心理干预对慢性阻塞性肺疾病患者负性情绪及生存质量的影响

Effects of psychological intervention on negative mood and quality of life of patients with chronic obstructive pulmonary disease

目的探讨心理干预对慢性阻塞性肺疾病患者负性情绪及生存质量的影响。方法80例慢性阻塞性肺疾病（COPD）患者分为心理干预组和对照组，心理干预组在常规治疗及护理的基础上给予心理护理措施，对照组给予常规治疗及护理措施，比较治疗前后的症状自评量表（SCL-90）及StGeorge’S呼吸问卷（SGRQ）量表评分并进行科学评估。结果人组前两组躯体化，强迫，人际关系、抑郁、焦虑、恐怖、偏执、精神病性等8个因子分比较无显著性差异（P〉0．05），入组治疗后两组患者各因子分均有所下降，心理干预组躯体化、强迫、人际关系、抑郁、焦虑、恐怖、偏执、精神病性等8个因子分明显改善与干预前比较差异有统计学意义（P〈0．05）。入组前两组患者SGRQ中呼吸症状，疾病影响及SGRQ各项指标比较无显著性差异（P〉0．05），干预治疗后干预组患者治疗后的SGRQ中呼吸症状，疾病影响及SGRQ各项指标与治疗前比较有显著性差异（P〈0．05）；对照组治疗后的SGRQ中呼吸症状，疾病影响及SGRQ各项指标与治疗前相比较差异无统计学意义（P〉0．05）。结论心理干预能够改善患者负性情绪，且能够改善患者生存质量。

Objective To explore the effects of psychological intervention on negative emotion and quality of life of the patients with chronic obstructive pulmonary disease （COPD）. Methods A total of 80 patients with COPD were divided into the psychological intervention group and the control group. The psychological intervention group received routine treatment 4- psyehological intervention ; the control group only received routine treatment. SCL-90 symptom checklist and St Georger S Respiratory Questionnaire （5GRQ） scores before and after the treatment were assessed. Results There was no significant difference in each score between the 2 groups at baseline （P 〉 0. 05 ）. After 3 months＇ treatment,the scores of the 2 groups was declined ; somatization, obsession, anxiety, and depression were significantly improved compared with baseline. There was no significant difference in SGRQ indicators at baseline （ P 〉 0.05 ）. After the SGRQ respiratory symptoms, disease impact and the invention, there showed significant difference in the treatment group in SGRQ respiratory symptoms, disease impact and the SGRQ indicators compared with baseline （ P 〈 0. 05 ）. Conclusion Psychological intervention could improve negative mood and the quality of life of patients with COPD.