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作 者:刘国娟 魏秋蕊 范克新 LIU Guojuan;WEI Qiurui;FAN Kexin(Department of Respiratory and Critical Care Medicine,First Hospital of Qinhuangdao City,Qinhuangdao 066000,China)
机构地区:[1]秦皇岛市第一医院呼吸与危重症医学科,秦皇岛066000
出 处:《国际精神病学杂志》2025年第1期189-192,共4页Journal Of International Psychiatry
基 金:河北省医学科学研究课题计划(编号:20240804)。
摘 要:目的 研究认知行为干预联合家庭氧疗对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者认知功能和不良情绪的影响。方法 收集2023年6月~2024年3月来我院就诊的120例COPD患者的临床资料,进行回顾性分析。根据干预方式不同分为对照组(n=60,行常规药物治疗+家庭氧疗)和观察组(n=60,行常规药物治疗+家庭氧疗+认知行为干预)。比较两组干预效果、不良情绪、认知功能及生活质量水平。结果 干预后观察组用力肺活量、第1s用力呼气量及最大呼气峰流速值较对照组更高,汉密尔顿抑郁量表和汉密尔顿焦虑量表评分较对照组更低(P<0.05)。干预后观察组蒙特利尔认知评估量表评分较对照组更高,COPD评估测试评分较对照组更低(P<0.05)。结论 认知行为干预联合家庭氧疗用于COPD患者临床疗效明显,能显著改善患者肺功能指标,缓解患者抑郁、焦虑等不良情绪,改善患者认知功能,提高生活质量。Objective To study the effects of cognitive-behavioral therapy combined with home oxygen therapy on cognitive function and negative emotions in patients with chronic obstructive pulmonary disease(COPD).Methods The clinical dataes of 120 COPD patients who visited in our hospital from June 2023 to March 2024 were collected,and conduct a retrospective analysis.The patients were divided into control group(n=60,received conventional medication treatment+home oxygen therapy)and observation group(n=60,received conventional medication treatment+home oxygen therapy+cognitive-behavioral therapy),which accorded to different intervention methods.The intervention effects,negative emotions,cognitive function,and quality of life levels between two groups were compared.Results After intervention,the observation group had higher forced vital capacity,1st second forced expiratory volume,and maximum peak expiratory flow rate values,which compared with the control group,the hamilton depression scale and hamilton anxiety scale scores were lower than those in the control group(P<0.05).After intervention,the Montreal cognitive assessment scale score in the observation group was higher than that in the control group,and the COPD assessment test score was lower than that in the control group(P<0.05).Conclusion The cognitive-behavioral therapy combined with home oxygen therapy has significant clinical efficacy in COPD patients,which can significantly improve lung function indicators,alleviating negative emotions such as depression and anxiety,it can improve the cognitive function and quality of life.
关 键 词:认知行为干预 家庭氧疗 COPD 认知功能 不良情绪
分 类 号:R740.05[医药卫生—神经病学与精神病学]
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