research objects, with 91 from one hospital as observation group and the other 91 from another hospital as control group. COPD continued nursing program was conducted to patients in the control group, while besides that, positive behavior intervention was conducted to patients in the observation group, basing on the broaden-and-build theory of gratitude. The patients were surveyed by Self-rating Anxiety Scale (SAS) before intervention, at 3 months, 6 months and 12 months after intervention, with anxiety improvement compared and analyzed. Results The SAS scores in the observation group decreased significantly (P<0.01), while the scores in the control group were without any significant change (P>0.05); there was obvious interaction between time and intervention (P<0.01); it was found by further pairwise comparison that at 3, 6 and 12 months after the intervention, SAS scores were (45.85±3.88), (41.14±3.29) and (37.94±2.64) in the observation group, and (47.27±4.27), (45.22±3.85) and (43.47±3.44) in the control group (FInter-group=39.91, FTime=660.61, FInter-group×Time=23.14;P<0.01). The difference between the two groups increased as time went by. Conclusions Applying the broaden-and-build theory of gratitude in continued nursing of COPD patients with anxiety disorders can effectively improve their symptoms of anxiety.
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