童趣化心理干预联合家庭延续性管理在支气管哮喘患儿中的应用效果及对肺功能的影响

doi:10.3969/j.issn.1671-7171.2025.07.019

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摘要【目的】探讨童趣化心理干预联合家庭延续性管理在支气管哮喘患儿中的应用效果及对肺功能的影响。【方法】选取2021年7月至2024年7月在本院诊治110例支气管哮喘患儿,按照随机数字表法分为观察组(接受童趣化心理干预联合家庭延续性管理)和对照组(接受常规护理),每组55例。比较两组哮喘控制情况[哮喘控制测试量表(ACT)评分]、生活质量[圣乔治呼吸疾病问卷(SGRQ)评分]、自我管理能力(儿童自我管理量表评分)、肺功能指标[第1秒用力呼气容积(FEV₁)、用力肺活量(FVC)、FEV₁/FVC、呼气峰流速(PEF)]及家属满意度[纽卡斯尔护理服务满意度量表(NSNS)评分]。【结果】护理后,观察组ACT评分、自我管理能力评分、NSNS评分、家属满意度及FEV₁、FVC、FEV₁/FVC、PEF均高于对照组,SGRQ评分低于对照组(P<0.05)。【结论】童趣化心理干预联合家庭延续性管理可显著改善支气管哮喘患儿的哮喘控制水平、自我管理能力和肺功能,提升患儿生活质量与家属满意度。

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	汪洋
	李文珂
	刘艳歌

关键词 ：哮喘, 心理疗法, 呼吸功能试验, 儿童

Abstract：【Objective】To explore the application effect of childlike psychological intervention combined with family continuous management in children with bronchial asthma and its impact on pulmonary function. 【Methods】 A total of 110 children with bronchial asthma treated in our hospital from July 2021 to July 2024 were selected and divided into the observation group (receiving childlike psychological intervention combined with family continuous management) and the control group (receiving routine nursing) according to the random number table method, with 55 cases in each group. The asthma control status [Asthma Control Test (ACT)], quality of life [St. George's Respiratory Questionnaire (SGRQ)], self-management ability (Child Self-Management Scale), pulmonary function indexes [forced expiratory volume in 1 second (FEV₁), forced vital capacity (FVC), FEV₁/FVC, peak expiratory flow (PEF)] and family satisfaction [Newcastle Satisfaction with Nursing Scales (NSNS)] were compared between the two groups. 【Results】 After nursing, the ACT score, self-management ability score, NSNS score, family satisfaction, FEV₁, FVC, FEV₁/FVC and PEF in the observation group were higher than those in the control group, while the SGRQ score was lower than that in the control group (P<0.05). 【Conclusion】Childlike psychological intervention combined with family continuous management can significantly improve the asthma control level, self-management ability and pulmonary function of children with bronchial asthma, and enhance the quality of life of children and family satisfaction.

Key words： Asthma Psychotherapy Respiratory Function Tests Child

收稿日期: 2025-04-10

中图分类号:

R562.25

引用本文:

汪洋, 李文珂, 刘艳歌. 童趣化心理干预联合家庭延续性管理在支气管哮喘患儿中的应用效果及对肺功能的影响[J]. 医学临床研究, 2025, 42(7): 1171-1174.
WANG Yang, LI Wenke, LIU Yange. Application Effect of Childlike Psychological Intervention Combined with Family Continuous Management in Children with Bronchial Asthma and its Impact on Pulmonary Function. JOURNAL OF CLINICAL RESEARCH, 2025, 42(7): 1171-1174.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.07.019 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I7/1171

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