摘要
目的:观察正念放松训练联合心理疏导对慢性阻塞性肺疾病(COPD)患者心理状态、肺功能及生活质量的影响。方法:将110例COPD患者按入院序号分为两组(单号对照组,双号观察组),各55例。其中对照组给予呼吸功能训练、健康教育及饮食指导等常规干预,观察组在此基础上给予正念放松训练联合心理疏导,于干预前后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估患者的心理状态,采用慢性病自我管理行为量表评估患者的自我管理行为,使用肺功能检测仪测量患者肺功能[1s用力呼气容积占预计值额百分比(FEV1%)、1s用力呼气容积(FEV1)/用力肺活量(FVC)、最大呼气峰流速(PEF)],采用圣乔治呼吸问卷(SGRQ)评估患者的生活质量。结果:干预后,观察组SAS评分(t=2.043,P<0.05)及SDS评分(t=5.237,P<0.05)显著低于对照组;自我管理行为量表中运动锻炼评分(t=2.847,P<0.05)、认知性症状管理实践评分(t=4.031,P<0.05)、与医生沟通评分(t=6.971,P<0.05)、总评分(t=6.422,P<0.05)均高于对照组。干预后,两组FEV1%(t=4.750,P<0.05)、FEV1/FVC(t=3.071,P<0.05)、PEF(t=3.535,P<0.05)比较,观察组均高于对照组。干预后,观察组SGRQ中呼吸症状评分(t=4.573,P<0.05)、疾病影响(t=3.290,P<0.05)评分及总评分(t=2.985,P<0.05)低于对照组,活动能力评分(t=1.987,P<0.05)高于对照组。结论:正念放松训练联合心理疏导能减轻COPD患者焦虑抑郁情绪,提高患者自我管理行为,促进肺功能及生活质量的改善。
Objective:To observe the effect of mindfulness relaxation training combined with psychological counseling on mental state,pulmonary function and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:One hundred and ten patients with COPD were divided into two groups according to the serial number of admission(odd number:Control group;double number:Observation group)with 55 cases in each group.The control group was given routine intervention such as respiratory function training,health education and dietary guidance,and the observation group was given mindfulness relaxation training combined with psychological counseling.Before and after the intervention,patients'psychological status was evaluated with self-rating anxiety scale(SAS)and self-rating depression scale(SDS).Chronic disease self-management behavior scale was used to evaluate patients'self-management behavior.Pulmonary functions[percentage of forced expiratory volume in 1 second to predicted value(FEV1%),forced expiratory volume in 1 second(FEV1)/forced vital capacity(FVC),peak expiratory flow rate(PEF)]were measured by pulmonary function tester.St.George's Respiratory questionnaire(SGRQ)was used to evaluate the quality of life of the patients.Results:After intervention,the scores of SAS and SDS in the observation group were significantly lower than those in the control group(t=2.043,5.237;P<0.05).The scores of exercise,cognitive symptom management practice,communication with doctors and total score of self-management behavior scale were higher than those of the control group(t=2.847,4.031,6.971,6.422;P<0.05).After intervention,FEV1%(t=4.750,P<0.05),FEV1/FVC(t=3.071,P<0.05)and PEF(t=3.535,P<0.05)in the observation group were higher than those in the control group.After intervention,the scores of respiratory symptoms(t=4.573,P<0.05),disease effects(t=3.290,P<0.05)and total score(t=2.985,P<0.05)of SGRQ in the observation group were lower than those in the control group,while the score of motor ability(t=1.987,P<0.05)in the ob
作者
王宇锬
党璋
于先吉
WANG Yutan;DANG Zhang;YU Xianji(Department of Emergency,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China;Department of Anesthesiology,Beijing Shijitan Hospital,Capital Medical University)
出处
《中国健康心理学杂志》
北大核心
2023年第3期377-382,共6页
China Journal of Health Psychology
关键词
正念减压疗法
心理疏导
慢性阻塞性肺疾病
心理状态
肺功能
生活质量
Mindfulness decompression therapy
Psychological counseling
Chronic obstructive pulmonary disease
Mental state
Pulmonary function
Quality of life
