持续体征症状患者的呼吸系统生理与自我报告的呼吸系统症状之间的联系
Saya Niwa1, Karolina Fila-Pawlowska1, Marta Rymaszewska2
1Department of Clinical Neurosciences, Wrocław University of Science and Technology, Poland.
Journal of psychosomatic research
|August 27, 2025
概括
患有持续体质症状 (PSS) 的患者出现更严重的呼吸不良和呼吸不良,通常与呼吸模式和症状严重程度有关,而不是肺功能. 生物心理社会方法是解决这些复杂呼吸系统问题的关键.
科学领域:
- 心理学
- 医学
- 生理学
背景情况:
- 持续的身体症状 (PSS) 涉及复杂的生物医学和心理社会因素.
- 患有PSS的人往往会出现身体问题,包括呼吸问题.
- 了解导致PSS呼吸系统症状的因素的相互作用至关重要.
研究的目的:
- 将PSS患者的生理和自我报告的呼吸测量与健康对照进行比较.
- 在PSS中识别与呼吸障碍和功能性呼吸道疾病相关的因素.
- 调查身体症状严重程度,心理困扰和呼吸系统症状之间的关系.
主要方法:
- 38名患有体征性症状障碍的患者和38名匹配对照患者进行了呼吸计量,呼吸图谱和呼吸模式分析.
- 自我报告问卷评估呼吸障碍 (呼吸障碍-12) 和功能性呼吸问题 (尼日梅根问卷).
- 使用PHQ- 9, GAD- 7,PHQ- 15和SSD- 12进行心理和体质症状测量.
主要成果:
- 与对照组相比,PSS患者报告呼吸不良和功能性呼吸不良明显增加 (效果大小较大).
- 胸部占主导地位的呼吸在PSS患者中更为普遍,与更高的呼吸障碍相关.
- 身体症状的严重程度 (PHQ-15,SSD-12) 显著预测呼吸不良和功能性呼吸不良,而呼吸功能和心理困扰则没有.
结论:
- 在PSS中呼吸道症状的感知是复杂的,生理和自我报告的措施之间存在显著的不一致.
- 生物心理社会方法对于治疗PSS患者的呼吸问题至关重要,其目标是认知感知方面和呼吸模式.
- 未来的干预措施应探讨呼吸再训练,内感调节和认知策略,以解决症状感知和体质过度警.
相关概念视频
01:28Physical Assessment of the Respiratory Tract I: Health History
391
Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
391
01:27Physical Assessment of the Respiratory Tract II: Inspection
406
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
406
01:23Assessment of Respiration
1.3K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.3K
01:30Respiratory System Abnormal Finding I: Inspection and Percussion
429
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
429
01:29Assessment of Ventilation II: Respiratory Depth and Rhythm
1.8K
Respiratory Depth
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
1.8K
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.9K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.9K