运动性引导想象疗法对支气管哮喘儿童焦虑抑郁的效果

Effect of exercise-guided imaginary therapy on anxiety and depression in children with bronchial asthma

目的探讨运动性引导想象疗法对支气管哮喘儿童焦虑抑郁的影响。方法将2017年2月~2019年2月在我院接受治疗的100例支气管哮喘儿童随机分为两组,各共50例,对照组接受常规治疗,观察组接受运动性引导想象疗法,比较两组患者的焦虑(HAMA)、抑郁(HAMD)水平、睡眠质量(PSQI)、生活质量(SF-36)水平以及肺功能参数(FEV1、PEF、FVC)。结果两组患者治疗前HAMA、HAMD、PSQI、SF-36评分比较差异均无统计学意义(P>0.05);治疗后观察组HAMA评分、HAMD评分、PSQI评分均低于对照组,SF-36评分高于对照组,差异均具有统计学意义(P<0.05);观察组肺功能参数FEV1、PEF、FVC均高于对照组,差异具有统计学意义(P<0.05)。结论运动性引导想象疗法能够有效缓解支气管哮喘儿童的焦虑、抑郁情绪,有利于肺功能的恢复,改善其睡眠质量和生活质量。

Objective To explore the effect of exercise-guided imaginary therapy on anxiety and depression in children with bronchial asthma. Method 100 children with bronchial asthma who were treated in Hebi City People’s Hospital of Henan Province from February 2017 to February 2019 were selected and divided randomly into two groups. The control group(n=50)received routine psychotherapy. The observation group(n=50)received exercise-guided imaging therapy. The anxiety(HAMA),depression(HAMD)levels,sleep quality(PSQI),quality of life(SF-36)levels,and lung function parameters(FEV1,PEF,FVC)were compared between the two groups. Results There were no significant differences in the scores of HAMA,HAMD,PSQI and SF-36 between two groups before treatment(P>0.05). After treatment,the HAMA score,HAMD score and PSQI score in the observation group were lower than those in the control group,and the SF-36 score was higher than that in the control group(P<0.05). The FEV1,PEF and FVC in the observation group were than those in the control group(P<0.05). Conclusion Exercise-guided imaginary therapy can effectively alleviate the anxiety and depression of children with bronchial asthma,promote the recovery of lung function,improve their sleep quality and quality of life.