Study on related factors of depression in patients with chronic obstructive pulmonary disease / 中国基层医药

Objective@#To investigate the incidence rate and related factors of depression in patients with chronic obstructive pulmonary disease(COPD).@*Methods@#From February 2016 to November 2016, 261 COPD patients in Wenzhou Central Hospital were collected by cluster sampling method.The patients' medical history, classification of lung function, score of Self-Rating Depression Scale(SDS) and COPD assessment test(CAT) were recorded in order to investigate the incidence rate and related factors of depression.@*Results@#The incidence of depression in COPD patients was 42.53%.Spearman's correlation showed that the factors related to depression including without spouse, smoking, duration of COPD and classification of lung function(r=0.282, 0.188, 0.201, 0.192, all P<0.01). Non-conditional logistic regression analysis revealed that without spouse and smoking were independent risk factors of depression in COPD patients(OR=0.208, 95% CI 0.093~0.469; OR=2.029, 95% CI 1.054~3.906; all P<0.05).@*Conclusion@#COPD patients have high prevalence of depression.The occurrence of depression in COPD patients is related to lack of family support, poor living habits, chronic disease and severe pulmonary function, especially without spouse and smoking are related to depression among COPD patients.

Efficiency comparison of two nebulization inhalation therapy methods / 中国实用护理杂志

Objective To observe the efficiency of two nebulization inhalation therapy methods in patients with non-invasive ventilation. Methods 60 patients with non-invasive ventilation were divided in-to two groups (30 cases in each group). Based on combination therapy, the observation group received oxy- gen drived nebulizer inhalation therapy through tube system of non - invasive ventilator, the control group re- ceived inhalation therapy by oxygen drived nebulizer directly with halt of non- invasive ventilation. The effi- ciency of two methods was compared between the two groups. Results At the end of treatment SaO2 in the observation group remained nearly unchanged, while that of the control group significantly de-creased,beart rate increased in both groups,bot the amplitude was lower in the observation group. Patients in the observation group showed no evident discomfort, alleviated gasp and eosy expectoration. Conclu-sions Inhalation therapy through tube system of non- invasive ventilator was more efficient and it is worthy of wide clinical application.