心理干预对慢性阻塞性肺疾病患者抑郁状态及生活质量影响.docVIP

心理干预对慢性阻塞性肺疾病患者抑郁状态及生活质量影响 　　[摘要]目的 分析心理干预对慢性阻塞性肺疾病（COPD）患者焦虑抑郁状态的改善及对生活质量的影响。方法 选取2015年10月～2016年12月我院收治的84例COPD患者作为研究对象，按照随机数字表法分为对照组和观察组，每组各42例。对照组予以常规干预，观察组在常规干预的基础上给予心理干预，分别采用焦虑自测量表（SAS）、抑郁自评量表（SDS）、匹兹堡睡眠质量指数（PSQI）对干预效果进行评价，分析并比较两组的干预效果。结果 两组患者干预后的SAS、SDS及PSQI评分均低于干预前，差异有统计学意义（P0.05）；观察组干预后的SAS、SDS及PSQI均低于对照组，差异有统计学意义（P0.05）。结论 心理干预可以明显降低COPD患者疾病不确定感以及焦虑抑郁的心理状态，值得在临床上推广应用。 　　[关键词]慢性阻塞性肺疾病；心理干预；疾病不确定感；焦虑；抑郁 　　[中图分类号] R473.72 [文献标识码] A [文章编号] 1674-4721（2018）4（a）-0038-03 　　Effect of psychological intervention on depression status and quality of life in patients with chronic obstructive pulmonary disease 　　CAO Guang-lan YANG Qiao-feng LI Ai-qin 　　The Second Community Health Service Center of Shihezi in Xinjiang Uygur Autonomous Region，Shihezi 832000，China 　　[Abstract]Objective To analyze the effect of psychological intervention on the improvement of anxiety and depression in patients with chronic obstructive pulmonary disease （COPD） and its effect on quality of life.Methods Eighty-four patients with COPD admitted to our hospital from October 2015 to December 2016 were selected as the subjects，and divided into control group and observation group by radom table method，with 42 cases in each group.The control group was given routine intervention，and the observation group was given routine intervention.Based on psychological interventions，SAS，SDS，and Pittsburgh sleep quality index （PSQI） were used to evaluate the effects of the interventions.The intervention effects of the two groups were analyzed and compared.Results The scores of SAS，SDS and PSQI after intervention in both groups were lower than those before intervention，the differences were statistically significant （P0.05）.The SAS，SDS and PSQI after intervention in the observation group were lower than those in the control group，the differences were statistically significant （P0.05）.Conclusion Psychological intervention can significantly reduce the uncertainty of the disease and the psychological state of anx