Most patients with COPD are troubled by bad moods, especially depression and anxiety. Clinically, depression and anxiety in COPD patients often coexist, but there is actually a clear difference between the two.
The prominent feeling of depression is the loss of pleasure and pleasure, and there are symptoms such as self-denial, regret, energy decline, insomnia, poor appetite, and pessimism. The main point is depression and declining interest.
The prominent feelings of anxiety are fear, nervousness, and worry too much about situations that have not yet appeared in the future. Anxiety has two groups of symptoms: one is inner anxiety, there is a kind of unspeakable anxiety; the other is physical anxiety, also known as the physical symptoms of anxiety, such as autonomic dysfunction (palpitation, hot flashes, chest tightness, cold Insufficient sweating), muscle tension (muscle stiffness, tremors, pain, inability to relax, restlessness), changes in biological rhythm (early waking, insomnia, loss of appetite or loss of regular diet, eating as a kind of emotional relief when you are anxious Means) etc.
For chronic obstructive pulmonary disease patients, an acute attack can cause dyspnea, breathing disorders and other near-death feelings, causing the patients to feel anxious and fear of recurring symptoms of dyspnea.
COPD patients with depression and anxiety are factors that lead to
chronic diseases because of the long treatment cycle will be repeated in the treatment of the disease, this is also the factors that lead to COPD patients with depression and anxiety. Clinically, there are often patients with COPD who are unwilling to be discharged when they need to be discharged. The reason is that the patient is not clear about the direction of the disease after discharge, and he is worried that it will be difficult to get better care after discharge. Of course, during the hospitalization period, patients with COPD may also have emotional problems, because related symptoms trigger many adverse reactions, which greatly affect the quality of life of the patients. At this time, the patient usually feels very irritable, and the disease is difficult to cure, and it brings a feeling of despair and frustration to the patient. In addition, if the patient is unable to adapt to the hospital environment, it may also trigger bad emotions, such as feelings of loss.
The influence of bad mood on the condition of patients with chronic obstructive pulmonary disease
In fact, some discomforts of many patients, such as suffocation, pain, chest tightness and other symptoms, often contain the patient’s own cognitive processing components. In some clinical patients, their physical condition has improved during the test, but the patient’s self-feeling is still very uncomfortable. Negative emotions amplify painful feelings, thereby reducing the patient’s tolerance and ability to fight disease. Therefore, psychological care is also indispensable when treating patients with chronic obstructive pulmonary disease.
Psychological care of patients with stable chronic obstructive pulmonary disease
1. Carry out some aerobic exercises appropriately.
2. Bask in the sun. Because light can promote the production of dopamine and increase the patient’s sense of pleasure.
3. Music therapy.
4. Pay attention to divert attention. Reading, watching TV and other methods can be used to divert the patient’s attention, so as not to always worry about the condition and increase the psychological burden.
When COPD patients with acute exacerbation of anxiety, how to ease the sense of impending doom
anxiety, there are two, one is general anxiety that chronic, persistent fear, tension; First, acute anxiety, panic attacks, also known as anxiety that suddenly Onset symptoms. At this time, patients often have a very significant sense of dying, especially at night when this symptom is very prominent. What should I do if a patient with COPD has acute anxiety? You can try the following ways to adjust the breathing rhythm.
1. Think of yourself as a sponge. Lie flat on the bed, fully relax, imagine yourself as a sponge, arms become very soft, and gently separate from the body, shoulders relaxed, legs relaxed and separated, head and neck close to the bed. Close your eyes and breathe deeply through your nose. Relax all parts of your body, imagine yourself as a sponge, and draw tranquility from all around.
2. Take a deep breath with a sigh. Take a deep breath, exhale through your nose, open your lips slightly, and exhale gently for as long as possible. Focus on the sound of exhalation so that there is no tension at all.
Please answer the frequency of the above symptoms according to the situation in the past two weeks, select the appropriate option, and then add up the scores: 0 to 4 points indicate no symptoms; 5 to 9 points indicate mild anxiety; 10 to 14 points indicate There is moderate anxiety; a score of 15 or above indicates severe anxiety.
It should be pointed out that this scale only measures the severity of anxiety, not the anxiety of the diagnosed patient. If the self-test result exceeds the moderate severity, it is recommended that you go to a psychiatrist or a psychiatrist for examination as soon as possible.
