赋能心理干预对肺炎患儿遵医行为和自护能力的影响

Effect of empowering psychological intervention on compliance behavior and self-care ability of children with pneumonia

目的:探讨赋能心理干预对肺炎患儿遵医行为和自护能力的影响。方法:选取2021年1月-2022年1月某院收治的90例肺炎患儿为研究对象,按照入院先后分为对照组和观察组,每组各45例;对照组采取常规干预,观察组采取赋能心理干预;对比两组患儿临床症状消失时间和肺功能指标[第一秒用力呼气容积(FEV1)、呼气峰流速(PEF)和用力肺活量(FVC)],干预后遵医行为,干预前后自护能力[自我护理能力量表(ESCA)]、负性情绪[儿童焦虑型情绪障碍筛查表(SCAERD)]和生活质量。结果:观察组咳嗽、发热、肺部湿啰音症状消失时间及住院时间均短于对照组(t=10.589,11.075,7.397,8.791;P<0.05);干预后,两组患儿FEV1、PEF和FVC均升高,且观察组均高于对照组(t=5.721,3.470,4.997;P<0.05);观察组遵医率高于对照组(χ^(2)=2.362,P<0.05);干预后,观察组自我概念、健康知识水平、自我护理技能、自我护理责任感及ESCA量表总分均高于干预前,且均高于对照组(t=8.078,3.770,7.326,3.945,11.091;P<0.05)。干预后,两组SCAERD评分均降低(P<0.05),且观察组低于对照组(t=5.582,P<0.05);两组生活质量量表各维度评分均升高,且观察组均高于对照组(t=7.282,2.997,3.869,2.914;P<0.05)。结论:对肺炎患儿采用赋能心理干预效果显著,可促进患儿各项症状恢复,改善肺功能和负性情绪,提高遵医嘱行为、自护能力和生活质量。

Objective:To explore the effect of empowering psychological intervention on compliance behavior and self-care ability of children with pneumonia.Methods:Atotal of 90 cases of children with pneumonia admitted to our hospital from January 2021 to January 2022 were selected as the research objects.They were divided into control group and observation group according to their admission sequence,with 45 cases in each group;The control group was given routine intervention,while the observation group was given empowering psychological intervention;The clinical symptom disappearance time and pulmonary function indexes[forced expiratory volume in the first second(FEV1),peak expiratory flow rate(PEF)and forced vital capacity(FVC)]of the two groups of children were compared.The compliance behavior after intervention,self-care ability[self-care ability scale(ESCA)],negative emotions[Children's Anxiety Disorder Screening Scale(SCAERD)]and quality of life before and after intervention were compared.Results:The disappearance time and hospitalization time of cough,fever,lung moist rale symptoms in the observation group were shorter than those in the control group(t=10.589,11.075,7.397,8.791;P<0.05);After intervention,FEV1,PEF and FVC in the two groups were all increased,and those in the observation group were higher than those in the control group(t=5.721,3.470,4.997;P<0.05);The compliance rate in the observation group was higher than that in the control group(χ^(2)=2.362,P<0.05);After intervention,the total scores of self-concept,health knowledge,self-care skills,self-care responsibility and ESCA scale in the observation group were higher than those before intervention,and were higher than those in the control group(t=8.078,3.770,7.326,3.945,11.091;P<0.05).After intervention,the SCAERD scores in both groups decreased,and those in the observation group were lower than those in the control group(t=5.582,P<0.05);The scores of each dimension of the quality of life scale in the two groups increased,and the scores in the observation group were higher than those in the control group(t=7.282,2.997,3.869,2.914;P<0.05).Conclusion:Empowering psychological intervention has a significant effect on children with pneumonia,which can promote the recovery of various symptoms,improve pulmonary function and negative emotions,and improve the compliance behavior,self-care ability and quality of life.