CAJ | 학술논문

目的：探讨心理因素对高原肺水肿治疗与转归的影响。方法：选择165例高原肺水肿住院患者，采用医院焦虑抑郁情绪测定量表(HAD)进行问卷调查，对其中152例有效问卷资料进行统计学分析。结果：152例患者中，出现焦虑者61例，占40.13%；抑郁者29例，占19.08%。进藏前接受高原疾病预防教育、初次发病、患者性格、病情轻重及自付医疗费用对患者的心理影响较大；而年龄、性别、职业、文化程度等对患者焦虑、抑郁状况影响较小。心理异常的高原肺水肿患者其肺部音消失时间、治愈时间明显较心理正常患者延长。结论：焦虑、抑郁等情绪变化可加重高原肺水肿病情，影响其发生、发展及转归。
목적：탐토심리인소 대고원폐수종치료여전귀적영향。방법：선택165례고원폐수종주원환자， 채용의원초필억욱정서측정량표(HAD)진행문권조사，대기중152례유효문권자료진행통계학 분석。결과：152례환자중，출현초필자61례，점40.13%；억욱자29례 ，점19.08%。진장전접수고원질병예방교육、초차발병、환자성격、병정경중급자부의료비 용대환자적심리영향교대；이년령、성별、직업、문화정도등대환자초필、억욱상황영향교 소。심리이상적고원폐수종환자기폐부음소실시간、치유시간명현교심리정상환자연장。 결론：초필、억욱등정서변화가가중고원폐수종병정，영향기발생、 발전급전귀。
Objective: To investigate the effects of psycholog ical factors on treatment and outcome of patients with high altitude pulmonary e dema(HAPE). Methods: In the present study, one hundred and fifty -two patients with HAPE were tested by hospital anxiety and depression scale. Results: The results showed that there were 61 patients (40.13%) with anxiety and 29 patients (19.08%) with depression. The important factors on mental state of patients were preventive education, the first time suffering HA PE, characters of patients, degree of the disease and the medical fee, the less w ere age, sex, occupation and education of patients. Duration of rales of lung an d course of illness were significantly prolonged in HAPE patients with mental di sorders compared to the patients without mental disorder. Conclusion:The study suggests that anxiety and depression might aggravate the state of HAPE.