Sachs G, Haber P, Spiess K, Moser G
Universitätsklinik für Psychiatrie, Wien.
Wien Klin Wochenschr. 1993;105(21):603-10.
In the long-term treatment of patients with chronic respiratory diseases, patient education contributes significantly towards improving the effectiveness of conventional drugs in the treatment of asthma-specific complaints and anxiety, as well as playing a role in improved disease coping. The aim of this study was to verify whether relaxation training programs undertaken subsequent to patient education may have an additional effect with regard to both medical and psychological variables. Relaxation training encompasses the basic exercises of autogenics, as well as exercises of functional relaxation. 49 patients participated in the relaxation group (22 male, 27 female). The mean age was 50.5 +/- 16.5 years. The control group used was made up of 37 patients with chronic respiratory diseases (17 male, 20 female) who had received asthma education, but no further therapeutic intervention. Prior to and immediately after the relaxation training, the following investigations were undertaken: lung function, patient diary, Spielberger anxiety scale, Giessen list of complaints (modified and augmented) and Ziegler coping questionnaire. The linear rating scale model was used for measuring changes. The following significant changes were observed in the relaxation group as compared with the control group: decrease of trait fear, alleviation of asthma-specific complaints and asthma attacks, decrease in sleep disturbances and in morning coughing urge, reduction in the required quantities of controlled-dosage aerosol, and a modified attitude toward the disease in the sense of an improved subjective coping competence.(ABSTRACT TRUNCATED AT 250 WORDS)
在慢性呼吸道疾病患者的长期治疗中,患者教育对于提高传统药物治疗哮喘特异性症状和焦虑的有效性具有显著作用,同时在改善疾病应对方面也发挥着作用。本研究的目的是验证在患者教育之后进行的放松训练计划是否对医学和心理变量都有额外的效果。放松训练包括自生训练的基础练习以及功能性放松练习。49名患者参与了放松训练组(22名男性,27名女性)。平均年龄为50.5±16.5岁。所使用的对照组由37名患有慢性呼吸道疾病的患者组成(17名男性,20名女性),他们接受了哮喘教育,但没有进一步的治疗干预。在放松训练之前和之后立即进行了以下调查:肺功能、患者日记、斯皮尔伯格焦虑量表、吉森症状清单(修改和扩充版)以及齐格勒应对问卷。采用线性评分量表模型来测量变化。与对照组相比,放松训练组观察到以下显著变化:特质恐惧降低、哮喘特异性症状和哮喘发作减轻、睡眠障碍和晨起咳嗽冲动减少、控释剂量气雾剂需求量减少,以及在主观应对能力提高的意义上对疾病的态度有所改变。(摘要截断于250字)