心理干预对慢性阻塞性肺疾病患者住院期间合并抑郁情绪的效果分析

Prevalence of depression in chronic obstructive pulmonary disease and risk factors analysis

目的探讨慢性阻塞性肺疾病(COPD)患者住院期间合并抑郁情绪不良心理反应的主要影响因素,并制定心理干预措施。方法选择住院期间100例COPD老年患者,发放汉密尔顿抑郁量表,了解影响老年COPD病人抑郁情绪发生的主要因素。针对以上因素制定心理干预措施,并比较干预前后效果。结果 100例老年COPD患者以职业、文化程度、家庭关系及经济条件、疾病的严重程度为COPD病人合并抑郁情绪不良心理反应的影响主要因素。100例COPD病人实行心理干预后较干预前肺功能改善明显,两者比较差异有统计学意义(P<0.05)。结论对老年COPD合并抑郁情绪患者住院期间适当的心理干预可明显提高健康水平,促进肺功能和抑郁情绪的改善。

Objective To investigate the prevalence of depression in patients with chronic obstructive pulmonary disease （COPD） and risk factors.Methods 100 patients with stable COPD were recruited and performed for the depression survey.Meanwhile the history （sex,age,income,education level） was applied to evaluate all the COPD patients.To all patient,we take psychological intervention and analyzed the result after psychological intervention.Results The COPD patients with depression had younger age,female,higher education level and severely damaged pulmonary function.After psychological intervention,the depression scores were lower than that before intervention.