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心理干预改善哮喘患者生存质量的临床观察
引用本文:许建国,马迎教.心理干预改善哮喘患者生存质量的临床观察[J].临床荟萃,2009,24(14):1221-1223.
作者姓名:许建国  马迎教
作者单位:右江民族医学院附属医院,呼吸内科,广西,百色,533000
基金项目:广西壮族自治区卫生厅课题(Z2005228)
摘    要:目的探讨心理干预对哮喘患者肺功能、情绪状态及生存质量的影响。方法将139例哮喘患者随机分为两组,均给予常规药物治疗,干预组同时接受心理干预,测定治疗前后的肺功能,并采用激惹、抑郁和焦虑自评量表(IDA)评定情绪状态,采用支气管哮喘生存质量评估表(AQLQ)评定生存质量。结果干预组治疗前后1秒用力呼出量(FEV,)、呼气峰流速值(PEF)、用力肺活量(FVC)改变明显优于对照组,分别为(23.2±11.1)%VS(13.7±7.4)%,(33.8±14.1)%VS(18.5±5.9)%,(9.3±4.3)%VS(4.0±2.9)%(均P〈O.01);治疗后干预组的抑郁、焦虑、内向性激惹和外向性激惹评分均低于对照组(P〈O.01);经治疗后干预组的活动受限、哮喘症状、心理状况、对刺激源反应的得分均高于对照组(P〈0.01)。结论心理干预能改善哮喘患者肺功能及情绪状态,从而有效地提高其生存质量。

关 键 词:哮喘  心理疗法  生活质量  情绪

Effect of psychological intervention for quality of life in asthmatic patients
XU Jian-guo,MA Ying-jiao.Effect of psychological intervention for quality of life in asthmatic patients[J].Clinical Focus,2009,24(14):1221-1223.
Authors:XU Jian-guo  MA Ying-jiao
Institution:XU Jian-guo,MA Ying-jiaoDepartment of Respiratory Disease,the Affiliated Hospital of Youjiang Medical College for Nationalities,Baise 533000,China
Abstract:Objective To explore the influence of psychological intervention to the pulmonary function,emotional status and living quality of asthmatic patients.Methods 139 cases of asthmatic patients were randomly divided into intervention group and control group.Both were given routine therapy while the intervention group was given psychological intervention.Emotional status was measured by means of irritability,depression and anxiety scale(IDA) and the quality of life measured by means of asthma quality of life ques...
Keywords:asthma  psychotherapy  quality of life  emotions  
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