构建并评估基于罗森塔尔效应的慢性阻塞性肺疾病患者心理控制源干预方法  

Construction of a psychological control source intervention in COPD patients based on the Rosenthal effect and its evaluation

作　　者：董小芬 李寒娟 张海燕 阎侠 DONG Xiaofen;LI Hanjuan;ZHANG Haiyan(Department of Respiratory Medicine,Jiangsu Province(Suqian)Hospital,Jiangsu,Suqian 223800,China)

机构地区：[1]江苏省人民医院宿迁医院呼吸内科,223800 [2]江苏省人民医院宿迁医院介入导管室,223800

出　　处：《河北医药》2025年第3期432-435,共4页Hebei Medical Journal

摘　　要：目的构建并评估基于罗森塔尔效应的慢性阻塞性肺疾病(COPD)患者心理控制源干预方法。方法回顾性分析江苏省人民医院宿迁医院2023年7月至2024年1月收治的57例接受基于罗森塔尔效应的干预的COPD患者资料,纳入观察组,同期63例采用常规干预的COPD患者,纳入对照组。观察组和对照组通过匹配性别、年龄、病程基线特征,按照1∶1的比例进行倾向评分匹配法匹配,完成匹配后,2组各纳入40例。同时观察COPD患者心理健康状况、生活质量、应对能力和自我效能感、满意度情况。结果观察组焦虑、抑郁及IHLC评分均低于对照组,PHLC评分及CHLC评分高于对照组(P<0.05)。观察组生活质量评分高于对照组(P<0.05)。观察组应对能力评分、自我效能评分高于对照组(P<0.05)。观察组总体满意度评分高于对照组(P<0.05)。结论基于罗森塔尔效应的心理控制源干预方法能够改善COPD患者心理状态,提升其生活质量,值得临床推广。Objective This study was designed to construct a psychological control source intervention in patients with chronic obstructive pulmonary disease(COPD)based on the Rosenthal effect and validate it.Methods The data of 57 COPD patients who received Rosenthal-based intervention from July 2023 to January 2024 in Jiangsu Province(Suqian)Hospital were retrospectively included in the observation group and analyzed.During the same period,63 COPD patients who received routine intervention were included in the control group.The observation group and the control group were matched using propensity score matching method in a 1∶1 ratio by matching gender,age,and baseline characteristics during the course.After completing the matching,40 cases were included in each group.The mental health status,quality of life,coping ability,self-efficacy and satisfaction of COPD patients were observed.Results The scores of anxiety,depression and the Internal Health Locus of Control(IHLC)in the observation group were significantly lower than those of the control group,while the Powerful Others Health Locus of Control(PHLC)and the Chance Health Locus of Control(CHLC)scores were significantly higher than those of the control group(P<0.05).The score of quality of life of the observation group was significantly higher than that of control group(P<0.05).The scores of coping ability and self-efficacy in the observation group were significantly higher than those in the control group(P<0.05).The overall satisfaction score of the observation group was significantly higher than that of the control group(P<0.05).Conclusion Psychological control source intervention based on Rosenthal effect can improve the psychological state and quality of life of COPD patients,and it is worthy of clinical promotion.

关 键 词：罗森塔尔效应 慢性阻塞性肺疾病 心理控制源 干预方法 评估 

分 类 号：R563[医药卫生—呼吸系统]