西酞普兰辅助治疗对慢性阻塞性肺疾病患者负性情绪及生活质量的影响

The effect of citalopram adjuvant therapy on negative emotions and quality of life in patients with chronic obstructive pulmonary disease

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(4)
作者
作者单位

张家港市第三人民医院,呼吸与危重症医学科 ;

摘要
【摘要】目的:探讨慢性阻塞性肺疾病(以下简称“慢阻肺”)患者应用西酞普兰辅助治疗对其负面情绪及生活质量的改善效果。方法:于2020年1月-2022年12月采集病例资料入档,对象为医院收治的慢阻肺患者共计纳入120例,纳入对象基于“随机数字表法”规范化分组处理,划分为对照组纳入60例(实行常规药物治疗)与观察组纳入60例(常规药物治疗+西酞普兰);观察对比两组焦虑抑郁程度、睡眠质量和知觉压力水平、治疗依从性、生活质量。结果 干预后,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均降低,其中观察组更低(P<0.05);干预后,两组匹兹堡睡眠质量指数量表(PSQI)评分、知觉压力量表(CPSS)评分均下降,且观察组显著低(P<0.05);观察组治疗依从率为95.00%,较对照组的80.00%显著高(P<0.05);干预后,两组简易健康状况调查表(SF-36)评分均大幅度升高,其中观察组相对更高(P<0.05)。结论:在慢阻肺患者治疗中配合应用西酞普兰,可使患者焦虑抑郁程度得到显著改善,调动其治疗自信心,降低心理压力和强化依从性,全面提高生活质量。
Abstract
Abstract: Objective: To explore the improvement effect of citalopram adjuvant therapy on negative emotions and quality of life in patients with chronic obstructive pulmonary disease (COPD). Method: Case data were collected and filed from January 2020 to December 2022. A total of 120 patients with chronic obstructive pulmonary disease (COPD) admitted to the hospital were included. The included subjects were standardized and grouped based on the "random number table" method. They were divided into a control group with 60 patients receiving conventional drug treatment and an observation group with 60 patients receiving conventional drug treatment and citalopram; Observe and compare the levels of anxiety and depression, sleep quality, perceived stress levels, treatment compliance, and quality of life between the two groups. After the intervention, the SAS and SDS scores of both groups decreased, with the observation group having a lower score (P<0.05); After intervention, the PSQI and CPSS scores of both groups decreased, and the observation group was significantly lower (P<0.05); The treatment compliance rate in the observation group was 95.00%, significantly higher than the 80.00% in the control group (P<0.05); After intervention, the SF-36 scores of both groups significantly increased, with the observation group being relatively higher (P<0.05). Conclusion: The combination of citalopram in the treatment of patients with chronic obstructive pulmonary disease can significantly improve their anxiety and depression levels, mobilize their treatment confidence, reduce psychological pressure, strengthen compliance, and comprehensively improve their quality of life.
关键词
【关键词】西酞普兰;慢性阻塞性肺疾病;负性情绪;生活质量
KeyWord
Keywords: citalopram; Chronic obstructive pulmonary disease; Negative emotions; Quality of Life
基金项目
页码 844-847
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蒋瑜芳*. 西酞普兰辅助治疗对慢性阻塞性肺疾病患者负性情绪及生活质量的影响 [J]. 国际精神病学杂志. 2023; 50; (4). 844 - 847.

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