阶梯式呼吸支持联合心理疗法对重症肺炎患者的效果  

Effect of stepped respiratory support combined with psychotherapy in patients with severe pneumonia

作　　者：林魏魏 赵晓培 张琰 LIN Weiwei;ZHAO Xiaopei;ZHANG Yan(Henan General Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省职工医院,郑州450000 [2]河南中医药大学第一附属医院医院

出　　处：《国际精神病学杂志》2022年第3期537-540,共4页Journal Of International Psychiatry

基　　金：河南省医学科技攻关计划项目(编号:201802432)。

摘　　要：目的分析重症肺炎患者接受阶梯式呼吸支持联合心理治疗的疗效及对患者心理状态,睡眠质量及生活质量的影响。方法将2020年1月~2021年1月接诊且行阶梯式呼吸支持治疗的36例重症肺炎患者作为对照组,将同期接诊且行阶梯式呼吸支持+精神心理疗法治疗的36例重症肺炎患者作为观察组,对组间血气分析指标,心理状态评分,Connor-Davidson心理弹性量表(CDRISC),匹兹堡睡眠质量指数(PSQI),健康调查简表(SF-36),临床治疗参数,临床疗效展开分析。结果(1)组间血气分析指标,心理状态评分,CD-RISC,PSQI,SF-36评分在治疗前无明显差异,P>0.05;观察组血气分析指标,心理状态评分,CD-RISC,PSQI,SF-36评分在治疗后优于对照组,P<0.05;(2)观察组撤离呼吸机时间(5.38±1.05)d,入住重症监护室(ICU)时间(7.26±0.95)d,住院时间(12.55±1.53)d均少于对照组(7.90±1.22)d,(11.35±1.30)d,(16.62±1.75)d,P<0.05;(3)观察组2例无效(5.56%),对照组10例无效(27.78%),P<0.05。结论对重症肺炎患者进行阶梯式呼吸支持+精神心理疗法,可以增强疗效,纠正呼吸衰竭,缩短康复进程,减轻负性情绪,提升心理弹性,克服睡眠障碍,提高生活质量,值得推广。Objective To analyze the efficacy of stepped respiratory support combined with psychotherapy in patients with severe pneumonia and its impact on their mental state,sleep quality and quality of life.Methods 36 patients with severe pneumonia treated with stepped respiratory support from January 2020 to January 2021 were taken as the control group,and 36 patients with severe pneumonia treated with stepped respiratory support+psychotherapy at the same time were taken as the observation group.The blood gas analysis index,psychological state score,Connor Davidson psychological elasticity scale(cd-risc)and Pittsburgh sleep quality index(PSQI),health survey summary(SF-36),clinical treatment parameters and clinical efficacy were analyzed.Results(1)There was no significant difference in blood gas analysis index,mental state score,cd-risc,PSQI and SF-36 scores between the groups before treatment,P>0.05.The indexes of blood gas analysis,psychological state score,cd-risc,PSQI and SF-36 in the observation group were better than those in the control group after treatment(P<0.05).(2)The ventilator withdrawal time(5.38±1.05)d,ICU admission time(7.26±0.95)D and hospital stay(12.55±1.53)d in the observation group were less than those in the control group(7.90±1.22)d,(11.35±1.30)d and(16.62±1.75)d,P<0.05.(3)Two cases in the observation group were ineffective(5.56%)and 10 cases in the control group were ineffective(27.78%),P<0.05.Conclusion Ladder respiratory support combined with psychotherapy for patients with severe pneumonia can enhance the curative effect,correct respiratory failure,shorten the rehabilitation process,reduce negative emotions,improve psychological elasticity,overcome sleep disorders and improve the quality of life,which is worthy of promotion.

关 键 词：阶梯式呼吸支持 精神心理疗法 重症肺炎 心理状态 睡眠质量 生活质量 

分 类 号：R749.05[医药卫生—神经病学与精神病学]