抑郁症和焦虑作为慢性阻塞性肺部疾病的并发症:全面的叙述审查
Iulian-Laurențiu Buican1,2, Alina-Cătălina Buican-Chirea1,3, Mădălina Iuliana Mușat3
1U.M.F. Doctoral School Craiova, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
管理慢性阻塞性肺病 (COPD) 需要解决精神问题,如抑郁和焦虑. 综合护理,专注于非药物治疗,显著改善患者的治疗结果和生活质量.
科学领域:
- 肺部医学 肺部医学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 慢性阻塞性肺病 (COPD) 是一种广泛的,渐进的疾病.
- 慢性肺炎经常与精神疾病 (如抑郁和焦虑) 一起发生.
- 这些并发症会对COPD的进展,治疗坚持和患者的生活质量产生负面影响.
研究的目的:
- 审查目前关于COPD和精神病相关疾病之间关联的证据.
- 探索这些共同发生的疾病的风险因素,诊断方法和治疗策略.
- 突出COPD和精神疾病之间的双向关系.
主要方法:
- 从2015年1月到2025年7月,对英语出版物的叙述性审查.
- 在PubMed和谷歌学者中进行了搜索.
- 包含的文章和系统评论的参考列表被手动选;数据提取和评估由两个独立审稿人进行.
主要成果:
- 在COPD患者中,抑郁症的患病率在10-57%,焦虑症的患病率在7-50%之间.
- 风险因素包括女性性别,社会隔离,吸烟,低BMI,并发症和全身炎症.
- 伴随性疾病与恶化的增加,住院和较差的结果有关;非药物干预显示出明显的好处.
结论:
- 有效的COPD管理需要综合护理,解决肺部和精神方面的问题.
- 量身定制的干预措施,特别是非药物干预措施,可以提高临床结果和生活质量.
- 了解双向关系是优化患者护理的关键.
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