尘肺患者心理弹性与综合肺康复效果的相关性研究

Study on the Correlation Between Psychological Resilience and Comprehensive Pulmonary Rehabilitation Effect in Patients with Pneumoconiosis

摘要:

〔摘 要〕 目的：探讨尘肺患者心理弹性与综合肺康复效果的相关性。 方法：选取 2020 年 11 月至 2022 年 10 月期间 深圳市职业病防治院收治的尘肺患者 140 例为研究对象，评估其心理弹性、生活质量、呼吸困难症状，收集第 1 秒 用力呼气量（FEV1）、最大通气量（MVV）、6 min 步行距离等肺功能指标。分析其心理弹性与肺功能指标及生活 质量的相关性。 结果：140 例尘肺患者 Connor 和 Davidson 心理弹性量表（CD–RISC）总分为 38 ~ 75 分，平均得分 （57.18 ± 7.91）分。不同心理弹性水平尘肺患者肺功能指标、圣乔治呼吸问卷（SGRQ）得分及 Borg 刻度尺评分比 较，差异均具有统计学意义（P ＜ 0.05）。相关性分析显示尘肺患者 CD–RISC 总分与肺功能指标、6 min 步行距离、 SGRQ 得分均呈正相关关系（r ＞ 0，P ＜ 0.05），与 Borg 刻度尺评分呈负相关关系（r ＜ 0，P ＜ 0.05）。 结论：尘肺患者心理弹性与肺功能指标及生活质量具有较高的相关性。

Abstract:

〔Abstract〕 Objective To explore the correlation between psychological resilience and comprehensive pulmonary rehabilitation in patients with pneumoconiosis. Methods A total of 140 patients with pneumoconiosis admitted to Shenzhen Prevention and Treatment Center for Occupational Disease from November 2020 to October 2022 were selected as the study subjects. The patient's psychological resilience, quality of life, dyspnea symptoms were evaluated, and the pulmonary function indicators such as orced expiratory volume in the first second (FEV1), maximum ventilatory capacity (MVV), 6-min walking distance were collected. The correlation between psychological resilience and lung function indicators, quality of life was analyzed. Results The score of Connor–Davidson resilience scale (CD–RISC) of the 140 patients with pneumoconiosis was 38 to 75 points, with an average score of (57.18 ± 7.91) points. There were statistically significant differences in the pulmonary function indicators, St .George's respiratory questionnaire (SGRQ) score and Borg scale score of patients with different levels of psychoelastic pneumoconiosis (P < 0.05). The results of correlation analysis showed that the score of CD–RISC in patients with pneumoconiosis was positively correlated with the pulmonary function indicators, 6-min walking distance and SGRQ score (r > 0, P < 0.05), and it was negatively correlated with Borg scale score (r < 0, P < 0.05). Conclusion The psychological elasticity of patients with pneumoconiosis has a high correlation with pulmonary function indexes and quality of life.