家庭氧疗对COPD患者心理情绪及生活质量的影响  

The effect of quality of life and mental status in elderly patients with chronic obstructive pulmonary disease treated by long-term domicilinary oxygen therapy

作　　者：芮铭安[1] 王曹锋[1] 陈谊[1] 杜勤[1] 

机构地区：[1]上海第二医科大学附属第九人民医院老年病科,上海市200011

出　　处：《实用老年医学》2005年第3期135-137,共3页Practical Geriatrics

摘　　要：目的观察长期家庭氧疗对老年慢性阻塞性肺病(COPD)患者生活质量和心理情绪的影响。方法65例老年COPD缓解期患者,随机分为氧疗组35例,对照组30例,其中氧疗组患者每日吸氧(14.7±4.6)h,氧流量1～2L/min,疗程为1年,1年后比较2组患者症状自评量表(SCL90)、睡眠状况自评量表(SRSS)、运动耐力时间及焦虑、抑郁自评量表(SAS、SDS)评分。结果①氧疗组治疗后SCL90、SRSS总分、SAS、SDS评分较治疗前显著下降;且治疗后各项评分明显低于对照组;氧疗组经治疗后患者的运动耐力时间显著长于治疗前及对照组(P<0.05)。②氧疗组治疗后SCL90中躯体化、抑郁、焦虑及恐惧因子评分较治疗前及对照组显著降低(P<0.05)。③氧疗组治疗后SRSS中睡眠质量、睡眠时间、恶梦惊醒及失眠后反应因子较治疗前及对照组显著降低(P<0.05)。结论长期家庭氧疗可显著改善老年COPD患者的情绪障碍、提高患者的生活质量。Objective To observe the effect of long-term domicilinary oxygen therapy (LTDOT) on quality of life and mental status in elderly patients with chronic obstructive pulmonary disease(COPD). Methods Sixty-five elderly COPD patients in stable period were divided into oxygen-therapy group(35 cases)and control group(30 cases) randomly.The patients in oxygen-therapy group were treated by LTDOT,oxygen flow of 1-2 L/min for average 14.7±4.6 hours per day for one year.The indexes of symptom checklist 90(SCL-90),self-rating scale of sleep(SRSS),self-anxiety scale (SAS),and self-depress scale(SDS) were compared between two groups. Results ①After treatment,the total indexes of SCL-90,SRSS,SAS,SDS in oxygen therapy group reduced significantly and were lower than those in control group.The patients' physical activity tolerance time in oxygen-therapy group was significantly longer than that before treatment and that in control group (P<0.05).②After treatment,the factor indexes of SCL-90 including somatization,depression,anxiety and panic symptoms in oxygen-therapy group were lower than those before treatment and those in control group (P<0.05).③After treatment,the factor indexes of SRSS including sleep quality,sleep time,nightmare,reaction symptoms after sleeplessness in oxygen-therapy group were lower than those before treatment and those in control group (P<0.05). Conclusions LTDOT could improve mental status and quality of life in elderly patients with COPD.

关 键 词：氧吸入疗法 肺疾病 慢性阻塞性 生活质量 情绪障碍 老年人 

分 类 号：R563[医药卫生—呼吸系统] R459.6[医药卫生—内科学]