重度稳定期慢性阻塞性肺疾病患者心理理论障碍的研究  

Research on theory of mind obstacles in patients with severe stable chronic obstructive pulmonary disease

作　　者：董琳 桂淑玉[1] 张欣欣[2] 杨万春[2] 汪凯[3] 汪渊[4] 王娟[5] 

机构地区：[1]安徽医科大学第一附属医院呼吸内科,合肥230022 [2]安徽医科大学附属合肥医院(合肥市第二人民医院)呼吸内科,合肥230032 [3]安徽医科大学第一附属医院神经内科,合肥230022 [4]安徽医科大学分子生物学实验室生物化学教研室,合肥230022 [5]安徽医科大学附属合肥医院(合肥市第二人民医院)神经内科,合肥230032

出　　处：《安徽医科大学学报》2017年第9期1384-1387,共4页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金(编号:81272399)

摘　　要：目的研究重度稳定期慢性阻塞性肺疾病(COPD)患者的心理理论(To M)障碍。方法选择40例重度稳定期COPD患者(COPD组)以及29例同期年龄、文化水平相匹配的健康体检者(对照组),进行简明精神状态量表、汉密顿焦虑量表、汉密顿抑郁量表、失言察觉和眼区基本情绪识别测试,COPD组同时予以动脉血气分析、肺功能检查,收集两组间一般资料、测试结果并对比分析。结果 COPD组与对照组在失言识别和心理状态判断正确性评分方面差异均有统计学意义(P<0.05)。COPD组与对照组在厌、恐、悲、惊、怒的眼区情绪测试正确性评分差异均有统计学意义(P<0.05);喜的评分差异无统计学意义。Pearson相关分析显示,动脉血Pa CO2和Pa O2、氧合指数(Pa O2/Fi O2)、气流受限严重程度分级与眼区基本情绪识别及失言察觉任务评分差异均无统计学意义。结论重度稳定期COPD患者存在To M障碍,主要表现在失言识别、心理状态判断以及眼区基本情绪(厌、恐、悲、惊、怒)正确性识别的障碍。Objective To investigate the presence of theory of mind （TOM） obstacle in patients with stable severe chronic obstructive pulmonary disease （ COPD ）. Methods A series of tests mimi-mental state examination, Hamilton anxiety scale, Hamilton rating scale for depression, Gaffes perceive and eye area basic emotion recogni- tion test bad been conducted on 40 cases of severe stable COPD patients （COPD group） and 29 cases of healthy check-up persons who were of the same age and educational level （ control group） , and a comparative analysis had been made on the collected experiment results. Results There was statistical differences （ P 〈 0.05 ） in the score of COPD group and control group in gaffes recognition and mental state judging. There is also statistical differences in eye area sentiment test （P 〈 0. 05 ） , and the score of COPD group and control group in disgust, fear, sadness, surprise, anger, while there was no statistically significant difference in joy. Pearson correlation analysis showed that there is no significant correlation between arterial blood PaCO2 and PaO2, oxygenation index （PaO2/FiO2 ）, Airflow limitation severity and eye area basic emotion recognition, as well as gaffes detection task scores. Conclu- sion ToM irritant exists in patients with severe stable COPD, which is mainly the correct recognition obstacles in gaffes recognition, mental state judging and eye area basic emotions （disgust, fear, sadness, surprise, anger）.

关 键 词：肺疾病 慢性阻塞性 心理学理论 认知障碍 

分 类 号：R563.9[医药卫生—呼吸系统]