鼻部症状对常年性变应性鼻炎患儿心理行为学的影响

Influence of nasal symptoms on psychological behavior of children with perennial allergic rhinitis

目的评估鼻部症状对常年性变应性鼻炎(PAR)患儿心理行为状态的影响。方法选取112例10~14岁PAR患儿作为PAR组及112例健康儿童作为对照组。采用鼻炎症状评分(TNSS)评价PAR组患儿鼻部症状严重程度,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、Piers-Harris儿童自我意识量表(PHCSCS)、艾森克个性(儿童)问卷(EPQ)评估两组儿童的焦虑、抑郁、自我意识状况和个性特征。比较两组的SAS评分、SDS评分、PHCSCS评分及EPQ评分,并分析PAR患儿的TNSS与各量表评分的相关性。结果PAR组患儿的SAS评分、SDS评分、EPQ量表中的精神质维度评分和神经质维度评分均高于对照组,而PHCSCS量表中的行为、智力与学校、焦虑、合群、幸福与满足维度评分均低于对照组(均P<0.05)。PAR组患儿的TNSS与SAS评分、SDS评分、EPQ的内外向维度评分和神经质维度的评分均呈正相关,与PHCSCS的行为、躯体外貌与属性、焦虑、幸福与满足维度的评分均呈正相关(均P<0.05)。结论与健康儿童相比,PAR患儿的心理行为状态差,并且受到鼻部症状的影响。临床医护人员应高度关注PAR患儿的心理行为特质,采取心理行为干预措施以促进其心理健康发展。

Objective To evaluate the influence of nasal symptoms on the psychological behavior of children with perennial allergic rhinitis(PAR).Methods A total of 112 PAR children aged 10-14 years were selected as PAR group and 112 healthy children as control group.Total Nasal Symptoms Score(TNSS)was used to evaluate the severity of nasal symptoms of children in the PAR group,the Self-Rating Anxiety Scale(SAS),the Self-Rating Depression Scale(SDS)and the Piers-Harris Children′s Self-Concept Scale(PHCSCS)and the Eysenck Personality Questionnaire(EPQ)were used to evaluate the conditions of anxiety,depression and self-consciousness as well as personality characteristics of children in both groups.SAS score,SDS score,PHCSCS score and EPQ score were compared between the two group,and the correlation of TNSS with each scale score was analyzed in children with PAR.Results Compared with the control group,the PAR group had higher SAS score,SDS score,and scores for psychoticism and neuroticism domains in the EPQ scale,and lower scores for behavior,intelligence and school,anxiety,gregariousness,happiness and satisfaction domains in the PHCSCS scale(all P<0.05).In the PAR group,TNSS positively correlated with SAS and SDS scores,as well as EPQ scores for introversion-extroversion and neuroticism domains,and positively correlated with domains in the PHCSCS scale including behavior,physical appearance and attributes,anxiety,happiness and satisfaction(all P<0.05).Conclusion Compared with healthy children,children with PAR exhibit poor psychological behavior status which is affected by nasal symptoms.Clinical medical staff should pay more attention to psychological behavior character of PAR children and adopt psychological behavior intervention measures to promote mental health development of the children.