|
|
|
| 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.
|
|
|
|
|
|
| [4] |
俞烩，王晴，周建英.慢性阻塞性肺疾病合并肺动脉高压的相关临床特点[J].国际呼吸杂志，2018，38（7）：544-548.
|
| [5] |
曾桂华.整体护理对慢性阻塞性肺疾病合并呼吸衰竭患者无创呼吸机耐受率及不良反应的影响[J].医疗装备，2016，29（23）：176-177.
|
| [6] |
郑丽梅，李海林.抗抑郁治疗对慢性阻塞性肺疾病患者负性情绪和生活质量的影响[J].南京医科大学学报（自然科学版），2016，36（3）：623-625.
|
| [1] |
中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊疗指南[J].中华内科杂志，2002，41（9）：640-646.
|
| [3] |
石齐芳，盛鹰，王树云.慢性阻塞性肺疾病合并症评分系统的研究进展[J].中国全科医学，2018，21（4）：497-500.
|
| [7] |
Hill K，Geist R，Goldstein RS，et al.Anxiety and depressio n in end-stage COPD[J].Eur Respir J，2008，31（3）：667-677.
|
| [8] |
翁芳.综合护理干预对老年阻塞性肺气肿患者运动功能及心理状态的影响[J].慢性病学杂志，2017，18（12）：1414-1416.
|
| [9] |
黎东明，林志雄.慢性阻塞性肺疾病患者心理状况及影响因素分析[J].上海预防医学杂志，2005，17（1）：5-7.
|
| [10] |
徐月珂，申琳.综合护理干预在慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者中的应用分析[J].中国妇幼健康研究，2017，28（S1）：55-56.
|
| [11] |
Rige RA.Focusing on JCAHO national patient safefy goals[J].Nursing，2006，36（11）：14-15.
|
| [12] |
金晨慈，周健慈，颜孙舜，等.慢性阻塞性肺疾病伴焦虑抑郁患者的综合评估治疗[J].浙江中西医结合杂志，2016，26（8）：719-721.
|
| [13] |
石树青，杨国华，高峰，等.慢性阻塞性肺疾病并发焦虑抑郁的研究进展[J].现代中西医结合杂志，2016，25（23）：2619-2621.
|
| [2] |
Menezes AM，Perez-Padilla R，Jardim JR，et al.Chronic obstructive pulmonary disease in five Latin American cities（the PLATI-NO study）：a prevalence study[J].Lancet，2005，366（9500）：1875－1881.
|
| [14] |
王淑梅，陈馨.慢性阻塞性肺疾病患者心理状况分析及干预[J].长江大学学报（自科版），2013，10（15）：44-45，115-116.
|
| [15] |
陈再明，梁胜翔，刘学员，等.认知行为干预对慢性阻塞性肺疾病患者心理状态及生活质量的影响[J].华南国防医学杂志，2016，30（3）：163-166.
|
| [16] |
李永春，丛瑞华，邱碧秀，等.心理行为干预对慢性阻塞性肺疾病患者生命质量影响的研究[J].中国实用医药，2015，10（4）：223-224.
|
|
|
|
