心肺康复训练结合心理干预对截瘫患者心肺功能和焦虑情绪的影响

cardiopulmonary function and anxiety of cardiopulmonary rehabilitation training combined psychological intervention on patients with paraplegia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(1)
作者
作者单位

第四军医大学唐都医院康复医学科 ;

摘要
( 第四军医大学唐都医院康复医学科,陕西 西安710038 )【摘要】目的:探讨心肺康复训练结合心理干预对截瘫患者心肺功能和焦虑情绪的影响。方法:回顾性分析2013年9月至2015年12月期间我院确诊治疗的截瘫患者200例,依据干预方法分为心理组和常规组,每组100例,常规组患者给予常规干预和心肺康复训练,心理组患者在此基础上给予心理干预,采用焦虑自评量表(SAS)评估焦虑情绪,随访3个月,统计分析所有患者心肺功能呼气流量峰值(PEF)、第一秒用力呼气容积(FEV1)、左心室射血分数(LVEF)]、遵医行为、干预前、干预后1、2、3个月的焦虑情况。结果:心理组患者PEF、FEV1和LVEF水平明显高于常规组,有显著性差异(P<0.05);心理组患者遵医行为依从率明显高于常规组,有显著性差异(P<0.05);心理组患者干预后1、2、3个月的SAS得分明显低于常规组,有显著性差异(P<0.05)。结论:心肺康复训练结合心理干预可有效改善截瘫患者心肺功能,提高患者的遵医行为依从性,减少患者焦虑情绪的产生,值得临床作进一步推广。
Abstract
【 Abstract】objective:To discuss the the cardiopulmonary function and anxiety of cardiopulmonary rehabilitation training combined psychological intervention on patients with paraplegia.Methods:200 patients with paraplegia were retrospectively analyzed from September 2012 to December 2015 in our Hospitals. According to the intervention, all patients were divided into psychological group and routine group, 100 cases in each group, conventional group patients given regular intervention and cardiopulmonary rehabilitation training,on the base,psychological group of patients given psychological intervention, the self-evaluation of anxiety scale (SAS) was used to assess anxiety,followed up for 3 months,analyzed all patients cardiopulmonary function[peak expiratory flow(PEF), forced expiratory volume in first second (FEV1), left ventricular ejection fraction (LVEF)],the medical behavior, intervention before and after the intervention of anxiety in the 1, 2, 3 months.Results:Psychological group PEF,FEV1 and LVEF level were significantly higher than normal group,there were significant differences (P < 0.05);Psychological group medical behavior compliance rate was obviously higher than that of normal group, there were significant differences (P < 0.05); Psychological group after 1, 2, 3 months of SAS scores were significantly lower than normal group, with significant difference (P < 0.05).Conclusions:Cardiopulmonary rehabilitation training combined with psychological intervention can effectively improve heart and lung function in patients with paraplegia,it can improve patients compliance according to the medical behavior,it can reduce the patients anxiety,it’s worth for further clinical promotion.
关键词
【关键词】:心肺康复训练;心理干预;截瘫;心肺功能;焦虑情绪
KeyWord
【Keywords】:cardiopulmonary rehabilitation;psychological intervention;paraplegia;cardiopulmonary function;anxiety
基金项目
页码 185-188
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杨敏*,刘朝辉,郭克锋,朱银星,雷娟娟. 心肺康复训练结合心理干预对截瘫患者心肺功能和焦虑情绪的影响 [J]. 国际精神病学杂志. 2017; 44; (1). 185 - 188.

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