| Objective:Study the influence of Bio-psycho-social medicine model intervention on prevention and treatment of bronchial asthma. Understand the effect of cognition, mental status, lifestyle behaviors, the extent of disease control, social support and quality of life on asthma patients. And then provide more effective and specific methods for asthma prevention and treatment and improving life quality by the intervention of Bio-psycho-social medicine model.Subjects and Methods:Select109asthma patients who never received asthma education at outpatient service in Second Xiangya Hospital of Central South University and Changsha Want hospital. All these patients were divided into control group (57cases) and test group (52cases) by the combination of random and voluntary methods. Patients in control group were only treated with conventional drugs, and patients in test group were given comprehensive psychological interventions, comprehensive psycholo-gical interventions include health education, psychological counseling and behavioral interventions. Patients in both groups were evaluated at the first visit by using homemade asthma disease knowledge questionnaire, general information survey, Self-Rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Social Support Rating Scale (SSRS), the Asthma Control Test Table (ACT) and asthma quality of life assessment form (AQLQ). Patients in both groups were evaluated again after follow-up visit for3months by using asthma knowledge questionnaire, SAS, SDS, AQLQ, SSRS and ACT. Datas were analysed by using SPSS18.0and datas were tested using the t test and X2.Result1. There were no statistical difference in knowledge score of asthma between control group and the test group before Intervention. After intervention, the patients in test group scored significantly higher in knowledge of thedisease than the patients in control group did, the difference was statistically significant (P<0.05).2. There were no statistical differenc in control score between two groups before intervention (P>0.05), While after intervention, the patients in test group scored significantly higher in control score than the patients in control group did, the difference was statistically significant (P <0.05).3. There were no statistical differenc in anxiety score between two groups before intervention (P>0.05), While after intervention, the patients in test group scored significantly higher in anxiety score than the patients in control group did, the difference was statistically significant (P <0.05). 4. There were no statistical differenc in depression score between two groups before intervention (P>0.05), While after intervention, the patients in test group scored significantly higher in depression score than the patients in control group did, the difference was statistically significant (P<0.05).5.33patients in control group before intervention suffered anxiety, which accounted for57.89%of all the patients in control group.40patients in control group before intervention suffered anxiety, which accounted for76.92%of all the patients in test group. The number of patients who suffered anxiety in control group increased to37after intervention,which accounted for64.91%of the total number of the control group. The number of patients who suffered anxiety in test group decreased to20after intervention, which accounted for38.46%of the total number of the control group (P<0.05).6.36patients in control group before intervention suffered depression, which accounted for63.16%of all the patients in control group.33patients in control group before intervention suffered depression, which accounted for63.46%of all the patients in test group. The number of patients who suffered depression in control group increased to38after intervention, which accounted for66.66%of the total number of the control group.The number of patients who suffered depression in test group decreased to24after intervention, which accounted for46.13%of the total number of the control group (P<0.05).7. Before intervention, there was no statistical difference in the score of each factor of social support and the total score of all factors of social support between control group and test group (P>0.05).. After intervention, the scores of each factor of social support and the total score of all factors of social support in test group were much higher than control group and that in test group, and the difference was statistically significant (P<0.05)8. Before intervention, there was no statistical difference in the score of each factor of life quality and the total score of all factors of life quality between control group and test group (P>0.05).. After intervention, the scores of each factor of life quality and the total score of all factors of life quality in test group were much higher than control group and that in test group, and the difference was statistically significant (P<0.05).Conclusion1. The application of bio-psycho-social medical model intervention can make asthma patients get a better knowledge of the disease, reduce bad behavior, improve positivity of self-management, correctness of taking medication and compliance to treatment, improved clinical treating efficacy, control symptoms, reduce attack, improve the quality of life. 2. The application of bio-psycho-social medical model intervention can help asthma patients adjust their attitude and keep good moods, also can help them alleviate or eliminate negative emotions such as depression and anxiety, and improve their life quality. |
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