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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。方法选取2013年9月至2015年12月期间我院确诊治疗的截瘫患者200例,随机分为心理干预组和对照组,每组100例,对照组患者给予常规治疗和心肺康复训练,心理干预组患者在此基础上给予心理干预。干预前后统计分析所有患者呼气流量峰值(PEF)、第一秒用力呼气容积(FEV1)及左心室射血分数(LVEF)等心肺功能指标,并比较两组遵医行为。干预前后采用焦虑自评量表(SAS)评估两组患者的焦虑情绪。结果干预后心理干预组患者PEF、FEV1和LVEF水平显著高于对照组(P<0.05);心理干预组患者依从率显著高于对照组(P<0.05);心理干预组患者干预后1、2、3个月的SAS得分明显低于对照组(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,提高患者的依从性,减少患者焦虑情绪的产生,值得临床作进一步推广。
Objective To investigate the effects of cardiopulmonary rehabilitation training combined with psychological intervention on cardiorespiratory function and anxiety in patients with paraplegia. Methods A total of 200 paraplegic patients diagnosed and treated in our hospital from September 2013 to December 2015 were randomly divided into psychological intervention group and control group, with 100 cases in each group. Patients in control group were given regular treatment and cardiopulmonary rehabilitation training, psychological intervention Based on this group of patients to give psychological intervention. The cardiopulmonary parameters such as peak expiratory flow (PEF), forced expiratory volume in the first second (FEV1) and left ventricular ejection fraction (LVEF) in all patients were statistically analyzed before and after intervention. The compliance behavior was compared between the two groups. Anxiety Scale (SAS) was used to evaluate the anxiety of the two groups before and after intervention. Results The levels of PEF, FEV1 and LVEF in intervention group were significantly higher than those in control group (P <0.05). The compliance rate in psychological intervention group was significantly higher than that in control group (P <0.05) SAS score of 3 months was significantly lower than that of control group (P <0.05). Conclusion Cardiopulmonary rehabilitation training combined with psychological intervention can effectively improve cardiopulmonary function, improve patient compliance and reduce anxiety in patients with paraplegia, which is worth further promotion in clinical practice.