慢性阻塞性肺疾病患者规范化治疗前后情绪状态和心理状况的调查研究.DOCVIP

临床医学论文-慢性阻塞性肺疾病患者规范化治疗前后情绪状态和心理状况的调查研究 【摘要】? 目的 探讨慢性阻塞性肺疾病（COPD）患者规范化治疗前后心理状况。方法 采用激惹抑郁和焦虑情绪量表、正性负性情绪量表、自尊量表、安全感量表等对60例急性加重期COPD患者入院时及出院时情绪状态和心理状况进行调查。结果 经过10～14天或更长时间的规范化治疗后，患者抑郁、焦虑得分，负性情绪评分，自尊、感情孤独得分较治疗前有显著性下降，正性情绪得分和人际安全感较治疗前显著上升。内向性激惹得分、外向性激惹得分、信赖他人、社会孤独、确定控制感得分治疗前后差异无统计学意义。结论 COPD患者经过规范化治疗后情绪状态及心理状况得到明显改善。 【关键词】? 慢性阻塞性肺疾病; 规范化治疗; 情绪状态; 心理状况 ????? ［Abstract］? Objective? To investigate the emotional state and psychological status in chronic obstructive pulmonary disease before and after standard treatments.Methods? 60 confirmedly diagnosed inpatients with COPD were subjected to standard treatments for 10～14 d or longer.All the patients were tested? with psychological testing scales including DA （irritability，depression，anxiety），PANAS （positive and negative assessment scale） and SES （self-esteem scale），SQ （security questionnaire） and so on when they were on admission and out of admission.Results? The scores of COPD patients in depression mood，anxiety，and negative affect，self-esteem，emotional loneliness when out of admission were lower than that when in admission before regular treatments.The scores of COPD patients in positive affect，safety-sense of relationship were higher than the scores when in admission before regular treatments.Compared to the scores of internal irritation，extroversive irritation，faith on others，social loneliness，ascertainment-control relationship，there was no significant difference between those in and out of admission.Conclusion? The emotional state and psychological status of COPD patients are significantly improved after regular treatments. ??? ［Key words］? chronic obstructive pulmonary disease; standard treatments; emotional state; psychological status ??? 躯体疾病可并发不同程度的心理障碍［1］已为人们所共识。慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）是危害人类健康的重要疾病，是严重影响患者劳动力和身心健康的常见病。随着医学的发展，医学模式已经由生物医学模式向生物－心理－社会医学模式转变，对COPD的研究也从单纯的生物学范围超越至心理和社会等领域。已有研究证明了COPD患者的心理特征表现为：失望、抑郁、沉默少语，表情淡漠；或表现为焦虑、烦躁，遇事易激怒［2］。本研究通过对COPD急性发作期患者进行规范化治疗前后情绪状态和心理状况的调查，观察规范化治疗对CO