阻塞性睡眠呼吸暂停低通气综合征治疗前后的心理改变及干预对策

The effect of comprehensive therapy on psychological state of obstructive sleep apnea-hypopnea syndrome

目的:探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的心理状况及综合性治疗对其的影响。方法:对85例OSAHS患者治疗前和治疗后不同时段的心理状况进行分析和对比。结果:OSAHS患者症状自评量表(SCL90)躯体化、强迫、人际敏感、抑郁、焦虑、精神病性的因子分较国内常模明显增高(P<0.01)。SCL90抑郁、焦虑因子分、Zung氏焦虑自评表(SAS)、汉密顿抑郁量表(HRSD)评分于治疗后1周、3个月依次递减,治疗前与治疗后1周差异有统计学意义,治疗后1周与3个月差异有统计学意义。结论:OSAHS患者存在显著的心理卫生障碍,综合性治疗有助于患者的身心康复。

Objective：To investigate psychological state of patients with obstructive sleep apnea-hypopnea syn- drome（OSAHS） and the effect of comprehensive therapy on it. Method： Eighty-five patients were assessed with SCL-90, SAS and HRSD on different time. Statistical treatment was performed with T test. Result：The subscores of somatization, anxiety, depression, psychoticism of SCL-90 in OSAHS were higher than average scores in China. The SCL-90, SAS , HRSD scores of anxiety and depression decreased by turns on the first week and third month after treatments. Conclusion：Patients with OSAHS are more anxious and depressive than normal. Comprehensive nursing care conduces to physically and mental rehabilitation of OSAHS.