心理干预对哮喘患者情绪状态的影响

目的探讨心理干预对哮喘患者情绪状态的影响，以期为哮喘患者心理干预提供科学依据。方法将符合条件的哮喘患者随机分为干预组（110例）和非干预组（106例），在入院第2天采用哮喘患者一般情况调查表、述情障碍（TAS-26）及简式简明心境问卷（POMS-SF）对患者进行测查。非干预组行常规治疗，干预组在常规治疗的基础上进行心理干预。两组患者在出院前1天，应用TAS-26、POMS-SF进行测查。结果除因子Ⅲ外，与常模比较，哮喘患者组的TAS各因子分及总分均高于常模（P〈0.01）；干预后，干预组TAS总分、Ⅱ、Ⅳ因子分及POMS总分、各负性因子分均低于非干预组（P〈0.05或P〈0.01）；干预组POMS的VA因子分高于非干预组（P〈0.01）。结论哮喘患者存有明显的述情障碍，心理干预能改善其述情障碍，明显改善哮喘患者的情绪。

Effect of Psychological Interventions on Asthma Patients' Mood

Objective To approach the effect of psychosoeial intervention on mood state of asthma patients to provide a scientific basis of psycbosocial intervention for asthma patients. Methods The asthma patients were divided into the intervention group （110） and the non-intervention group （106） randomly. The asthma patients of two groups were investigated with general questionnaire, TAS-26 and POMS--SF at the second day after hospitalization. The non-intervention group only received routine therapy. On the base of conventional, therapy, patients of the intervention group were given psychological intervention. All asthma patients of two groups were investigated with TAS-26 and POMS-SF at the day prior to discharge. Results Except for Ⅲ , there were statistical significance in the other factor scores and the total score of TAS between the group of asthma and the normal model. The scores of asthma group was higher than those of the normal model. After intervention, the scores of Ⅱ , Ⅳ and the total score of TAS and each negative factor score and the total score of POMS of the intervention group were lower than those of the non-intervention group （P〈0. 05 or P〈0. 01）. The score of VA of POMS of the intervention group was higher than the non- intervention group （P〈0. 01）. Conclusion Asthma patients have alexithymia. Alexithymia and mood of asthma patients can be improved by psychological intervention.