您的位置:山东大学 -> 科技期刊社 -> 《山东大学学报(医学版)》

山东大学学报(医学版) ›› 2008, Vol. 46 ›› Issue (12): 1181-.

• 论文 • 上一篇    下一篇

心理干预对支气管哮喘患者应激反应水平的影响

李婷 石寿森 宋静 杨文兰 朱希民 江虹 潘芳   

  1. 1. 山东大学医学院医学心理学研究所, 济南 250012; 2. 滨州医学院科研处, 滨州 256603;3. 山东大学医学院实验核医学研究所, 济南 250012; 4. 聊城市人民医院呼吸科, 聊城 252000
  • 收稿日期:2008-06-10 发布日期:2009-12-16
  • 通讯作者: 潘芳(1962- ),女,医学硕士,理学博士,教授,博士生导师。
  • 作者简介:李婷(1982- ),女,硕士研究生,主要从事医学心理学的研究。E-mail: tianshaojun-liting@163.com
  • 基金资助:

    山东省自然科学基金资助项目(Y2005C36)。

Influences of the psychological intervention on bronchial asthma

 LI Ting, DAN Shou-Sen, SONG Jing, YANG Wen-Lan, SHU Xi-Min, JIANG Gong, BO Fang   

  1. 1. Institute of Medical Psychology, School of Medicine, Shandong University, Jinan 250012, China; 2. Scientific Research Office, Binzhou Medical College, Binzhou 256603, Shandong, China;3. Institute of Experimental Nuclear Medicine, School of Medicine, Shandong University, Jinan 250012, China; 4. Department of Respiratory, Liaocheng People′s Hospital, Liaocheng 252000, Shandong, China
  • Received:2008-06-10 Published:2009-12-16

摘要:

目的 探讨心理干预对支气管哮喘患者情绪、应对方式及生理反应的影响。方法 随机将60例支气管哮喘门诊患者分为非干预组和干预组,前者给予常规治疗,后者在常规治疗的同时实施心理干预。两组均于就诊的第2天和第28天进行情绪和应对方式量表的测量,观察心理反应;采用数字皮阻计测量其皮肤电阻水平,观察交感神经活动度变化;采用放射免疫法测定唾液中皮质醇水平。另选30例健康人作为对照组进行上述指标的测量。结果 干预前两组患者的心理指标和生理指标差异无统计学意义(P>0.05),但与对照组差异均有统计学意义(P<0.05);干预后干预组患者的心理指标和生理指标与干预前及非干预组相应时间点比较差异有统计学意义(P<0.05);干预后非干预组患者的心理指标和生理指标与干预前比较差异无统计学意义(P>0.05)。结论 在常规治疗的同时实施心理干预,能够有效降低支气管哮喘患者应激反应水平。

关键词: 哮喘;心理疗法;应激;心理过程;生理过程

Abstract:

Objective To explore the influence of psychological intervention on emotion, coping style and physiological reaction of bronchial asthma patients. Methods A total of 60 patients were randomly divided into the experimental and control groups. Patients in the experimental group were given psychological intervention based on routine therapy, while those in the control group were only given routine therapy. Emotion and coping style rating scales were given to both the groups on the second and twenty-eighth day after they registered to observe the changes of their psychological reaction; electric skin resistance was recorded by skin resistance meter to observe the response of the sympathetic nervous system; radiative immunifaction was used to examine the content of cortisol in the patients′ saliva. Another 30 normal people were chosen for the antitheses group and were also given the above measured indexes. Results There were significant differences in terms of psychological and physiological indexes between patients and normal people before intervention (P<0.05). There were no differences in terms of psychological and physiological indexes between the two patient groups before intervention (P>0.05). There were significant differences in terms of psychological and physiological indexes between the experimental group before and after intervention, and also between the two patient groups after intervention (P<0.05). There were no differences in terms of psychological and physiological indexes between the control group before and after intervention(P>0.05). Conclusion Psychological intervention in combination with routine therapy can effectively decrease the stress reaction of bronchial asthma patients.

Key words: Asthma; Psychotherapy; Stress; Mental processes; Physiological processes

中图分类号: 

  • R395.1
[1] 张伯华,胡霜,盛洁. 中医院校大学生网络成瘾与五态人格的关系[J]. 山东大学学报(医学版), 2013, 51(9): 105-108.
[2] 丁娟,江虹,潘芳. 癫痫患者婚姻质量与心理应激的相关性[J]. 山东大学学报(医学版), 2013, 51(8): 99-102.
[3] 陈瑨1,祁珍华1,江虹1,张灿灿1,江平胤2,党红梅2,赵鹏2,张红静1 . 脑卒中偏瘫患者D型人格特征[J]. 山东大学学报(医学版), 2013, 51(2): 104-.
[4] 张宇哲1,江虹1,孙琳1,李青1,孙华2,于洪鸾1,高进1,潘芳1. 长期低剂量氯胺酮对青年早期食蟹猴自发活动和丘脑神经细胞凋亡的影响[J]. 山东大学学报(医学版), 2012, 50(8): 26-.
[5] 吕丽1,江虹1,李文杰1,陈翠2,张红静1. 突发性耳聋患者的情绪特征及应对方式[J]. 山东大学学报(医学版), 2011, 49(7): 155-158.
[6] 朱薇1,2,潘芳1,江虹1,于洪鸾1,孙琳1,王力1. 氯胺酮对食蟹猴大脑血管病理及NADPH氧化酶表达的影响[J]. 山东大学学报(医学版), 2011, 49(4): 47-51.
[7] 曲海丽1,2, 杨丽娟3, 韩玉萍2,刘照旭1. ICU机械通气患者焦虑抑郁状况及相关因素[J]. 山东大学学报(医学版), 2011, 49(3): 94-98.
[8] 曲海丽1,2, 杨丽娟3, 韩玉萍2,刘照旭1. ICU机械通气患者焦虑抑郁状况及相关因素[J]. 山东大学学报(医学版), 2011, 49(3): 94-98.
[9] 王力1,江虹1,于洪鸾2,孙琳1,潘芳1 . 低剂量氯胺酮对食蟹猴行为、海马和前额叶皮质超微结构的影响[J]. 山东大学学报(医学版), 2010, 48(9): 64-.
[10] 刘萌1,鲁燕霞1,江虹1,石寿森2,杨乐金1,刘欣1,张茜1,潘芳1. 音乐治疗对应激哮喘大鼠免疫功能的影响[J]. 山东大学学报(医学版), 2010, 48(1): 56-.
[11] . 普萘洛尔对应激大鼠行为、血清皮质酮和海马形态学的影响[J]. 山东大学学报(医学版), 2009, 47(8): 33-36.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!