认知行为干预在慢性阻塞性肺疾病患者中的应用效果

Application effect of cognitive behavior intervention in patients with chronic obstructive pulmonary disease

目的探讨认知行为干预在慢性阻塞性肺疾病(COPD)患者中的应用效果。方法选取2017年1月~2018年6月在广州市越秀区中医医院门诊或住院的200例COPD患者作为研究对象,按照随机数字表法,将其分为研究组及治疗组,每组各100例,两组患者均实施常规内科治疗及心理评估,研究组给予认知行为干预,比较两组患者的心理状况、生活质量及两组患者的肺功能、血气分析检测指标状况。结果治疗后,研究组患者的心率、呼吸频率均慢于对照组,第1秒用力呼气容积高于对照组,差异有统计学意义(P<0.001);血氧饱和度、动脉氧分压均高于对照组,动脉二氧化碳分压低于对照组,差异有统计学意义(P<0.001);研究组的广泛焦虑量表(GAD)、汉密顿抑郁量表(HAMD)评分均低于对照组,差异有统计学意义(P<0.05);研究组患者生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论认知行为干预可改善COPD人群的改善患者肺功能,提高患者的生活质量。

Objective To investigate the application effect of cognitive behavioral intervention in patients with chronic obstructive pulmonary disease(COPD). Methods A total of 200 COPD patients who were in outpatient or hospitalized at the Yuexiu District Hospital of Chinese Medicine Hospital in Guangzhou from January 2017 to June 2018 were selected as the study subjects. According to the random numer table method, they were divided into 100 cases in the research group and 100 cases in the control group. Both groups performed routine internal medicine treatment and psychological evaluation, and the research group recieved cognitive behavioral intervention. The psychological status, quality of life, lung function and blood gas were compared between the two groups. Results The heart rate and respiratory rate in the research were slower than those of the control group, and the volume of forced exhalation in the first second was higher than that of the control group, the differences were statistically significant(P<0.001). The blood oxygen saturation and arterial oxygen partial pressure in the research group were higher than those of the control group, and arterial carbon dioxide partial pressure in the research was lower than that of the control group, the differences were statistically significant(P <0.001);the generalized anxiety disorder scale(GAD) and Hamilton depression scale(HAMD)scores in the research group were lower than those in the control group, and the differences were statistically significant(P<0.05). The quality of life score in the research group was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion Cognitive behavioral intervention can improve the lung function and quality of life of COPD patients.