支气管哮喘患者焦虑抑郁情绪及相关因素分析.DOCVIP

临床医学论文-支气管哮喘患者焦虑抑郁情绪及相关因素分析 【摘要】? 目的：探讨支气管哮喘患者的焦虑抑郁情绪出现情况及其相关因素。方法：采用焦虑自评表(SAS)、抑郁自评表(SDS)对96 例支气管哮喘(简称哮喘)患者进行测评，并与96 例健康者测评结果进行比较；同时哮喘患者在健康教育指导下规范治疗后复诊并再次进行SAS、SDS测评，按有否焦虑抑郁情绪判断标准排序并进行统计学处理。结果：哮喘患者SAS和SDS评分高于健康对照组；治疗前SAS和SDS评分高于治疗后。哮喘患者与健康组间焦虑和抑郁评分差异有显著性(P＜0.01)，治疗前后焦虑抑郁评分差异有显著性(P＜0.01)。结论：焦虑抑郁情绪与哮喘发作和治疗相关，要减轻和消除哮喘患者的焦虑抑郁情绪，不但要积极有效地控制疾病，还要进行健康教育和心理指导。 【关键词】? 支气管哮喘；焦虑；抑郁；心理；健康教育 ??? Abstract? Objective：Research on anxious and depressed emotion of patients with bronchial asthm and analyze its related factors.Methods：96 patients were evaluated the emotion by self rating anxiety scale SAS and self rating depression scale SDS，and the results compared with 96 healthy persons.The data was collected and analyzed statistically based on whether or not the patient had anxious and depression according to the SAS and SDS score.The data before and after education was compared statistically.Results：Patients with asthma had higherSAS′and SDS′scores than the normal compared subjects.So did patients with asthma before treatment than that after treatment.Significants difference were showed between the asthma group and the healthy group(P＜0.01).So did between the patients before treatment and after treatment(P＜0.01).Conclusion：This study shows that the anxious and depressed emotionof patients are related with the onset and the treatment.In order to relieve and eliminate the negative effects of the anxious and depressed emotion in these patients，doctors should provide active treatment to control the disease.In addition，we should help our patients establish positive attitudes toward the disease with health of education and get them to know that it is important to adjust their psychological status.??? 　　Key words? asthma；anxiety；depression；psychology；health care education ??? 支气管哮喘是以慢性气道炎症、气道高反应性为特征的呼吸道疾病，患病率呈逐年上升趋势，成为全球关注的健康问题之一。国外研究表明，哮喘患者心理障碍的发生率较高，其中以焦虑和抑郁表现尤为多见［1，2］。焦虑抑郁情绪严重影响哮喘患者的生活质量［3］，因而，发现并及时治疗哮喘患者的焦虑抑郁情绪，是目前有效管理、治疗哮喘的重要方法。本文旨在对支气管哮喘患者以及治疗前后进行情绪评估，探讨支气管哮喘患者的焦虑抑郁情绪出现情况及其相关因素。