摘要
目的探讨自我效能理论下的自我管理干预在7~14岁哮喘患儿的中应用效果及对其自护能力、心理韧性的影响。方法抽取2016年4月—2018年4月唐山市妇幼保健院收治的84例哮喘患儿,以随机数字表法分为管理组、对照组,各42例。对照组按照全球哮喘防治战略创议(GINA)推荐方案予以常规护理,管理组在此基础上给予为期6个月的自我效能理论下的自我管理干预。统计所有患儿干预期间哮喘发作次数、急诊次数,评估干预后1年内哮喘控制情况、肺功能,干预前后分别采用自护能力测定量表(ESCA)和慢性病儿童韧性量表评估两组患儿的自护能力与心理韧性。结果与对照组比较,管理组患儿干预期间平均哮喘发作次数、平均急诊次数减少,干预后1年内哮喘完全或部分控制者占比升高,差异均有统计学意义(P<0.05)。两组患儿干预后日间症状评分、夜间症状评分、肺功能均改善,管理组改善效果优于对照组,差异均有统计学意义(P<0.05)。两组患儿干预后ESCA量表的自我概念、自护责任感、自护技能和健康知识水平4个维度评分及慢性病儿童韧性量表的个性特征、应对方式、人际关系3个维度评分均升高,且管理组上述评分均高于对照组,差异均有统计学意义(P<0.05)。结论自我效能理论下的自我管理干预能够有效提高7~14岁哮喘儿童的自护能力与心理韧性,从而减少哮喘发作、急诊次数及促进肺功能恢复。
Objective To explore the effects of self-management intervention under the self-efficacy theory on 7-14 years old children with asthma.Methods In this prospective study,totally 201 pediatric patients with asthma treated in Tangshan Maternal&Child Health Care Hospital from April 2016 to April 2018 were selected and divided into managed(n=42)and control(n=42)groups according to the random number table.Patients in the control group received conventional care according to the recommendations under Global Initiative for Asthma(GINA),while patients in the managed group received self-management intervention under the self-efficacy theory on this basis for 6 months.The frequency of asthma and emergency treatment during the intervention period was calculated,and the control of asthma and pulmonary function within 1 year after intervention was evaluated.Exercise of Self-care Agency Scale(ESCA)and Chronic Disease Resilience Scale for Children(CDRSC)were used to assess the self-care agency and psychological resilience of the two groups before and after intervention.Results Compared with the control group,the average frequency of asthma and emergency treatment was reduced in the managed group during the intervention period.The proportion of patients whose asthma was partially or fully controlled within 1 year after intervention increased,and there was statistically significant difference between the two groups(P<0.05).Daytime and nighttime symptom scores and pulmonary function were ameliorated in both groups after intervention.The improvement effects were better in the managed group than in the control group,and there was statistically significant difference between the two groups(P<0.05).The scores of self-concept,self-care responsibility,self-care skill and health knowledge in ESCA and the scores of personalities,coping style and interpersonal relationship in CDRSC increased in both groups after intervention.The scores of the managed group were higher than those of the control group,and there was statistically significant d
作者
赵静维
张丽杰
刘鹤
葛宾
崔慧贤
李晓娟
Zhao Jingwei;Zhang Lijie;Liu He;Ge Bin;Cui Huixian;Li Xiaojuan(Department of Pediatric Respiratory&Critical Care Medicine,Tangshan Maternal&Child Health Care Hospital,Hebei Province,Tangshan 063000,China)
出处
《中华现代护理杂志》
2019年第33期4282-4286,共5页
Chinese Journal of Modern Nursing
关键词
哮喘
儿童
自护能力
心理韧性
自我效能理论
自我管理干预
Asthma
Children
Self-care agency
Psychological resilience
Self-efficacy theory
Self-management nursing
