支气管哮喘患者焦虑、抑郁情绪与应对方式的关系分析

Analysis of the Relationship between Asthma Anxiety, Depression and Coping Style

目的调查分析支气管哮喘患者焦虑与抑郁情绪状况,并探讨其与应对方式之间的关系。方法方便选择2013年1月—2015年1月期间在该院接受诊断治疗且符合标准的成年支气管哮喘患者65例为调查研究对象,作为实验组;同时选择同期在该院接受体检并诊断为健康成年人65名为对照组。将65例成年支气管哮喘患者与相似背景下的健康成年人群进行对比,比较两组患者焦虑与抑郁情绪状况、症状自评(SCL-90)与特质应对方式差异,线性回归分析它们之间的联系与区别。结果实验组支气管哮喘患者SCL-90测评总分(153.23±28.03)分、焦虑(41.25±9.55)分和抑郁(39.84±8.70)分都远远高于对照组健康人群(127.10±26.45)分、(31.20±6.68)分与(27.50±5.56)分,差异有统计学意义(P<0.05)。实验组支气管哮喘患者消极应对评分偏高,积极应对评分偏低,直接反映了支气管哮喘患者对于症状的应对存在严重的消极态势。将SCL-90、SAS、SDS测评与特质应对方式进行相关分析发现,积极应对与三者成负相关,消极应对与三者成正相关。结论支气管哮喘患者常伴有较严重的不安情绪,存在消极应对病症等问题。消极应对方式与患者不安情绪互为因果,相互影响,相互作用,极大地影响患者生活质量。

Objective To investigate the anxiety and depression status of bronchial asthma, and the relationship between it and coping styles. Methods Convenient selection Jauary 2013 to January 2015 period in our hospital diagnosis and treat-ment and standard adult bronchial asthma in 65 patients for the investigation of the study, the experimental group; while se-lecting the same period in our hospital underwent a medical examination and diagnosis of adult people 65 cases as the con-trol group. The group of healthy adults under 65 cases of adult asthma patients were compared with similar backgrounds were compared in patients with anxiety and depression status, Symptom Checklist （SCL-90） Differences between coping style, linear regression analysis of the links between them with distinction. Results The patients with bronchial asthma SCL-90 evaluation score （153.23 ± 28.03） score, anxiety （41.25 ± 9.55） score and depression （39.84 ± 8.70） score are much higher than the healthy population （127.10 ± 26.45） score, （31.20 ± 6.68 ） score and （27.50 ± 5.56） score, the difference was significant （P〈0.05）, with statistical significance. Bronchial asthma patients in the experimental group score higher neg-ative response, a positive response rates low, a direct reflection of bronchial asthma patients respond to the presence ofnbsp;symptoms of serious negative trend. The SCL-90, SAS, SDS evaluation and coping style correlation analysis showed a posi-tive response and the three negative correlation, negative coping positively correlated with three percent. Conclusion Bronchial asthma is often accompanied by more severe anxiety, there is a negative response to illness and other issues. Negative coping with patient anxiety reinforce each other, mutual influence, interaction, greatly affect the quality of life of patients.