家庭赋权干预对反复呼吸道感染患儿依从性和照顾者心理负担的影响

Effect of family empowerment intervention on compliance of children with recurrentrespiratory tract infection and psychological burden of caregivers

目的:探讨家庭赋权干预对反复呼吸道感染患儿依从性和照顾者心理负担的影响。方法:选取2021年3月-2022年3月某院收治的120例反复呼吸道感染患儿为研究对象,按照入院先后分为对照组和观察组,每组各60例;对照组采取常规干预,观察组采取家庭赋权干预联合常规干预;对比两组患儿干预前后依从性和肺功能[最大峰流速值(PEF)和第1秒用力呼气容积(FEV1)],患儿家属干预前后心理负担[家庭负担会谈量表(FBS)]、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]和生活质量[健康调查简表(SF-36)]。结果:干预后,两组行为配合、活动量、睡眠、饮食得分均升高(P<0.05),且观察组均高于对照组(t=3.233,3.558,2.685,3.418;P<0.05);干预后,两组PEF、FEV1均升高(P<0.05),且观察组高于对照组(t=2.383,4.289;P<0.05);干预后,两组家庭关系、日常活动、娱乐活动、经济负担、成员心理健康和成员躯体健康得分均降低(P<0.05),且观察组均低于对照组(t=-15.553,-11.972,-6.930,-10.163,-7.509,-8.799;P<0.05);干预后,两组SAS、SDS评分均下降(P<0.05),且观察组低于对照组(t=-7.045,-10.080;P<0.05);干预后,两组社交功能、角色功能、情感功能和躯体症状及量表总分均升高(P<0.05),且观察组均高于对照组(t=7.740,6.789,5.902,7.117,12.427;P<0.05)。结论:对反复呼吸道感染患儿给予家庭赋权干预效果显著,可提高患儿治疗依从性和肺功能,缓解患儿家属心理负担和焦虑、抑郁情绪,提高患儿生活质量。

Objective:To explore the effect of family empowerment intervention on the compliance of children with recurrent respiratory tract infection and the psychological burden of caregivers.Methods:A total of 120 children with recurrent respiratory tract infection admitted to our hospital from March 2021 to March 2022 were selected as the study subjects.They were divided into control group and observation group according to the admission order,with 60 cases in each group;The control group received routine intervention,while the observation group received family empowerment intervention combined with routine intervention;The compliance and lung function of the two groups of children before and after the intervention were compared[maximum peak flow rate(PEF)and forced expiratory volume(FEV1)in the first second],the psychological burden of the children's families before and after the intervention[family burden talk scale(FBS)],the psychological state[self rating anxiety scale(SAS),self rating depression scale(SDS)]and the quality of life[short form of health survey(SF-36)].Results:After intervention,the scores of behavioral coordination,activity,sleep and diet in the two groups increased(P<0.05),and the scores in the observation group were higher than those in the control group(t=3.233,3.558,2.685,3.418;P<0.05);After intervention,PEF and FEV1 in both groups increased(P<0.05),and the observation group was higher than the control group(t=2.383,4.289;P<0.05);After intervention,the scores of family relations,daily activities,recreational activities,economic burden,mental health and physical health of members in the two groups decreased(P<0.05),and the scores in the observation group were lower than those in the control group(t=-15.553,-11.972,-6.930,-10.163,-7.509,-8.799;P<0.05);After intervention,the SAS and SDS scores of the two groups decreased(P<0.05),and the observation group was lower than the control group(t=-7.045,-10.080;P<0.05);After intervention,the social function,role function,emotional function,physical symptoms and total score of the scale in the two groups increased(P<0.05),and the observation group was higher than the control group(t=7.740,6.789,5.902,7.117,12.427;P<0.05).Conclusion:The effect of family empowerment intervention on children with recurrent respiratory tract infection is significant,which can improve the treatment compliance and lung function of children,relieve the psychological burden,anxiety and depression of children's families,and improve the quality of life of children.