CHEST:慢性咳嗽也可以影响心理状况哦!

2017-07-09 MedSci MedSci原创

对焦虑和抑郁情绪障碍的适度诊疗是否能够改善慢性咳嗽的严重程度以及咳嗽的生活质量(CQOL)呢?近期,一项发表在杂志CHEST上的文章对这一问题进行了研究。此项研究对咳嗽连续≥8周的成人进行了纵向观察性研究,检查了不愉快症状的主要原则。在基线、3个月和6个月,受试者完成了3次Punum Ladders评分评估咳嗽的严重程度,CQOL问卷调查,抑郁症,焦虑和压力量表-21以及Duke功能社会支持问卷调

对焦虑和抑郁情绪障碍的适度诊疗是否能够改善慢性咳嗽的严重程度以及咳嗽的生活质量(CQOL)呢?近期,一项发表在杂志CHEST上的文章对这一问题进行了研究。


此项研究对咳嗽连续≥8周的成人进行了纵向观察性研究,检查了不愉快症状的主要原则。在基线、3个月和6个月,受试者完成了3次Punum Ladders评分评估咳嗽的严重程度,CQOL问卷调查,抑郁症,焦虑和压力量表-21以及Duke功能社会支持问卷调查。组后进行截面基线和纵向回归分析。

此项研究结果显示:共有80名受试者(55名女性),平均年龄为58.5±11.1岁,咳嗽持续时间为86.0±123.7个月。在基线时,严重程度更高的咳嗽与较少的教育以及受咳嗽和咳嗽冲动打扰的说话能力降低显着相关。更差的CQOL与更严重的抑郁症状、尿失禁、语言能力以及使用自拟的补救措施和年龄较小显著相关。在3个月和6个月时,抑郁症和压力症状有明显改善。焦虑症状的改善,特别是在前3个月改善显著。咳嗽严重程度的改善与较少的受教育程度、男性以及言语能力和咳嗽冲动的改善显着相关。CQOL的改善与尿失禁、咳嗽冲动、焦虑症状和使用自订的补救措施的改善显着相关。

此项研究表明:使用不愉快症状的理论发现,除了专注于确定咳嗽的原因之外,管理心理、生理和情境因素对于最大限度地改善CQOL是十分重要的。

原始出处:
French CL, Crawford SL, et al. Change in Psychologic, Physiologic, and Situational Factors in Adults After Treatment of Chronic Cough. Chest. 2017 Jul 3. pii: S0012-3692(17)31184-4. doi: 10.1016/j.chest.2017.06.024. 

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    2017-08-18 Smile2680
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    2017-07-09 李东泽

    很好,不错,以后会多学习

    0

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