心理干预对慢性阻塞性肺疾病患者负性情绪及生存质量的影响
Effects of psychological intervention on negative mood and quality of life of patients with chronic obstructive pulmonary disease
目的 探讨心理干预对慢性阻塞性肺疾病患者负性情绪及生存质量的影响.方法 80例慢性阻塞性肺疾病(COPD)患者分为心理干预组和对照组,心理干预组在常规治疗及护理的基础上给予心理护理措施,对照组给予常规治疗及护理措施,比较治疗前后的症状自评量表(SCL-90)及StGeorge'S呼吸问卷(SGRQ)量表评分并进行科学评估.结果 入组前两组躯体化,强迫,人际关系、抑郁、焦虑、恐怖、偏执、精神病性等8个因子分比较无显著性差异(P>0.05),入组治疗后两组患者各因子分均有所下降,心理干预组躯体化、强迫、人际关系、抑郁、焦虑、恐怖、偏执、精神病性等8个因子分明显改善与干预前比较差异有统计学意义(P<0.05).入组前两组患者SGRQ中呼吸症状,疾病影响及SGRQ各项指标比较无显著性差异(P>0.05),干预治疗后干预组患者治疗后的SGRQ中呼吸症状,疾病影响及SGRQ各项指标与治疗前比较有显著性差异(P<0.05);对照组治疗后的SGRQ中呼吸症状,疾病影响及SGRQ各项指标与治疗前相比较差异无统计学意义(P>0.05).结论 心理干预能够改善患者负性情绪,且能够改善患者生存质量.
更多Objective To explore the effects of psychological intervention on negative emotion and quality of life of the patients with chronic obstructive pulmonary disease (COPD). Methods A total of 80 patients with COPD were divided into the psychological intervention group and the control group. The psychological intervention group received routine treatment + psychological intervention; the control group only received routine treatment. SCL-90 symptom checklist and St George'S Respiratory Questionnaire (SGRQ) scores before and after the treatment were assessed. Results There was no significant difference in each score between the 2 groups at baseline ( P > 0. 05 ). After 3 months' treatment, the scores of the 2 groups was declined; somatization, obsession, anxiety, and depression were significantly improved compared with baseline. There was no significant difference in SGRQ respiratory symptoms, disease impact and the SGRQ indicators at baseline ( P > 0. 05 ). After the invention, there showed significant difference in the treatment group in SGRQ respiratory symptoms, disease impact and the SGRQ indicators compared with baseline (P <0. 05 ). Conclusion Psychological intervention could improve negative mood and the quality of life of patients with COPD.
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