强化心理应激干预对重症肺炎伴呼吸衰竭患者血气指标及心理状况的影响  

Effect of intensive psychological stress intervention on blood gas index and psychological status of patients with severe pneumonia and respiratory failure

作　　者：崔嬿嬿 孔羽 韩月玲[1] CUI Yanyan;KONG Yu;HAN Yueling(Department of Critical Care Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院重症医学科

出　　处：《中国健康心理学杂志》2021年第12期1799-1804,共6页China Journal of Health Psychology

基　　金：2020年河南省科技厅科研项目(编号:202102310378)。

摘　　要：目的:研究强化心理应激干预对重症肺炎伴呼吸衰竭患者血气指标及心理状况的影响。方法:选取2019年1月至2020年10月在某院就诊的重症肺炎伴呼吸衰竭患者92例,将2019年1至11月就诊患者选取46例作为对照组,2019年12月至2020年10月就诊患者选取46例作为观察组。对照组采用常规管护干预,观察组在对照组基础上采用强化心理应激干预,均干预4周。采用抑郁自评量表(SDS)、焦虑自评量表(SAS)、简易应对量表、生活质量量表(SF-36)、比较两组患者干预前后心理状态、应对方式选择;比较两组干预前后血气指标及肺功能改善情况。结果:干预后,观察组患者在SDS、SAS得分上显著低于对照组(t=9.463,4.700;P<0.05);在简易应对量表积极应对维度得分上显著高于对照组,在消极应对维度得分上显著低于对照组(t=2.633,6.300;P<0.05);动脉血二氧化碳分压(PaCO_(2))明显低于对照组、氧分压(PaO_(2))明显高于对照组(t=3.181,4.720;P<0.05);第1秒呼气容积(FEV1)和用力肺活量(FVC)均显著高于对照组(t=13.066,10.890;P<0.05)。结论:对重症肺炎伴呼吸衰竭患者采取强化心理应激干预可调节患者负面情绪,促进患者在后续治疗过程中保持积极乐观,可有效改善血气指标和肺功能。Objective:To study the effect of intensive psychological stress intervention on blood gas index and psychological status of patients with severe pneumonia and respiratory failure.Methods:A total of 92 patients with severe pneumonia and respiratory failure were selected from January 2019 to October 2020,46 patients from January 2019 to November 2019 were selected as control group, and 46 patients from December 2019 to October 2020 were selected as observation group.The control group was treated with routine management and protection intervention, while the observation group was treated with intensive psychological stress intervention on the basis of the control group for 4 weeks.Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS),Simple Coping Scale and Quality of Life Scale(SF-36)were used to compare the psychological state and coping style of the two groups before and after intervention.The improvement of blood gas index and lung function before and after intervention was compared between the two groups.Results:After intervention, the scores of SDS and SAS in the observation group were significantly lower than those in the control group(t=9.463,4.700;P<0.05).The scores of positive coping dimension of simple coping scale were significantly higher than those of control group, and the scores of negative coping dimension were significantly lower than those of control group(t=2.633,6.300;P<0.05).The arterial partial pressure of carbon dioxide(PaCO_(2))was significantly lower than that of the control group, and the partial pressure of oxygen(PaO_(2))was significantly higher than that of the control group(t=3.181,4.720;P<0.05);The first second expiratory volume(FEV1)and forced vital capacity(FVC)were significantly higher than those of the control group(t=13.066,10.890;P<0.05).Conclusion:Intensive psychological stress intervention for patients with severe pneumonia and respiratory failure can adjust their negative emotions, promote patients to keep positive and optimistic in the follow-up treatment, and eff

关 键 词：强化心理应激干预 重症肺炎伴呼吸衰竭 血气指标 心理 应对方式 

分 类 号：R749.92[医药卫生—神经病学与精神病学]