Study On The Current Status Of Patients With Chronic Obstructive Pulmonary Disease And The Construction Of Mindfulness Intervention Program

ObjectiveThrough investigation of anxiety,depression,and the level of mindfulness in COPD patients at home in 10 communities in Qingdao,the psychological status of COPD patients in home was investigated;the use of semi-structured interviews to explore the actual psychological experience of COPD patients at home and the perception of key mindfulness technologies;The results of the survey and interviews were based on a focused solution model to construct a scientific and practical mindfulness intervention program suitable for COPD patients at home.Methods1.Psychological experience of home-based patients with chronic obstructive pulmonary disease and their perception of the main techniques of mindfulness: Interview and observation were used to interview 10 home-based patients with chronic obstructive pulmonary disease.The interview information is refined and analyzed.2.Psychological real experience of COPD patients at home and perception of the main mindfulness technologies: Interviews and observations were used to conduct semi-structured interviews with 15 home COPD patients.The interview data used the interview outline as a template for the production of code outlines,and classified and analyzed the interview data according to the code outline using the generic method.3.The construction of mindfulness intervention program for patients with chronic obstructive pulmonary disease at home: On the basis of the first two parts,the expert meeting method was used to initially plan the intervention program for mindfulness in patients with COPD at home,and Delphi's expert letter inquiry method was used to formally establish a program for mindfulness intervention in COPD patients at home.Results1.The current survey results show that:(1)In the present study,159 patients with chronic obstructive pulmonary disease at home had a mind-mind level score of(103.22±15.80)points,which was at a medium-low level.Among them,the rankings of all dimensions from the highest score to the lowest score are observed> awareness action> description> no response> no judgment.(2)The positive rate of anxiety in 159 patients with chronic obstructive pulmonary disease was 45.91%,the score was(47.38±9.16)points,the positive rate of depression was 49.05%,and the score was(51.82±7.87)points.2.The results of the interviews extracted five aspects:(1)The impact of COPD on patients' lives;(2)The negative emotions of home COPD patients due to diseases;(3)The interaction between negative emotions and disease progression.Cognition and coping methods(4)Expectations of patients for negative emotional psychological intervention(5)Experiences of the main technologies of mindfulness.3.The construction of mindfulness intervention plan: The home-based COPD patients' mindfulenss intervention program was preliminarily drawn up through the expert meeting method.The five steps of the revised focus model were used as the intervention framework,and 21 items were used as the intervention content.After two rounds of correspondence,formally established programs for mindfulenss intervention in patients with COPD at home.This program includes two parts of the intervention framework and the content of the intervention.The intervention framework is to describe the problem,construct the intervention goal,implement the mind-mind intervention,give feedback,evaluate the progress of the five items,and the intervention content is 25 items.The effective questionnaire recovery rate in the two rounds of expert correspondence was 88.46% and 100% respectively,and the authority coefficient of the experts was all greater than 0.80.At the same time,the Kendall Coordinate Factor tests of the various parts of the expert letter were all P<0.05,which was statistically significant.The degree of coordination of experts is high,and the results of the consultation have a certain degree of reliability.ConclusionThe scores of mindfulness of home-based COPD patients are at medium-to-low levels,and the level of mindfulness of patients needs to be improved.At the same time,the positive rate of anxiety and depression is relatively high,which should attract the attention of community medical personnel and take effective psychological intervention measures.Through interviews with patients with COPD in their homes,they have an in-depth understanding of the psychological experience of such patients and their perception of key technologies for mindfulness.Through the above two parts of the survey,understand the existing mental health problems in patients with COPD in the home,to provide reference for the development of home-based COPD patients more easily accept the application of intervention goals more targeted intervention program.In the end,the focused mindset intervention scheme built on the framework of the focused solution model has strong practicability and scientificness,and provides a certain reference value for the application and promotion of mindfulness therapy in patients with COPD in the home.