摘要
目的 研究多学科协作护理新模式对慢阻肺合并高血压患者的护理效果。方法 选取我院在2022年9月至2023年9月期间收治的72例慢阻肺合并高血压患者作为研究对象。随机分为实验组和A组，每组36例。对实验组患者给予多学科协作护理，A组采用一般护理。对比实验组和A组心理状态（汉密顿抑郁量表HAMD、焦虑自评量表SAS）和肺功能[心脏功能收缩压（SBP）和舒张压（DBP）以及一秒用力呼气容量（FEV）1、一秒率（FEV1/FVC）]水平，对比两组护理前、后的生活质量评分（包括：身体、情绪及综合水平评分）。结果 护理后，实验组与A组的心理状态水平评分（汉密顿抑郁量表HAMD、焦虑自评量表SAS）水平均有所降低，肺功能收缩压（SBP）和舒张压（DBP）水平降低，一秒用力呼气容量（FEV）1、一秒率（FEV1/FVC）评分升高，生活质量评分：实验组高于A组，且护理后评分比护理前明显提高。数据均具有统计学意义（P＜0.05）。结论 多学科协作护理新模式能有效缓解慢阻肺合并高血压患者的抑郁和焦虑情绪，改善患者的肺功能，提高患者康复效果和生活质量，值得临床借鉴。
关键词： 多学科协作护理；慢阻肺合并高血压；心理状态；肺功能；生活质量
Abstract
Objective: To study the nursing effect of multidisciplinary collaborative nursing model on patients with COPD complicated with hypertension. Methods: 72 patients with COPD combined with hypertension admitted to our hospital from September 2022 to September 2023 were selected as the study objects. They were randomly divided into experimental group and group A, 36 cases in each group. The experimental group was given multidisciplinary collaborative nursing, and group A was given general nursing. The psychological status (Hamilton Depression Scale HAMD, self-rating Anxiety Scale SAS) and lung function [systolic and diastolic blood pressure (SBP) and diastolic blood pressure (DBP) as well as forced expiratory volume in one second (FEV) 1 and one-second rate (FEV1/FVC)] levels of the experimental group and group A were compared, and the quality of life scores (including: Physical, emotional and overall level scores). Results: After nursing, the mental state level scores (HAMD and SAS) of experimental group and group A were decreased, the levels of SBP and DBP were decreased, the scores of forced expiratory volume (FEV) 1 and FEV1/FVC were increased, and the scores of quality of life were as follows: The experimental group was higher than the group A, and the score after nursing was significantly higher than that before nursing. All the data were statistically significant (P < 0.05). Conclusion : The new model of multidisciplinary collaborative nursing can effectively alleviate the depression and anxiety of COPD patients with hypertension, improve the lung function of patients, and improve the rehabilitation effect and quality of life of patients, which is worthy of clinical reference.
Key words： Multidisciplinary collaborative nursing; COPD combined with hypertension; psychological state; lung function; quality of life
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