全程多学科合作管理模式对老年哮喘急性期患者心理状态、肺功能及生活质量的影响  

Effect of whole-course multidisciplinary cooperative management on mental state,pulmonary function and quality of life of elderly patients with asthma in acute stage

作　　者：乔瑞云[1] 张自宇 郭俊丽[1] QIAO Ruiyun;ZHANG Ziyu;GUO Junli(Department of Internal Medicine,Sanmenxia Central Hospital,Sanmenxia 472000,China)

机构地区：[1]河南省三门峡市中心医院内科,472000

出　　处：《中国健康心理学杂志》2021年第6期830-835,共6页China Journal of Health Psychology

基　　金：河南省重大科技专项项目(编号:161100312500)。

摘　　要：目的:探讨多学科协作管理模式对老年哮喘急性期患者心理状态、肺功能及生活质量的影响。方法:选取2018年4月至2020年4月在某院接受治疗的老年哮喘患者90例。依据干预方法的不同将入选患者分为观察组和对照组,每组45例。对照组采用常规干预模式,观察组采用多学科协作干预模式。分别于干预前后采用焦虑自评量表(self-report anxiety scale,SAS)和抑郁自评量表(self-report depression scale,SDS)对患者焦虑抑郁状况评分;采用肺功能仪测量肺功能指标,包括1秒用力呼气容积占预计值百分比(forced expiratory volume in one second expressed as percent predicted,FEV1%)以及FEV1/用力肺活量(forced vital capacity,FVC);采用哮喘生命质量调查问卷(asthma quality of life questionnaire,AQLQ)对患者生活质量评分。结果:干预2个月后,对照组SAS与SDS评分与干预前比较均显著下降(t=19.464,16.639;P<0.01),观察组SAS与SDS评分与干预前比较均显著下降(t=23.776,21.840;P<0.01),且观察组SAS与SDS评分均显著低于对照组(t=-5.651,-6.139,-6.099;P<0.01)。干预2个月后,对照组FEV1%与FEV1/FVC与干预前比较均显著增高(t=-6.519,-7.287;P<0.05),观察组FEV1%与FEV1/FVC与干预前比较均显著增高(t=-10.361,-10.575;P<0.01),且观察组FEV1%与FEV1/FVC均显著高于对照组(t=3.408,3.730;P<0.01)。干预2个月后,对照组AQLQ各维度评分及总分与干预前比较均显著增高(t=8.095,6.819,8.243,8.641,13.062;P<0.05),观察组AQLQ各维度评分及总分与干预前比较均显著增高(t=8.095,6.819,8.243,8.478,16.662;P<0.01),且观察组AQLQ各维度评分及总分均显著高于对照组(t=3.269,4.828,2.592,3.292,5.197;P<0.05)。结论:多学科协作模式可以有效降低老年哮喘急性期患者焦虑、抑郁负面情绪,改善肺功能,提高生活质量。Objective:To explore the effect of multidisciplinary collaborative management on mental state, pulmonary function and quality of life in elderly patients with acute asthma.Methods:A total of 90 elderly patients with asthma who were treated in our hospital from April 2018 to April 2020 were selected.According to the different intervention methods, the selected patients were divided into observation group(n=45)and control group(n=45).The routine intervention mode was adopted in the control group and the multidisciplinary cooperative intervention mode was used in the observation group.The anxiety and depression were evaluated before and after intervention by self-report anxiety scale(SAS)and self-report depression scale(SDS),and pulmonary function indexes were measured by pulmonary function instrument, including forced expiratory volume in one second expressed as percent predicted(FEV1%)and FEV1/forced vital capacity(FVC).The quality of life of the patients was evaluated by asthma quality of life questionnaire(AQLQ).Results:After 2 months of intervention, the scores of SAS and SDS in the control group were significantly lower than those before intervention(t=19.464,16.639;P<0.01),and the scores of SAS and SDS in the observation group were significantly lower than those before intervention(t=23.776,21.840;P<0.01).The scores of SAS and SDS in the observation group were significantly lower than those in the control group(t=-5.651,-6.139;P<0.01).2 months after intervention,FEV1%and FEV1/FVC in the control group were significantly higher than those before intervention(t=-6.519,-7.287;P<0.05),FEV1% and FEV1/FVC in the observation group were significantly higher than those before intervention(t=-10.361,-10.575;P<0.01),and FEV1% and FEV1/FVC in the observation group were significantly higher than those in the control group(t=3.408,3.730;P<0.01).After 2 months of intervention,the scores of AQLQ in the control group were significantly higher than those before intervention(t=8.095,6.819,8.243,8.641,13.062;P<0.05),while those i

关 键 词：多学科协作 老年哮喘 急性期 心理状态 肺功能 生活质量 

分 类 号：R749.92[医药卫生—神经病学与精神病学]