社区干预对支气管哮喘患儿生活质量及心理状态的影响

Community intervention influencing on life quality and mental status of children with bronchial asthma

目的探讨社区综合管理模式对支气管哮喘患儿的生活质量及心理状态的影响。方法将108例儿童支气管哮喘患儿随机分为对照组和干预组,各54例,对照组采用被动式门诊管理,而干预组采用社区综合管理模式,比较两组的生活质量、情绪状态及心理状况等指标。结果干预1年后,干预组的哮喘症状、活动受限、对刺激原反应、心理功能状态、对自身健康关心等指标得分均明显低于对照组(t值分别为8.227、4.801、4.640、8.667和10.356,P<0.01);干预组干预后的抑郁、焦虑、负性情绪得分均低于对照组(t值分别为3.397、2.017和3.671,P<0.05),而正性情绪则高于对照组(t值为-3.050,P<0.01);干预组干预后的自尊、人际安全感、确定控制感得分均高于对照组(t值分别为-6.556、-3.644和-2.574,P<0.05),而情感孤独得分则低于对照组(t值为7.654,P<0.01)。结论儿童支气管哮喘患儿实施社区综合管理模式后,可明显提高生活质量,改善情绪状态和心理状况。

Objective To explore intervention effect on life quality and mental status of children with bronchial asthma with community comprehensive management model. Methods Of 108 cases of children with bronchial asthma were randomly divided into control group(n=54) and intervention group(n=54). The control group was carried out passive management of clinic service, and the intervention group was given community comprehensive management model. The life quality, emotional state and psychologic status indexes were compared between the two groups. Results After one year intervention, scores of symptoms of asthma, limitation of activity, reaction to stimulus, functional status and attention to selfhealth in the intervention group were much lower than the control group(P<0.01). Scores of depression, anxiety, positive mood and negative mood in the intervention group after intervention were all lower than the control group(P<0.05), but positive was higher than the control group(P<0.01). Scores of self-respect, social security, determine control in the intervention group after intervention were much higher than the control group(P<0.05), but emotional loneliness score was much lower than the control group(P<0.05). Conclusion Implementation community comprehensive management model might obviously raise life quality, improve emotional state and psychologic status of the children with bronchial asthma.