团体怀旧治疗法辅助药物治疗用于老年慢阻肺合并抑郁患者对肺功能和负性情绪的影响

The effect of group nostalgia therapy and adjuvant drug therapy on lung function and negative emotions in elderly patients with chronic obstructive pulmonary disease and depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2025, 52(1)
作者
作者单位

海南省人民医院,全科医学科

摘要
【摘要】目的 研究团体怀旧疗法辅助药物治疗用于老年慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)合并抑郁患者的效果及对肺功能和负性情绪的影响。方法 收集2023年1月至2024年1月本院收治的84例老年COPD合并抑郁患者临床资料,并进行回顾性分析。根据干预方案不同将患者分为观察组(n=44,行团体怀旧治疗法联合药物治疗)和对照组(n=40,行药物治疗),比较两组患者干预前后肺功能水平、焦虑抑郁情绪及生活质量状态。结果 干预后两组患者用力肺活量、第1s用力呼气容积及6分钟步行距离(6-minute walk test,6MWT)较干预前均显著升高,且干预后观察组6MWT高于对照组(P<0.05)。干预后两组患者汉密尔顿抑郁量表和汉密尔顿焦虑评分较干预前均显著降低,且干预后观察组各项评分均低于对照组(P<0.05)。干预后观察组COPD生存质量评估测试评分显著低于对照组(P<0.05)。结论 团体怀旧疗法辅助帕罗西汀用于老年COPD合并抑郁患者效果显著,有助于保护患者肺功能,纠正不良情绪,改善患者生活质量。
Abstract
[Abstract] Objective To study the effect of group nostalgia therapy and adjunctive drug therapy for elderly patients with chronic obstructive pulmonary disease (COPD) complicated with depression, and its impact on lung function and negative emotions.Methods The clinical dataes of 84 elderly COPD patients with depression admitted in our hospital from January 2023 to January 2024 were collected, and conduct a retrospective analysis.According to different intervention plans,the patients were divided into observation group (n=44, treated with group nostalgia therapy combined with medication) and control group (n=40, treated with medication),the lung function levels, anxiety and depression and quality of life status of the two groups of patients before and after intervention were compared.Results After intervention, the forced vital capacity, forced expiratory volume in the first second and 6-minute walk test(6MWT) of the two groups were significantly increased,which compared to before intervention,and the observation group after intervention had higher 6MWT than the control group (P<0.05).After intervention, the Hamilton anxiety rating scale and Hamilton depression rating scale scores of the two groups of patients significantly decreased,which compared with before intervention, and after intervention, the scores of the observation group were lower than those of the control group (P<0.05).After intervention, the COPD assessment test score in the observation group was significantly lower than that in the control group (P<0.05).Conclusion The group nostalgia therapy assisted with paroxetine has significant effect on elderly COPD patients with depression,it helps to protect lung function, correct negative emotions, and improve patient quality of life.
关键词
【关键词】 团体怀旧疗法;慢性阻塞性肺疾病;抑郁;肺功能;负性情绪
KeyWord
[Keywords] Group nostalgia therapy; Chronic obstructive pulmonary disease; Depression; Lung function; Negative emotions
基金项目
页码 197-201
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王再生. 团体怀旧治疗法辅助药物治疗用于老年慢阻肺合并抑郁患者对肺功能和负性情绪的影响 [J]. 国际精神病学杂志. 2025; 52; (1). 197 - 201.

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