摘要
目的:探讨心理干预对慢性阻塞性肺疾病(COPD)患者情绪障碍、生活质量的影响,为促进患者康复提供依据。方法:将60例稳定期COPD患者按出院先后顺序分为研究组和对照组各30例,对照组实施自我管理护理,研究组在此基础上定期随访,给予综合性心理干预,随访时间为6个月。于随访前和随访6个月末分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、呼吸问卷(SGRQ)评定两组患者康复效果。结果:随访前研究组SAS、SDS、SGRQ与对照组比较差异无统计学意义(P>0.05);随访6个月末研究组SAS、SDS、SGRQ均低于对照组(P<0.01)。结论:COPD患者有焦虑、抑郁情绪,生活质量较差,心理干预能够有效缓解或消除COPD患者的情绪障碍,提高生活质量,对患者身心康复具有良好作用。
Objective： To investigate the impact of psychological intervention on the emotional disorders and quality of life of patients with chronic obstructive pulmonary disease （ COPD ） in order to provide a basis for promoting the rehabilitation of patients. Methods ： 60 COPD patients in the stable stage were divided into a study group and a control group （ 30 patients in each group ） by the order of dis- charge. The self - management care was implemented in the control group, the regular follow - up and comprehensive psychological inter- vention was carried out in the study group on the basis of the measures of control group. The follow - up lasted 6 months. Self - rating Anxiety Scale （SAS） , Self- rating Depression Scale （SDS） and St George~ Respiratory Questionnaire {SGRQ} were used to assess the patient~ rehabilitation outcomes in the two groups before follow - up and at the end of 6 months after follow - up. Results ： There were not statistically significant differences in the comparison of SAS, SDS and SGRQ scores between the two groups before follow - up （ P 0.05 ） ; SAS, SDS, SGRQ scores were lower in the study group than the control group at the end of 6 months after follow - up （ P 〈 0.01 ）. Conclusion ： The anxiety and depression exist in COPD patients and their quality of life is poor. The psychological intervention can effectively alleviate or eliminate the emotional disorders in COPD patients and can improve their quality of life, which has a good effect on the physical and Dsvcholoa, ical rehabilitation of natients.
基金
济宁市科技发展计划项目(2010-85)
