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【目的】探讨心理干预联合健康教育对儿童哮喘控制水平的影响。【方法】选择85例哮喘患儿,分为干预组和对照组。干预组45例患儿在按照GINA指南常规处理的基础上,进行心理干预治疗,包括:①健康教育;②放松按摩训练;③认知疗法。对照组40例患儿仅予常规处理。两组患儿在实验开始和结束进行肺功能测定及儿童哮喘控制测试评分,并在中山大学附属第三医院哮喘门诊定期随诊。【结果】1年后:干预组患儿哮喘急性发作的次数少于对照组;该组患儿儿童哮喘控制水平测试得分和肺功能指标最大肺活量(FVC)、1秒钟用力呼气容积的预计值(pre-FEV1%)及最大呼吸流量预计值(pre-PEF%)优于对照组。【结论】心理干预治疗能够提高哮喘儿童用药依从性,降低哮喘发作频率,改善儿童哮喘控制水平。
【Objective】 To investigate the effect of psychological intervention combined with health education on the control of childhood asthma. 【Methods】 Eighty-five asthmatic children were selected and divided into intervention group and control group. In the intervention group, 45 children underwent psychological intervention based on the GINA guidelines, including: ① health education; ② relaxation massage training; ③ cognitive therapy. Control group, 40 cases of children treated only routinely. Two groups of children at the beginning and end of the experiment lung function tests and children asthma control test scores, and the Third Affiliated Hospital of Sun Yat-sen’s regular follow-up of asthma clinic. 【Results】 One year later, the number of asthma exacerbations in the intervention group was less than that in the control group. The children’s asthma control test scores and the maximum vital capacity (FVC) of lung function, forced expiratory volume of one second The values of pre-FEV1% and pre-PEF% were better than those of the control group. 【Conclusion】 Psychological intervention can improve drug compliance in asthmatic children, reduce the frequency of asthma attacks and improve the control of childhood asthma.