心理干预辅助治疗哮喘的临床对比研究

A comparison of clinical efficacy between adjuvant psychological intervention and ordinary drug treatment on asthma

目的探讨心理干预辅助治疗哮喘的临床效果及对哮喘病人的社会支持及生存质量的影响。方法采用随机对照方法,将101例哮喘患者分为两组,两组常规药物治疗相同,在此基础上干预组同时接受心理干预,比较两组临床治疗有效率,并采用社会支持评定量表(SSRS)测评社会支持度,采用支气管哮喘生存质量评估表(AQLQ)评定生存质量。结果干预组治疗有效率明显高于对照组(P=0.005);治疗后干预组的主观支持、支持利用度及社会支持总分均高于对照组(P<0.01);除对自身健康的关心外,经治疗后干预组另外4个维度的得分均高于对照组(P<0.05)。结论心理干预能提高哮喘患者的治疗有效率,增加社会支持度,以及提高其生存质量。

Objective To explore the effects of adjuvant support and life quality of patients with asthma. Methods psychological intervention on the clinical results, social 101 patients with asthma were randomly divided into intervention group and control group. Both were given routine therapy while the intervention group was given adjuvant psychological intervention. Social support was measured by means of Social Support Rating Scale （SSRS） and the quality of life was measured by means of Asthma Quality of Life Questionnaire （AQLQ） , the pulmonary function was determined before and after treatment in all groups. Results The clinical response rate of intervention group were significantly higher than that of control group （ P = 0. 005）; After treatment, subjective support, support utility, and total scores of intervention group were significantly higher than those of control group（ P 〈 0.01）. Except caring for selfhealth, scores on four scales of AQLQ were significantly higher for intervention group corn- pared to control group after treatment （ P 〈 0.05） the clinical efficacy, social support of patients with Conclusions Adjuvant psychological intervention can enhance asthma and improve their quality of life