心理干预对哮喘病人肺功能及生存质量影响的临床研究

The influence of psychological intervention to the pulmonary function and living quality of asthmatic patients

目的:探讨心理干预对哮喘病人肺功能、情绪状态及生存质量的影响。方法:将101例哮喘病人随机分为两组,均给予常规药物治疗,干预组同时接受心理干预,测定治疗前后的肺功能,并采用激惹、抑郁和焦虑自评量表(IDA)评定情绪状态,采用支气管哮喘生存质量评估表(AQLQ)评定生存质量。结果:干预组治疗前后肺功能改变率明显优于对照组(P=0.000);治疗后干预组的抑郁、焦虑、内向性激惹和外向性激惹评分均低于对照组(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:心理干预能改善哮喘病人肺功能及情绪状态,从而有效地提高其生存质量。

Objective：To explore the influence of psychological intervention to the pulmonary function,emotional status and living quality of asthmatic patients. Methods：101 cases of asthmatic patients were randomly divided into intervention group and control group. Both were given routine therapy while the intervention group was given psychological intervention. Emotional status measured by means of irritability ,depression and anxiety scale （IDA） and the quality of lifemeasured by means of asthma quality of life questionnaire （AQLQ） ,the pulmonary function were determined before and after therapy in all groups. Results：The pulmonary function changed rate of intervention group were significantly higher than control group （P=0.000）; After therapy depression,anxiety,internal irritation and external irritation of intervention group were significantly lower than control group（P0.01）. Scores on four scales of AQLQ were significantly higher for intervention group compared with control group after therapy（P0.05）. Conclusion：psychological intervention can influence the pulmonary function,emotional status of asthmatic patients to improve their quality of life.