Application On Comprehensive Intervention In Psychological Status For The Patients With Asthma

Objective：Study cognition, behavior, human humanism psychological interventions for specificpsychological problems in patients with bronchial asthma hospitalization care intervention, learn theinfluence of patients with anxiety, depression, and quality of life, to provide a scientific bais for bronchialasthma care methods improved, Improve the quality of care.Methods：Take a random method, test group and a control group of patients composed of40people in each group, general on the two groups of patients were analyzed by t-test, derived P>0.05,personal general differences between the groups was not statistically significant. Two groups in accordancewith the breathing routine medical care, the test group of psychological intervention in routine care while.Comprehensive psychological intervention method consists of the following content:①Cognitive Therapy:The core of this therapy was proposed in the1950s by American psychologist Albert Ellis ABC theory. Hebelieves that the indirect causes of fire events just cause emotional and behavioral responses, consequencesof behavior is directly caused by the belief of individual cognition and evaluation of the event. The “GlobalInitiative for Asthma” and “bronchial asthma prevention and treatment guidelines” for the outline of thepatient to carry out literacy, popularity of content to be involved in the prevention and control of disease,treatment, self-management, and emotional impact of the disease, Psychosocial impact of many factors onthe onset of the disease and treatment. In order to make the patients to master the method ofself-management, maintain a positive mood, While universal knowledge include some successful cases ofpatients, help patients to establish the confidence to overcome the disease, together with the patient to findout their false belief and help the patients receiving the correct cognitive, eliminating bad mood.②Behavior Therapy: Behavioral therapy that the all human behavior, whether good or bad, can be obtainedthrough learning, correct or eliminate, therefore, if you want to eliminate the bad behavior of the patients, itis necessary to proceed from the patient’s learning process. Behavioral therapy applied to the study, the firstis to find the bad behavior of the patient, then guide behavior problems, to help patients and families ofpatients aware of the bad behavior of the negative impact of the disease, patients to avoid contact withinduced disease attacks the living environment and requires family members to monitor the patient’s lifestyle.③Humanistic Therapy: The therapy that the mismatch between self-concept and experience leadto the generation of a psychological barrier. Applied to the study of the therapy embodied in throughcommunication with the patient to identify the needs of all levels of the patients. For example, repeatedepisodes of a number of diseases in patients with recurrent disease and the treatment of a certain amount ofeconomic pressure to the family, combined, when the onset of labor force participation, can not helpfamilies create economic benefits, resulting in the patients failed to meet the aspirations of its owndominant position in the home, leading to its own bad mood. Intervention should take the initiative tounderstand the patient’s desire, and actively communicate and their families, to try to meet the patient’swishes, as far as possible to meet the demand of its higher level, to help patients establish a determinationto overcome the disease.The two groups of patients on admission AQLQ （Asthma Quality of Life Assessment Form）,SAS （Self-Rating Anxiety Scale）, SDS （Self-rating Depression Scale） and general informationquestionnaire to assess. Physiological indicators and measuring peak flow （PEF） and arterial oxygensaturation （SaO₂）. Intervention discharged again two groups of patients by SAS, SDS, AQLQ, PEF, andSaO₂evaluation.The original data is entered into the computer, using SPSS13.0statistical description andanalysis, each set of data was analyzed by t-test.Results: Compare the intervention before and after the test group and the control group ofpatients with anxiety and depression: Before the intervention, the test group,52.5%of patients suffer fromanxiety, After the intervention, only20%of patients suffer from anxiety;55%of patients suffer fromanxiety before the intervention, the control group, after the intervention, but the remaining50%of thepatients with anxiety;42.5%of patients in the experimental group before the intervention of depression,after the intervention, only20%of patients with depression; The control group in40%of patients beforethe intervention of depression, after the intervention, but the remaining37.5%of patients with depression.②Test and control groups before and after the intervention comparison （x±s）: Anxiety in the two groupsbefore the intervention was52.420±7.688,52.580±7.877, depression is49.880±8.256,50.050±9.075,the p is greater than0.05, the difference was not statistically significant; Anxiety after the intervention is45.920±6.944,52.020±7.651, depression is46.000±6.365,49.480±8.901, the p is less than0.05, thedifference was statistically significant.③Compare the two groups before and after the intervention itself （x±s）:Anxiety in the experimental group before and after the intervention was52.420±7.688,45.920±6.944, depression is49.880±8.256,46.000±6.365, the p is less than0.05, the difference was statisticallysignificant; Anxiety in the control group before and after the intervention was52.580±7.877,52.020±7.651, depression is50.050±9.075,49.480±8.901, the p is greater than0.05, the difference was notstatistically significant.④Two groups AQLQ scores in the intervention before and after the activitylimitation value of the test group were2.10士0.37,4.07士0.51, the control group were2.20士0.31、3.11士0.46; The value of the test group of asthma symptoms were2.43士0.25、5.15士0.61, the control groupwere2.37士0.18、4.03士0.58; The psychological state of the value of the test group were3.12士0.33、5.30士0.77, the control group were3.08士0.46、3.91士0.59; The reaction of the stimulus source valuetest group were3.05士0.37、3.79士0.88, the control group were3.10士0.34、3.31士0.76; Their ownhealth care about the value of the test group were2.12士0.27、3.10士0.39, the control group were2.21士031、2.98士0.35. The p is of less than0.05, the differences were statistically significant.⑤Physiologicalindicators compare the test and control groups before and after the intervention （x±s）: The two groupsbefore intervention PEF values were46.23±20.53,46.33±17.47, SaO₂values were78.13±7.62,79.27±6.75, p0.05, the difference was not statistically significant; The two groups after the intervention of thePEF values were95.27±5.51,83.83±10.40, SaO₂values were97.63±1.99,93.27±5.53, p0.05, thedifference was statistically significant.Conclusions：①Comprehensive psychological intervention can improve clinical efficacy, to helpfurther control in patients with bronchial asthma attack.②Comprehensive psychological intervention canreduce a patient’s anxiety, depression and other negative emotions.③Comprehensive psychologicalintervention can improve the quality of life of patients with bronchial asthma.