心理干预对支气管哮喘病人情绪状态的影响  

Influence of psychological intervention on emotional state of asthma patients

作　　者：宋旭红[1] 卢莉[2] 李大雨[3] 姚明兰[1] 尚志荣[1] 张志梅[1] 

机构地区：[1]山西医科大学第二医院,030001 [2]山西医科大学,030001 [3]太原市人民医院,030001

出　　处：《护理研究（上旬版）》2005年第10期2008-2011,共4页Chinese Nursing Researsh

基　　金：2004年山西省科技厅软科学基金资助课题;编号041053-4。

摘　　要：[目的]探讨心理干预对支气管哮喘病人情绪状态的影响和在支气管哮喘病情控制中的作用。[方法]将60例成人支气管哮喘住院病人根据入院先后顺序随机分为两组,非干预组给予常规治疗,干预组在常规治疗的同时实施心理干预。干预措施为支气管哮喘知识教育、放松技术训练、呼吸技术训练、个别心理疏导。治疗前后测量两组心理指标和生理指标,并观察疗效。[结果]干预组与非干预组病人入院时一般情况和支气管哮喘疾病知识比较无统计学意义;入院时60例病人焦虑与抑郁的评分均高于国内常模(P<0.05);治疗后干预组和非干预组的心理、生理指标、疾病知识、住院天数等各项指标比较均具有统计学意义(P均<0.05)。[结论]情绪状态等心理社会因素对支气管哮喘的发病和转归作用较明显,在常规治疗的同时辅以心理干预,能够有效减轻抑郁、焦虑症状,缓解心理压力,稳定情绪,使支气管哮喘发作快速控制。Objective：To probe into both the influence on emotional state and illness condition control of psychological intervention of asthma patients. Method： A total of 60 hospitalized adult asthma patients were divided into test and control group randomly according to their admission sequence. Patients in test group were given psychological intervention based on routine therapy. While those in control group were given routine therapy only. And the content of the intervention are including education of asthma, relaxation training, breathing training and individual psychological leading. Psychological and physiological indexes of both group patients before and after therapy were measured and the results were analyzed. Results： There was no difference in terms of general condition of patients and their comprehension on knowledge about asthma at admission between the two groups. The scores of anxiety and depression of all 60 cases were higher than the common model at admission（P 〈 0.05）. Nevertheless, there were significant differences in terms of psychological and physiological indexes, understanding of the illness, and average hospitalization days between the two groups after the intervention（P 〈 0.05 ）. Conclusion： Emotional state as a psychosocial factor has an obvious effect on onset and turnover of asthma. Routine treatment combined with psychological intervention can relieve depression and anxiety symptoms of patients, lessen their psychological stress and stabilize their emotion effectively, by which the attack of asthma could be controlled quickly.

关 键 词：支气管哮喘 心理干预 情绪状态 影响 

分 类 号：R473.5[医药卫生—护理学]