认知行为干预在青年支气管哮喘患者中的应用效果分析  

Analysis of the application effect of cognitive behavioral inter-vention in young patients with bronchial asthma

作　　者：崔静[1] 李乾静[1] 刘银芳[1] Cui Jing;Li Qianjing;Liu Yinfang(Shangqiu First People’s Hospital,Shangqiu 476100,Henan,China)

机构地区：[1]商丘市第一人民医院,河南商丘476100

出　　处：《临床心身疾病杂志》2019年第5期87-90,共4页Journal of Clinical Psychosomatic Diseases

基　　金：河南省科技攻关计划项目(编号16A3302063).

摘　　要：目的探讨认知行为干预在青年支气管哮喘患者中的应用效果.方法将96例青年支气管哮喘患者依据住院时间分为常规组48例,干预组48例,两组均接受支气管哮喘常规治疗及护理,干预组在常规组基础上予以认知行为干预,观察2周.干预前后采用汉密顿焦虑量表评定焦虑状况,汉密顿抑郁量表评定抑郁状况,疾病不确定感量表评定患者的疾病不确定感,简易应对方式量表评定应对方式,统计两组患者护理满意度.结果干预后两组汉密顿焦虑量表、汉密顿抑郁量表、疾病不确定感量表、简易应对方式量表消极应对维度评分均较干预前显著下降(P<0.05或0.01),干预组评分均显著低于常规组(P<0.01);两组简易应对方式量表积极应对维度评分较干预前显著升高(P<0.01),干预组评分显著低于常规组(P<0.01);干预组护理满意度(91.7%)显著高于常规组(75.0%)(P<0.05).结论认知行为干预能显著改善青年支气管哮喘患者的焦虑、抑郁情绪及心理状态,提高积极应对能力及护理满意度,有利于促进患者的康复.Objective To analyze the application effect of cognitive behavioral intervention in young pa-tients with bronchial asthma. Methods 96 young patients with BA were divided into the routine group and the intervention group, 48 cavses in each group. Both groups received routine treatment and care for bron-chial asthma, and the intervention group received cognitive behavioral intervention on this basis. Patients were observed for 2 weeks. Before and after the intervention, HAMA was used to assess the anxiety sta-tus, HAMD was used to evaluate the depression status,MUIS-A was used to assess the patient's disease uncertainty,SCSQ was used to assess the coping style. The nursing satisfaction of the two groups was counted. Results After the intervention, the HAMA, HAMD, MUIS-A, and SCSQ negative coping di-mension scores of the two groups were significantly lower than those before the intervention (P<0. 05 or 0.01). The scores of the intervention group were significantly lower than the conventional group (P<0. 01). The SCSQ positive coping dimension scores of the two groups were significantly higher than those before the intervention (P<0.01). The scores of the intervention group were significantly lower than the conventional group (P<0.01). The nursing satisfaction of the intervention group (91.7%) was significantly higher than that of the conventional group (75.0%)(P<0.05). Conclusions Cognitive be-havioral intervention can significantly improve the anxiety, depression and psychological state of young people with bronchial asthma, improve their positive coping ability and satisfaction with nursing, and help to promote the recovery of patients.

关 键 词：支气管哮喘 认知行为干预 焦虑 抑郁 应对方式 心理状态 汉密顿焦虑量表 汉密顿抑郁量表 疾病不确定感量表 简易应对方式量表 

分 类 号：R562.25[医药卫生—呼吸系统]