Clinical Application Of Cognitive Behavioral Therapy In Elderly Patients With Chronic Lung Disease Combined With Depression

Aims: 1.To explore risk factors of depression emotion in elderly patients with chronic lung disease 2.To explore the effect of cognitive behavioral therapy on depression in elderly patients with chronic lung diseaseMethods: 1.Subjects: This study is an elderly hospitalized patient with stable chronic lung disease.2.Conforms to the definition of chronic respiratory disease defined by the WHO.3.Depression diagnosis:According to the patient’s cultural level,MMSE was used to score patients,and patients with normal cognitive function were selected.All patients in this study had normal cognitive function.The two HAD assessors were used to evaluate the patient’s HAMD and use conversation and observation.After the examination,the two assessors scored independently,the difference between the scores of the assessors should be ≤2 points,otherwise,they need to be re-evaluated,We selected elderly patients with chronic lung disease and mild depression for cognitive behavioral therapy.patients with moderate or severe depression need psychiatrists to arrange appropriate medications.The depressive mood in this study was not diagnosed as depression,but was based on the Hamilton Depression Scale to assess whether the patient had depression.Depression must be diagnosed by a professional psychiatrist with reference to the 10 th revision of the International Statistical Classification of Diseases and Related Health Problems,which is common throughout the world.Record the age,sex,education level,disease diagnosis and illness duration,smoking history,BMI and other relevant clinical data of selected patients,application of Barthel index to assess the ability of daily living,dyspnea Rating(MRC)assessing patients’ difficulty in Breathing,analysis of possible factors associated with depression in elderly patients with chronic lung disease.Computerized cognitive-behavioral interventions were performed on elderly patients with chronic lung disease and mild depression,and scores were taken before and after treatment to investigate the effect of behavioral cognitive therapy on depression in elderly patients with chronic lung disease.RESULT : 1.Patients with chronic lung disease in the elderly group with depression were older(P=0.034<0.05),had poorer activity,ie,Barthel index scores(P=0.015<0.05).The higher the dyspnea score was,the higher was the age group than the non-depression group.(P=0.003<0.05).However,gender(P=0.249>0.05),BMI(P=0.924>0.05)years of smoking(P=0.834>0.05),smoking index(P=0.817>0.05),disease course(P)in the depressed and non-depressed groups.There was no significant difference between =0.248>0.05).2.There was a significant difference in HAMD-17 scores before and after treatment(P<0.05),which was statistically significant.Conclusion: 1.In elderly patients with chronic lung disease,older age,poor activity and severe dyspnea are associated risk factors for depression.Gender,BMI,smoking years,smoking index,disease course and patient’s depression were not significantly related.2.Cognitive behavioral therapy can effectively reduce depression in elderly patients with chronic lung disease.