Application of acceptance commitment concept nursing model in elderly chronic obstructive pulmonary disease nursing work
接纳-承诺理念护理模式在老年慢阻肺护理工作中的应用研究

摘要

目的 探究分析接纳-承诺理念护理模式在老年慢阻肺护理工作中的应用。方法 选择2025年3月至2025年10月的50例慢阻肺患者作为此次研究对象，应用随机法将50例患者随机分为对照组与观察组。对照组采用常规护理，观察组采用接纳-承诺理念的护理，对比两组心理状态及自我效能。结果 护理前两组SAS、SDS及ESCA评分对比，P＞0.05。护理后观察组SAS及SDS评分低于对照组，P＜0.05。观察组ESCA评分高于对照组，P＜0.05。结论 接纳-承诺理念的护理不仅可改善患者心理状态，同时可进一步提升其自我效能，值得推广与应用。

Abstract

Objective To explore and analyze the application of the acceptance commitment nursing model in the care of elderly patients with chronic obstructive pulmonary disease.
Methods 50 patients with chronic obstructive pulmonary disease (COPD) from March 2025 to October 2025 were selected as the study subjects. The 50 patients were randomly divided into a control group and an observation group using a random method. The control group received routine nursing care, while the observation group received acceptance commitment nursing care. The psychological status and self-efficacy of the two groups were compared.
Results Comparison of SAS, SDS, and ESCA scores between the first two groups of nursing care, P＞0.05. The SAS and SDS scores of the observation group after nursing were lower than those of the control group, P＜0.05. The ESCA score of the observation group was higher than that of the control group, P＜0.05.
Conclusion   The concept of acceptance commitment in nursing can not only improve patients’ psychological state, but also further enhance their self-efficacy, which is worthy of promotion and application.