Application effect of cognitive behavior intervention in patients with chronic obstructive pulmonary disease
LIN Zhuang-Guo1 CHEN Yong-Kang1 XU Pei-Na2 YAO Gui-Yi3 KUANG Jin-Bo3
1.The Fourth Male District, Guangzhou Civil Affairs Bureau Psychiatric Hospital, Guangdong Province, Guangzhou 510430, China；
2.Department of Rehabilitation, Guangzhou Civil Affairs Bureau Psychiatric Hospital, Guangdong Province, Guangzhou 510430, China；
3.Department of Chinese and Western Medicine, Yuexiu District Hospital of Traditional Chinese Medicine in Guangzhou, Guangdong Province, Guangzhou 510000, China
Abstract：Objective To investigate the application effect of cognitive behavioral intervention in patients with chronic obstructive pulmonary disease (COPD).Methods A total of 200 COPD patients who were in outpatient or hospitalized at the Yuexiu District Hospital of Chinese Medicine Hospital in Guangzhou from January 2017 to June 2018 were selected as the study subjects.According to the random numer table method, they were divided into 100 cases in the research group and 100 cases in the control group.Both groups performed routine internal medicine treatment and psychological evaluation, and the research group recieved cognitive behavioral intervention.The psychological status, quality of life, lung function and blood gas were compared between the two groups.Results The heart rate and respiratory rate in the research were slower than those of the control group, and the volume of forced exhalation in the first second was higher than that of the control group, the differences were statistically significant (P＜0.001).The blood oxygen saturation and arterial oxygen partial pressure in the research group were higher than those of the control group, and arterial carbon dioxide partial pressure in the research was lower than that of the control group, the differences were statistically significant (P＜0.001)；the generalized anxiety disorder scale (GAD) and Hamilton depression scale (HAMD)scores in the research group were lower than those in the control group, and the differences were statistically significant(P＜0.05).The quality of life score in the research group was higher than that of the control group, and the difference was statistically significant (P＜0.05).Conclusion Cognitive behavioral intervention can improve the lung function and quality of life of COPD patients.
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