整合性心理干预配合健康教育对哮喘儿童心理韧性、生活质量及家长认知水平的影响
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摘要
目的:探讨整合性心理干预配合健康教育对哮喘儿童心理韧性、生活质量及家长认知水平的影响。方法:选取我院2016年10月至2017年9月收治的哮喘患儿110例,按照随机表法分为对照组和观察组各55例。对照组给予常规干预,观察组给予整合性心理干预联合健康教育,比较两组患儿心理韧性、生活质量及家长认知水平。结果:①心理韧性:干预后,观察组患儿目标专注(t=2.581,P<0.05)、情绪控制(t=2.494,P<0.05)、积极认知(t=2.617,P<0.05)、人际协助(t=3.917,P<0.05)、家庭支持(t=2.516,P<0.05)评分均显著高于对照组;②生活质量:干预后,观察组患儿总体健康(t=2.441,P<0.05)、活力(t=2.177,P<0.05)、情感职能(t=2.256,P<0.05)、精神健康(t=2.108,P<0.05)均显著高于对照组;③家长认知水平:干预后,观察组家长哮喘知识(t=3.029,P<0.05)、信念和态度(t=2.257,P<0.05)、家长行为(t=2.433,P<0.05)评分均高于对照组。结论:整合性心理干预配合健康教育可提升哮喘儿童心理韧性,改善其生活质量,提高家长认知水平。
Objective:To explore the effects of integrated psychological intervention combined with health education on psychological resilience,quality of life and parents' cognitive level of asthmatic children.Methods:A total of 110 cases of asthmatic children admitted to our hospital from October 2016 to September 2017 were selected and divided into control group(n=55)and observation group(n=55)according to the random number table method.Control group was given routine nursing,and observation group was given integrated psychological intervention combined with health education.The psychological resilience,quality of life,and parents' cognitive level were compared between the two groups.Results:As for psychological resilience,the scores of goal planning(t=2.581,P<0.05),emotional control(t=2.494,P<0.05),positive thinking(t=2.617,P<0.05),interpersonal assistance(t=3.917,P<0.05)and family support(t=2.516,P<0.05)in observation group after intervention were significantly higher than those in control group.The scores of overall health(t=2.441,P<0.05),vitality(t=2.177,P<0.05),emotional function(t=2.256,P<0.05)and mental health(t=2.108,P<0.05)in observation group after intervention were significantly higher than those in the control group.The scores of asthma knowledge(t=3.029,P<0.05),beliefs and attitudes(t=2.257,P<0.05)and parental behavior(t=2.433,P<0.05)in observation group after intervention were higher than those in the control group.Conclusion:Integrated psychological intervention combined with health education can improve the psychological resilience and quality of life of asthmatic children,and enhance the parents' cognitive level.
Objective:To explore the effects of integrated psychological intervention combined with health education on psychological resilience,quality of life and parents' cognitive level of asthmatic children.Methods:A total of 110 cases of asthmatic children admitted to our hospital from October 2016 to September 2017 were selected and divided into control group(n=55)and observation group(n=55)according to the random number table method.Control group was given routine nursing,and observation group was given integrated psychological intervention combined with health education.The psychological resilience,quality of life,and parents' cognitive level were compared between the two groups.Results:As for psychological resilience,the scores of goal planning(t=2.581,P<0.05),emotional control(t=2.494,P<0.05),positive thinking(t=2.617,P<0.05),interpersonal assistance(t=3.917,P<0.05)and family support(t=2.516,P<0.05)in observation group after intervention were significantly higher than those in control group.The scores of overall health(t=2.441,P<0.05),vitality(t=2.177,P<0.05),emotional function(t=2.256,P<0.05)and mental health(t=2.108,P<0.05)in observation group after intervention were significantly higher than those in the control group.The scores of asthma knowledge(t=3.029,P<0.05),beliefs and attitudes(t=2.257,P<0.05)and parental behavior(t=2.433,P<0.05)in observation group after intervention were higher than those in the control group.Conclusion:Integrated psychological intervention combined with health education can improve the psychological resilience and quality of life of asthmatic children,and enhance the parents' cognitive level.
