重度稳定期慢性阻塞性肺疾病患者心理理论障碍的研究

摘要

Objective To investigate the presence of theory of mind (ToM) obstacle in patients with stable severe chronic obstructive pulmonary disease (COPD).Methods A series of tests——mimi-mental state examination,Hamilton anxiety scale,Hamilton rating scale for depression,Gaffes perceive and eye area basic emotion recognition test had been conducted on 40 cases of severe stable COPD patients (COPD group) and 29 cases of healthy check-up persons who were of the same age and educational level (control group),and a comparative analysis had been made on the collected experiment results.Results There was statistical differences (P ＜ 0.05) in the score of COPD group and control group in gaffes recognition and mental state judging.There is also statistical differences in eye area sentiment test (P ＜ 0.05),and the score of COPD group and control group in disgust,fear,sadness,surprise,anger,while there was no statistically significant difference in joy.Pearson correlation analysis showed that there is no significant correlation between arterial blood PaCO2 and PaO,,oxygenation index (PaO2/FiO2),Airflow limitation severity and eye area basic emotion recognition,as well as gaffes detection task scores.Conclusion ToM irritant exists in patients with severe stable COPD,which is mainly the correct recognition obstacles in gaffes recognition,mental state judging and eye area basic emotions (disgust,fear,sadness,surprise,anger).%目的 研究重度稳定期慢性阻塞性肺疾病(COPD)患者的心理理论(ToM)障碍.方法 选择40例重度稳定期COPD患者(COPD组)以及29例同期年龄、文化水平相匹配的健康体检者(对照组),进行简明精神状态量表、汉密顿焦虑量表、汉密顿抑郁量表、失言察觉和眼区基本情绪识别测试,COPD组同时予以动脉血气分析、肺功能检查,收集两组间一般资料、测试结果并对比分析.结果 COPD组与对照组在失言识别和心理状态判断正确性评分方面差异均有统计学意义(P＜0.05).COPD组与对照组在厌、恐、悲、惊、怒的眼区情绪测试正确性评分差异均有统计学意义(P＜0.05);喜的评分差异无统计学意义.Pearson相关分析显示,动脉血PaCO2和Pa02、氧合指数(Pa02/FiO2)、气流受限严重程度分级与眼区基本情绪识别及失言察觉任务评分差异均无统计学意义.结论 重度稳定期COPD患者存在ToM障碍,主要表现在失言识别、心理状态判断以及眼区基本情绪(厌、恐、悲、惊、怒)正确性识别的障碍.