规范治疗和管理对哮喘儿童病情控制和家长心理健康的影响

The Effect of Standard Treatment and Management on Asthma in Children and its Impact on Their Parents' Mental Health

目的：探讨规范治疗和管理对哮喘儿童病情控制和家长心理健康的影响。方法：选取符合儿童哮喘诊断标准的3~14岁哮喘患儿60名,按全球哮喘防治创议（G INA）进行规范治疗和管理12月,在治疗和管理前、后分别采用儿科哮喘控制测试表（ACT）对哮喘儿童的病情控制进行调查,采用症状自评量表（SCL-90）调查患儿家长的心理状况。结果：规范治疗、管理12月后ACT得分明显提高,轻度（t=9.56,P〈0.05）、中度（t=6.67,P〈0.05）、重度（t=6.29,P〈0.05）比较差异有统计学意义。规范治疗和管理后患儿家长SCL-90中敌对、精神病症因子比较差异无统计学意义（P〉0.05）,其余七项因子得分明显降低,经比较差异有统计学意义（P〈0.05）。结论：哮喘严重影响了患儿的生命质量及家长的心理健康,规范治疗和管理能有效控制患儿的病情,减轻患儿家长的心理障碍。

Objective：To study the effect of standard treatment and management on asthma in children and its impact on their parents＇ mental health.Methods：Sixty children from 3 to 14 years old were chosen who met the diagnostic criteria of asthma.They were treated and managed by the global initiative for asthma（GINA） for 12 months.Before and after the treatment,the asthma control test（ACT） was used to survey the controlling effect and the Symptom Checklist（SCL-90） was used to survey the parents＇ psychological state.Results：After 12 months＇ treatment,scores of ACT in the children increased significantly（P0.05） in all the groups of different severities.After management,the parents＇ scores in many factors of SCL-90 decreased significantly（P0.05）,except for the factors of hostility and mental illness（P0.05）.Conclusions：Asthma has seriously affected the quality of children＇s life and the parents＇ mental health.The disease of asthma in children can be effectively controlled and the parents＇ psychological barriers can be reduced by standard treatment and management.