Evaluation, Psychological Intervention and Follow-up Study of Anxiety and Depression in Stable COPD Patients

Evaluation, Psychological Intervention and Follow-up Study of Anxiety and Depression in Stable COPD Patients

Evaluation, Psychological Intervention and Follow-up Study of Anxiety and Depression in Stable Chronic Obstructive Pulmonary Disease Patients

This study expect to investigate psychological intervention (Baduanjin qigong) in COPD patients combined with anxiety and/or depression.

Anxiety and depression is one of the most common complications of COPD patients.This research use psychological questionnaires to evaluate the stage of COPD patients with anxiety and/or depression(asymptomatic, subclinical，clinical). The subclinical type will divided into the treatment group of Baduanjin qigong，and the control group. Two groups are all receive the same psychological counseling, the treatment group also receive further treatment of Baduanjin qigong under the guidance of medical staff. The treatment along for 1 year. Two groups were followed up for 2 years, dynamically observe the stage of anxiety and depression,the number of exacerbations,lung function,etc.

Doing exercise of Baduanjin qigong under the guidance of medical staff;psychological counseling at the same time.

use psychological questionnaires(Hospital Anxiety and Depression Scale,etc)to evaluate the stage of anxiety and/or depression

lung function (pulmonary function test(20 minutes after inhaled 400ug albuterol),the forced expiratory volume in 1 second(FEV1)will be detected)

use pulmonary function test(20 minutes after inhaled 400ug albuterol),the forced expiratory volume in 1 second(FEV1)will be detected.

Inclusion Criteria: Diagnosed of COPD In stable phase FEV1%predicted <80. Exclusion Criteria: Cancer Severe cerebrovascular disease Severe arrhythmia,cardiac insufficiency Alzheimer's disease Mental illness Severe liver disfunction Severe renal disfunction Physical activity disable.