汉密尔顿量表对支气管哮喘患者心理评估的应用研究冰

Application Study on Hamilton Scales for Psychological Assessment of Patients with Asthma

目的：在综合医院呼吸科病房和门诊应用汉密尔顿量表对支气管哮喘患者进行自评和辅助询问评估心理特征。方法：对169例确诊为支气管哮喘并反复发作的门诊或住院患者应用汉密尔顿量表按流行病学调查问卷方法，由病区工作人员采用交谈和观察辅助问答方式进行，按量表评分初步筛选健康、焦虑和抑郁患者。结果：169例患者中，抑郁阳性159例（94．08％），焦虑阳性107例（63．31％）。结论：抑郁作为哮喘的主要伴发病症之一，在哮喘的发生、发展和预后中发挥着重要的作用。因此，哮喘治疗不应以改善症状为最终目标，还要根据哮喘患者的心理特征给予心理护理，从而更有利于哮喘的控制。

Objective： To use the Hamilton scales to self-evaluate and auxiliary inquire the patients with asthma in general hospital＇s wards and outpatient department of respiratory department to evaluate the patients＇ psychological characteristics. Methods： According to the epidemiological questionnaire, used Hamilton scales and their scores to preliminary screen the healthy, anxiety and depression patients from 169 cases of patients in outpatient department or wards who were diagnosed as asthma and recurrent episodes, which carried out by ward＇s staff using the method of conversations and observation and assisted by question-answer style. Results： In 169 cases of patients, 159 cases were depression positive （94.08%）, 107 cases were anxiety positive （63.31%）. Conclusion： As one of the major concomitant disorders, depression plays an important role in occurrence, development and prognosis of asthma. Therefore, improving symptoms should not be the ultimate goal in the treatment of asthma, but also carries out psychological nursing according to the psychological characteristics of patients, which is more conducive to the controlling of asthma.