【摘要】 目的 探讨心理调节对慢性阻塞性肺疾病（COPD）患者心理应激反应、心理压力及应对方式的影响效果。方法 将本院2022年1月1日～2023年12月31日期间收治的COPD患者（n=60）作为本次研究对象，通过随机数字表法将其分为对照组（n=30）和研究组（n=30），评价患者希望水平、心理应激反应、心理压力、应对方式。正态计量资料采用t检验。结果 干预后研究组希望水平评分显著高于对照组（P<0.05）；干预后研究组血清皮质醇（COR）、去甲肾上腺素（NE）水平显著低于对照组（P<0.05）；干预后研究组压力知觉量表（CPSS）评分显著低于对照组（P<0.05）；干预后研究组医学应对问卷（MCMQ）积极面对评分显著高于对照组，回避、屈服维度评分显著低于对照组（P<0.05）。结论 COPD患者接受心理调节，利于提升希望水平，减轻心理应激反应和心理压力，促使其采取积极的应对方式面对疾病，配合治疗。更多还原

【Abstract】 Objective To explore the effects of psychological adjustment on psychological stress response, psychological stress and coping style in patients with chronic obstructive pulmonary disease(COPD). Methods Patients with COPD(n=60) admitted to our hospital from January 1, 2022to December 31, 2023 were selected as the subjects of this study. They were divided into control group(n=30) and study group(n=30) by random number table method. The hope level, psychological stress response, psychological stress and coping style of the patients were evaluated. T test was used for normal measurement data. Results After intervention, the hope level score of the study group was significantly higher than that of the control group(P<0.05). After intervention, the levels of serum cortisol(COR) and norepinephrine(NE) in the study group were significantly lower than those in the control group(P<0.05). After the intervention, the Chinese perceived stress scale(CPSS) score of the study group was significantly lower than that of the control group(P<0.05). After intervention, the medical coping modes questionnaire(MCMQ) scores of the study group were significantly higher than those of the control group, and the avoidance and submission scores were significantly lower than those of the control group(P<0.05).Conclusion The psychological adjustment of COPD patients is beneficial to improve the level of hope, reduce the psychological stress reaction and psychological pressure, and promote them to adopt positive coping ways to face the disease and cooperate with treatment.更多还原