Blake R L, Vandiver T A, Braun S, Bertuso D D, Straub V
Department of Family and Community Medicine, University of Missouri-Columbia School of Medicine 65212.
Fam Med. 1990 Sep-Oct;22(5):365-70.
The effect of a stress management program on morbidity and psychosocial and physical function in patients with chronic lung disease was assessed. Adults attending either a VA pulmonary clinic or university hospital pulmonary rehabilitation clinic who met criteria for obstructive or restrictive pulmonary disease were randomly assigned to receive the intervention or to a control group. The intervention was provided by a nurse and included one to three teaching sessions, reading material, audiotapes, and telephone follow-up. The program focused on stress management techniques such as cognitive restructuring, progressive relaxation, breathing exercises, and visual imagery. The 45 experimental subjects were similar to the 49 controls with respect to baseline characteristics. Experimental and control subjects had similar rates of mortality, hospital days, bed-disability days, restricted-activity days, and physician visits during the 12-month follow-up. There were no differences between the two groups in physical or psychosocial function at six months or in levels of stressful life changes, social supports, and self-esteem at six and 12 months. Intervention recipients had better function at 12 months, suggesting a possible benefit of the intervention.
评估了压力管理计划对慢性肺病患者发病率、心理社会及身体功能的影响。在退伍军人事务部肺部诊所或大学医院肺部康复诊所就诊且符合阻塞性或限制性肺病标准的成年人被随机分配接受干预或进入对照组。干预由一名护士提供，包括一至三次教学课程、阅读材料、录音带及电话随访。该计划侧重于压力管理技巧，如认知重构、渐进性放松、呼吸练习及视觉意象。45名实验对象与49名对照组对象在基线特征方面相似。在12个月的随访期间，实验对象和对照对象的死亡率、住院天数、卧床残疾天数、活动受限天数及看医生次数相似。两组在六个月时的身体或心理社会功能，以及在六个月和十二个月时的压力性生活变化水平、社会支持和自尊方面均无差异。接受干预者在12个月时功能更好，表明该干预可能有益。
