哮喘伴焦虑、抑郁情绪患者心理干预治疗的疗效观察

目的研究心理干预对支气管哮喘伴焦虑、抑郁情绪患者的临床疗效。方法通过汉密尔顿焦虑量表(HAMA)与抑郁量表(HAMD)选取存在焦虑、抑郁情绪的支气管哮喘患者,共98名,随机分为心理干预组及非心理干预两组,对治疗前后HAMA、HAMD量表评分及特质应对方式问卷中积极应对(PC)和消极应对(NC)评分、ACT评分、FEV1进行自身对照研究。结果干预组患者的HAMA、HAMD量表评分、PC及NC评分、ACT评分与干预前及非干预组相应时间点比较差异有统计学意义(P﹤0.05);非心理干预治疗组患者治疗前后HAMA、HAMD量表评分、PC及NC评分、ACT评分、FEV1较治疗前有不同程度改善,其中HAMA量表评分及ACT评分在常规治疗前后比较差异有统计学差异意义(P﹤0.05)。结论在常规治疗基础上,给予心理干预治疗,有助于支气管哮喘合并焦虑、抑郁情绪的治疗。

The treatment efficacy of psychological intervention on asthma associated with anxiety and depression in patients

OBJECTIVE To explore the influence of psychological intervention for the patients of asthma combined anxiety and depression.METHODS A total of 98 patients were randomly divided into psychological intervention group and non-psychological intervention group.Before and after treatment,scores in HAMA,HAMD,PC and NC scores in Trait Coping Style,ACT score,FEV1 were conducted by self-control study.RESULTS There were significant differences in scores in HAMA,HAMD scale,PC and NC scores,ACT score between psychological intervention groups and non-psychological intervention groups after intervention(P﹤0.05).The scores in HAMA,HAMD scale,PC and NC scores,ACT score,FEV1 in non-psychological intervention group were improved after intervention,however,only scores in HAMA,HAMD scale,ACT score were different with before intervention(P﹤0.05).CONCLUSION Psychological intervention can effectively decrease the degree of anxiety and depression in bronchial asthma patients.