改良森田疗法联合运动想象在老年职业性COPD患者肺康复中的运用

Application of modified morita therapy with exercise imagination in lung rehabilitation of elderly patients with occupational COPD

目的探讨改良森田疗法联合运动想象在老年职业性慢性阻塞性肺疾病(COPD)稳定期患者肺康复中的运用效果。方法选择常州市德安医院康复中心住院治疗的稳定期老年职业性COPD患者60例,随机分为观察组与对照组各30例,对照组采取改良森田疗法干预,观察组采取运动想象联合改良森田疗法干预。两组患者入组时与出院前进行焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、肺功能[用力肺活量(FVC)、最大呼气第1秒呼出的气量容积(FEV1)、FEV1占预计值的比率(FEV1%)、FEV1与FVC的比值(FEV1/FVC)]检测以及圣乔治呼吸问卷(SGRQ)评分。结果治疗后观察组SAS与SDS评分明显低于同期对照组[(50.07±5.36)vs(56.69±7.08)和(47.81±6.91)vs(52.35±7.33)],差异有统计学意义(P<0.05);观察组患者治疗后FVC、FEV1、FEV1%与FEV1/FVC指标水平改善均明显优于对照组,差异有统计学意义(P<0.05);在SGRQ评分方面,治疗后观察组SGRQ评分明显低于同期对照组[(41.69±5.52)vs(46.06±6.49)],两组比较差异有统计学意义(P<0.05)。结论对稳定期老年职业性COPD患者采取改良森田疗法与运动想象疗法进行干预,可明显改善患者的情绪状况,并促进患者肺功能与生活质量的提高。

[Objective]To explore the effect of modified morita therapy with exercise imagination on pulmonary rehabilitation of elderly patients with occupational chronic obstructive pulmonary disease(COPD) in stable period.[Methods]A total of hospitalized 60 elderly cases with occupational COPD,who were treated in Rehabilitation Center of Changzhou Dean Hospital,were randomly divided into observation group and control group,30 cases in each group. The control group received modified morita therapy intervention,and the observation group was given modified morita therapy with exercise imagination. The patients in two groups were evaluated with self-rating anxiety scale(SAS),self-rating depression scale(SDS),pulmonary function(FVC,FEV1,FEV1%, FEV1/FVC) and St George's Respiratory Questionnaire(SGRQ) at entering the group and before discharge[. Results]After treatment, the SAS and SDS scores of the observation group were significantly lower than those of the control group at the same time [(50.07±5.36)vs(56.69±7.08)和( 47.81±6.91)vs(52.35±7.33)],and the differences were statistically significant (P<0.05). After treatment,the improvement levels of FVC,FEV1,FEV1% and FEV1/FVC in the observation group were significantly better than those in the control group,and the differences were statistically significant(P<0.05). After treatment,the SGRQ score of the observation group was significantly lower than that of the control group at the same time[(41.69±5.52)vs(46.06±6.49)],and the difference between the two groups was statistically significant (P<0.05).[Conclusion] The modified morita therapy with exercise imagination intervention on elderly patients with COPD in stable period can obviously improve the patient's emotional state ,and promote the lung function and quality of life of patients.