治疗性沟通对慢性阻塞性肺疾病患者肺功能及负性情绪的影响  

Effect of therapeutic communication on lung function and negative emotion in patients with COPD

作　　者：代晓萌 冯志军[2] DAI Xiaomeng;FENG Zhijun(The Second People's Hospital of Pingdingshan City,Pingdingshan 467000,China)

机构地区：[1]平顶山市第二人民医院,平顶山467000 [2]河南大学第一附属医院

出　　处：《国际精神病学杂志》2023年第2期353-355,359,共4页Journal Of International Psychiatry

基　　金：2018年度河南省医学科技攻关计划项目(编号:2018010018)。

摘　　要：目的 探讨治疗性沟通对慢性阻塞性肺疾病(COPD)患者肺功能及负性情绪的影响。方法 本研究对象为我院2019年4月~2020年10月我院84例COPD患者,随机分为两组,对照组给予常规护理,观察组在对照组基础上采用治疗性沟通进行心理干预。比较干预前后1秒用力呼气量(FEV1)、FEV1占用力肺活量(FVC)比值(FEV1/FVC)以及恐惧视觉模拟量表(FVAS)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)等负性情绪。结果 干预后两组FEV1、FEV1/FVC较干预前均显著增加,且干预后观察组显著高于对照组(P<0.05);干预后两组患者FVAS评分、HAMA评分、HAMD评分较干预前均显著降低,且干预后观察组三项评分均显著低于对照组(P<0.05)。结论 COPD患者采用治疗性沟通进行心理护理能有效降低恐惧、焦虑、抑郁等负性情绪,并有助于肺功能的改善。Objective e To explore the effect of therapeutic communication on lung function and negative emotions in chronic obstructive pulmonary disease(COPD).Methods Eighty-four patients with COPD in our hospital from April 2019 to October 2020 were selected as the study subjects,and they were randomly divided into two groups.The control group was given routine care,and the observation group was treated with therapeutic communication on the basis of the control group for psychological intervention.The forced expiratory volume(FEV1)in 1 second before and after the intervention,the ratio of FEV1 occupancy vital capacity(FVC)(FEV1/FVC)and the Fear Visual Analog Scale(FVAS),Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)And other negative emotions were compared between two groups.Results After the intervention,the FEV1 and FEV1/FVC of the two groups increased significantly compared with that before the intervention,and the observation group after the intervention was significantly higher than the control group(P<0.05).After the intervention,the FVAS score,HAMA score,and HAMD score of the two groups of patients were significantly lower than those before the intervention,and the three scores of the observation group after the intervention were significantly lower than those of the control group(P<0.05).Conclusion The therapeutic communication can effectively reduce negative emotions such as fear,anxiety,depression,etc.In patients with COPD,improve their lung function.

关 键 词：治疗性沟通 呼吸功能锻炼 慢性阻塞性肺疾病 肺功能 负性情绪 

分 类 号：R749.99[医药卫生—神经病学与精神病学]