摘要
目的 探讨健康管理联合心理行为干预对哮喘患儿生活质量及负性情绪的影响,为改善患儿预后提供依据。方法 104例哮喘患儿分别接受常规管理(对照组,52例)和健康管理联合心理行为干预(观察组,52例),随访6个月后,统计2组预后情况,并采用哮喘生命质量调查问卷(PAQLQ)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评估患儿的生活质量及焦虑抑郁情况。结果 随访期间,观察组患儿住院次数、哮喘发作次数、每次住院时间均低于对照组,差异有统计学意义(P<0.05)。随访6个月后,观察组PAQLQ总评分为(114.66±12.19)分,对照组为(96.57±11.68)分,2组差异有统计学意义(t=7.727,P<0.001);观察组FEV_(1)、FVC高于对照组,HAMD、HAMA评分低于对照组,差异均有统计学意义(P<0.05)。结论 联合心理行为干预的健康管理,可有效缓解哮喘患儿的焦虑、抑郁情绪,改善其生活质量。
Objective To explore the effect of integrated health management combined with psychological behavioral interventions on the quality of life and negative emotions of children with asthma,and to provide evidence for improving the prognosis of these children.Methods A total of 104 children with asthma were included in this study,with 52 children receiving standard management(control group) and 52 children receiving integrated health management combined with psychological behavioral interventions(intervention group).After 6 months of follow-up,the prognosis of the two groups was assessed,and the quality of life and anxiety and depression levels of the children were evaluated using the pediatric asthma quality of life questionnaire(PAQLQ),the Hamilton depression rating scale(HAMD),and the Hamilton anxiety rating scale(HAMA).Results During the follow-up period,the intervention group had lower hospitalization rates,asthma exacerbation frequencies,and length of hospital stay compared to the control group,with statistically significant differences(P < 0.05).After the 6-month follow-up,the total score of PAQLQ in the intervention group was(114.66±12.19)points,while the control group had a score of(96.57±11.68)points,showing a statistically significant difference between the two groups(t=7.727,P < 0.001).The intervention group also had higher FEV_(1) and FVC values,as well as lower HAMD and HAMA scores compared to the control group,with statistically significant differences observed(P < 0.05).Conclusions The integrated health management combined with psychological behavioral interventions can effectively alleviate anxiety and depression symptoms in children with asthma,thereby improving their quality of life.
作者
胡一卉
胡滢潇
HU Yihui;HU Yingxiao(Department of Pediatrics,Yuyao Maternity and Child Health Care Hospital,Ningbo 315400,China)
出处
《健康研究》
CAS
2024年第2期183-186,共4页
Health Research
关键词
哮喘
健康管理
心理行为
生活质量
负性情绪
asthma
health management
psychological behavior intervention
quality of life
negative emotions
