自我管理在再生障碍性贫血患儿中的应用

Application of Self-Management in Children with Aplastic Anemia

目的分析以自我管理能力为导向的焦点解决方案在再生障碍性贫血患儿中的应用效果。方法将2021年1月—2022年1月某院收治的116例再生障碍性贫血患儿作为研究对象,随机分为对照组和干预组,每组各58例。对照组给予常规临床干预,干预组给予以自我管理能力为导向的焦点解决方案干预。比较两组患儿干预前后的负性情绪、自我效能、自我健康管理能力、慢性病儿童应对方式量表(CODI)评分情况。结果单因素方差—协方差分析显示,干预后干预组儿童的负性情绪、自我效能、自我健康管理能力和CODI改善情况均优于对照组(P<0.05),干预净效应明显。结论以自我管理能力为导向的焦点解决方案干预能够在一定程度上缓解再生障碍性贫血患儿的负性情绪,提高自我效能和自我健康管理能力,改善儿童的应对能力。

Objective To analyze the application effect of self-management oriented focus solutions in children with aplastic anemia.Methods A total of 116 children with aplastic anemia admitted to a certain hospital from January 2021 to January 2022 were randomly divided into a control group and an intervention group,with 58 cases in each group.The control group received routine clinical intervention,while the intervention group received self-management oriented focused solution intervention.The negative emotions,self-efficacy,self-health management ability,and chronic disease coping style inventory(CODI)scores of two groups of children before and after intervention were compared.Results Univariate analysis of variance and covariance showed that the children in the intervention group had better negative emotions,self-efficacy,self-health management ability,and CODI improvement than the control group after intervention(P<0.05),and the net effect of intervention is significant.Conclusion Focused solution interventions guided by self-management ability can alleviate the negative emotions of children with aplastic anemia to a certain extent,improve self-efficacy and self-health management ability,and improve children’s coping ability.