慢性阻塞性肺疾病患者孤立行为及相关因素分析

Isolated behavior and related factors of chronic obstructive pulmonary disease patients

目的探讨慢性阻塞性肺疾病（COPD）患者孤立行为特点及对COPD疾病影响情况。方法采用情绪．社交孤独问卷（ESLI）、抑郁自评量表（SDS），对99例稳定期COPD患者施测，与90例健康人对照，并进行相关因素分析。结果COPD患者存在不同程度的情绪孤立行为[COPD组（9．90±3．97）分，对照组（6．15±5．22）分，F=82．539，P〈0．01]和社交孤立行为[COPD组（8．00±3．53）分，对照组（4．31±2．46）分，F=73．540，P〈0．01]。以情绪孤立行为为主，情绪孤立行为以中度孤立占主导，社交孤立行为以一般占主导，情绪孤立行为（r=0．399，t=3．476，P〈0．01）和社交孤立行为（r=0．372，t=3．154，P〈0．01）均与抑郁显著相关。结论COPD患者精神心理方面存在明显的情绪、社交孤立行为。

Objective To investigate the lonely behavior characteristics and related factors of chronic obstructive pulmonary disease （COPD） patients. Methods 99 cases with stable patients with COPD and 90 healthy subjects were surveyed by SDS, ESLI. Relevant factors were analyzed. Results Patients with COPD showed different degrees of emotional isolation [ （ 9.90 ± 3.97 ）, （ 6.15 ± 5.22 ）, F = 82. 539, P 〈0. 01 ） ] and social intercourse isolation [ （ 8.00 ± 3.53 ）, （ 4.31 ± 2.46 ）, F= 73. 540, P 〈 0. 01 ） ]. Emotional isolation was mainly. Moderate emotional isolation and general social intercourse isolation were predominant, and emotional （ r = 0. 399, t = 3. 476, P 〈 0. 01 ） and social intercourse isolation （ r = 0. 372, t = 3. 154, P 〈 0. 01 ） were related to depression. Conclusion Patients with COPD presented obvious emotion and social intercourse isolation behavior.