心理干预对治疗支气管哮喘的影响  

Effects of Psychological Interventions on Treatment of Bronchial Asthma

作　　者：朱以芳[1] 刘悦[1] 赵芳[1] 王艳[1] 贺江妮[1] 赵娟[1] 李小飞[1] 

机构地区：[1]第四军医大学唐都医院胸外科,陕西省西安市710038

出　　处：《中华全科医学》2011年第4期592-593,共2页Chinese Journal of General Practice

摘　　要：目的探寻支气管哮喘的心理社会因素,探索有效治疗支气管哮喘的心理干预方法。方法本研究将129例支气管哮喘患者随机分为干预组和对照组,均给予药物治疗,干预组同时接受心理干预,采用症状自评量表和社会支持量表评估心理干预前后两组患者的治疗效果。结果心理干预前,支气管哮喘患者的症状自评量表各因子分值高于常模,社会支持量表分值显著低于常模;心理干预后,患者症状自评量表的躯体化、强迫状态、人际关系、抑郁、焦虑、恐怖、偏执的因子分值显著降低(P<0.05),而社会支持量表分值显著高于治疗前(P<0.05)。结论在药物治疗的基础上,心理干预能明显改善支气管哮喘患者的心理指标,促进支气管哮喘的康复和治疗。Objective To explore the psychosocial factor and effective psychological interventions of bronchial asthma. Methods One hundred and twenty nine cases of asthma patients were randomly divided into intervention group and control group. Both groups were given routine therapy, while the intervention group was given psychological intervention, Symptom Check List-90 （SCL-90） and Social Supporting Rating Scale （SSRS） were used to assess the effects of treatment. Results Before psychological interventions, factor value of SCL-90 were higher than the norm, as the value of SSRS were significantly lower than the norm ; after psychological interventions, the values of Somatization, Obsessive Compulsive, Interpersonal sensitivity, Depression, Anxiety, Phobic anxiety, Paranoid ideation of were significantly reduced （ P 〈 0.05 ） ; while the value of SSRS were significantly higher than that of the control group （ P 〈 0.05 ）. Conclusion On the basis of routine therapy, psychological interventions can ef- fectively improve emotional status of asthmatic patients, and promote the recovery of bronchial asthma.

关 键 词：支气管哮喘 症状自评量表 社会支持量表 心理干预 

分 类 号：R562.25[医药卫生—呼吸系统]