引文
[1]曾山,熊彬.激素抵抗型哮喘与炎性因子相关性的研究进展[J].广东医学,2017,38(3):478-480
[2]陈晓丽,邓静敏.中性粒细胞哮喘的研究进展[J].重庆医学,2016,45(17):2411-2413
[3]刘传合,洪建国,尚云晓,等.中国16城市儿童哮喘患病率20年对比研究[J].中国实用儿科杂志,2015,30(8):596-600
[4]石晓岚,刘翠翠,赵龙,等.孟鲁司特钠治疗儿童哮喘的临床症状和肺功能评估[J].临床肺科杂志,2016,21(6):1034-1037
[5]刘传合.儿童支气管哮喘诊断与管理的新观点--2014-2015年全球哮喘防治创议的启示[J].中华实用儿科临床杂志,2015,30(16):1223-1226
[6]魏然,叶依娜,龚享锋,等.父母认知及管理对支气管哮喘患儿治疗依从性的影响[J].海南医学,2016,27(14):2304-2306
[7]张云彩.健康教育辅导联合居家自我护理对哮喘患儿临床症状及心理状况的影响[J].实用临床医药杂志,2017,21(20):203-205
[8]杨梦,刘佳鸿,白银玉,等.哮喘儿童心理韧性现状及其影响因素的研究[J].中国儿童保健杂志,2016,24(12):1332-1334
[9]李善玲,徐玉林,杨新丽,等.早期整合性心理干预在老年住院病人护理中的应用[J].护理研究,2014,28(26):3260-3261
[10]黄海东.健康教育对消化性溃疡患者生活质量及遵医行为的影响[J].中国健康教育,2015,31(1):46-48
[11]中华医学会儿科学分会呼吸学组.儿童支气管哮喘诊断与防治指南(2016年版)[J].中华儿科杂志,2016,54(3):167-181
[12]胡月琴,甘怡群.青少年心理韧性量表的编制和效度验证[J].心理学报,2008,40(8):902-912
[13]张静.延续护理对老年脑卒中患者预后及生活质量的影响[J].中国健康心理学杂志,2017,25(12):1780-1783
[14]钟萍,肖厚兰,梁伟,等.佛山市高明区哮喘患儿家长哮喘知识及行为调查[J].华西医学,2015,16(12):2245-2248
[15]邓跃林,吴华杰,柴华,等.孟鲁司特钠联合咳喘三伏贴对哮喘患儿血清IL-4和IFN-γ水平的影响及其机制[J].西北药学杂志,2017,32(1):102-105
[16]Saito N,Itoga M,Tamaki M,et al.Cough variant asthma patients are more depressed and anxious than classic asthma patients[J].Journal of Psychosomatic Research,2015,79(1):18-26
[17]Song P,Zeng L,Liang Z,et al.Clinical efficacy and safety of Chinese herbal medicine auxiliary therapy for childhood cough variant asthma:A systematic review and meta-analysis of 20 randomized controlled trials[J].Internal Medicine,2016,55(16):2135-2143
[18]郭春燕,陈小燕.小儿急诊科引入心理干预模式对患儿生理应激状态及家属负性情绪的影响[J].山西医药杂志,2016,45(6):633-635
[2]陈晓丽,邓静敏.中性粒细胞哮喘的研究进展[J].重庆医学,2016,45(17):2411-2413
[3]刘传合,洪建国,尚云晓,等.中国16城市儿童哮喘患病率20年对比研究[J].中国实用儿科杂志,2015,30(8):596-600
[4]石晓岚,刘翠翠,赵龙,等.孟鲁司特钠治疗儿童哮喘的临床症状和肺功能评估[J].临床肺科杂志,2016,21(6):1034-1037
[5]刘传合.儿童支气管哮喘诊断与管理的新观点--2014-2015年全球哮喘防治创议的启示[J].中华实用儿科临床杂志,2015,30(16):1223-1226
[6]魏然,叶依娜,龚享锋,等.父母认知及管理对支气管哮喘患儿治疗依从性的影响[J].海南医学,2016,27(14):2304-2306
[7]张云彩.健康教育辅导联合居家自我护理对哮喘患儿临床症状及心理状况的影响[J].实用临床医药杂志,2017,21(20):203-205
[8]杨梦,刘佳鸿,白银玉,等.哮喘儿童心理韧性现状及其影响因素的研究[J].中国儿童保健杂志,2016,24(12):1332-1334
[9]李善玲,徐玉林,杨新丽,等.早期整合性心理干预在老年住院病人护理中的应用[J].护理研究,2014,28(26):3260-3261
[10]黄海东.健康教育对消化性溃疡患者生活质量及遵医行为的影响[J].中国健康教育,2015,31(1):46-48
[11]中华医学会儿科学分会呼吸学组.儿童支气管哮喘诊断与防治指南(2016年版)[J].中华儿科杂志,2016,54(3):167-181
[12]胡月琴,甘怡群.青少年心理韧性量表的编制和效度验证[J].心理学报,2008,40(8):902-912
[13]张静.延续护理对老年脑卒中患者预后及生活质量的影响[J].中国健康心理学杂志,2017,25(12):1780-1783
[14]钟萍,肖厚兰,梁伟,等.佛山市高明区哮喘患儿家长哮喘知识及行为调查[J].华西医学,2015,16(12):2245-2248
[15]邓跃林,吴华杰,柴华,等.孟鲁司特钠联合咳喘三伏贴对哮喘患儿血清IL-4和IFN-γ水平的影响及其机制[J].西北药学杂志,2017,32(1):102-105
[16]Saito N,Itoga M,Tamaki M,et al.Cough variant asthma patients are more depressed and anxious than classic asthma patients[J].Journal of Psychosomatic Research,2015,79(1):18-26
[17]Song P,Zeng L,Liang Z,et al.Clinical efficacy and safety of Chinese herbal medicine auxiliary therapy for childhood cough variant asthma:A systematic review and meta-analysis of 20 randomized controlled trials[J].Internal Medicine,2016,55(16):2135-2143
[18]郭春燕,陈小燕.小儿急诊科引入心理干预模式对患儿生理应激状态及家属负性情绪的影响[J].山西医药杂志,2016,45(6):633-635