心肺康复训练结合心理干预改善截瘫患者心肺功能和焦虑情绪的效果分析  

The effect of cardiopulmonary rehabilitation training combined with psychological intervention on cardiopulmonary function and anxiety of patients with paraplegia

作　　者：杨敏[1] 刘朝辉[1] 郭克锋[1] 朱银星[1] 雷娟娟[1] 

机构地区：[1]第四军医大学唐都医院康复医学科,西安710038

出　　处：《国际精神病学杂志》2017年第1期185-188,共4页Journal Of International Psychiatry

摘　　要：目的探讨心肺康复训练结合心理干预对截瘫患者心肺功能和焦虑情绪的影响。方法选取2013年9月至2015年12月期间我院确诊治疗的截瘫患者200例,随机分为心理干预组和对照组,每组100例,对照组患者给予常规治疗和心肺康复训练,心理干预组患者在此基础上给予心理干预。干预前后统计分析所有患者呼气流量峰值(PEF)、第一秒用力呼气容积(FEV1)及左心室射血分数(LVEF)等心肺功能指标,并比较两组遵医行为。干预前后采用焦虑自评量表(SAS)评估两组患者的焦虑情绪。结果干预后心理干预组患者PEF、FEV1和LVEF水平显著高于对照组(P<0.05);心理干预组患者依从率显著高于对照组(P<0.05);心理干预组患者干预后1、2、3个月的SAS得分明显低于对照组(P<0.05)。结论心肺康复训练结合心理干预可有效改善截瘫患者心肺功能,提高患者的依从性,减少患者焦虑情绪的产生,值得临床作进一步推广。Objective To investigate the effect of cardiopulmonary rehabilitation training combined with psy- chological intervention on cardiopulmonary function and anxiety of patients with paraplegia. Methods Two hundreds patients with paraplegia admitted to our hospital from September 2012 to December 2015 were selected and divided into psychological intervention group and control group randomly, 100 cases in each group. Patients in control group re- ceived regular intervention and cardiopulmonary rehabilitation training, besides which patients in intervention group were given psychological intervention. Peak expiratory flow （ PEF ）, forced expiratory volume in first second （ FEV1 ） and left ventricular ejection fraction （LVEF） of all patients were assessed and analyzed before and after intervention. Patient compliance was compared between two groups. The self-evaluation of anxiety scale （ SAS ） was used to assess anxiety of all the patients before and after intervention. Results PEF, FEV1 and LVEF levels in psychological intervention group were significantly higher than those in control group （P〈 0.05 ）; Medical behavior compliance rate in psychologi- cal intervention group was significantly higher than that of control group （P 〈 0.05 ）; SAS scores in intervention group af- ter 1, 2, 3 months of the psychological intervention group were significantly lower than those in control group （P 〈 0.05 ） . Conclusions Cardiopulmonary rehabilitation training combined with psychological intervention can effectively improve cardiopulmonary function in patients with paraplegia, and improve patients compliance while relieve the anxiety of pa- tients. It＇ s worthy of further clinical promotion.

关 键 词：心肺康复训练 心理干预 截瘫 心肺功能 焦虑情绪 

分 类 号：R749.4[医药卫生—神经病学与精神病学]