心理干预联合健康教育对儿童哮喘控制水平的影响  

Effects of psychological treatment on child asthma control test level in asthmatic children

作　　者：陈壮桂[1] 李鸣 唐春[3] 陈岩峰[1] 黎雅婷[1] 纪经智[1] 陈奋华[1] 陈虹[1] 

机构地区：[1]广州中山大学附属第三医院儿科儿童哮喘专科,广东广州510630 [2]广州中山大学附属第一医院黄埔院区呼吸内科,广东广州517000 [3]广州中山大学附属第三医院儿科儿童行为发育中心,广东广州510630

出　　处：《中国儿童保健杂志》2009年第3期298-300,共3页Chinese Journal of Child Health Care

基　　金：广东省科技计划项目基金(2008B030301040);广东省医学科研基金项目(A2008192)

摘　　要：【目的】探讨心理干预联合健康教育对儿童哮喘控制水平的影响。【方法】选择85例哮喘患儿,分为干预组和对照组。干预组45例患儿在按照GINA指南常规处理的基础上,进行心理干预治疗,包括:①健康教育;②放松按摩训练;③认知疗法。对照组40例患儿仅予常规处理。两组患儿在实验开始和结束进行肺功能测定及儿童哮喘控制测试评分,并在中山大学附属第三医院哮喘门诊定期随诊。【结果】1年后:干预组患儿哮喘急性发作的次数少于对照组;该组患儿儿童哮喘控制水平测试得分和肺功能指标最大肺活量(FVC)、1秒钟用力呼气容积的预计值(pre-FEV1%)及最大呼吸流量预计值(pre-PEF%)优于对照组。【结论】心理干预治疗能够提高哮喘儿童用药依从性,降低哮喘发作频率,改善儿童哮喘控制水平。[Objective] To investigate the effects of psychological treatment plus healthy education on Child Asthma Control Test（C-ACT） level in asthmatic children. [Methods] 85 asthmatic children treated with inhaled corticosteroids according to GINA were enrolled, 45 cases were assigned into psychological treatment group intervened with healthy education, relaxation training and perception therapy. The other 40 cases were assigned into control group with regulation treatment. All of patients selected examined pulmonary function and C-ACT both at the beginning and the end of the study, and then followed up in the specific clinic of asthma. [Results] After one year,compared with the control group, the less asthma exacerbation frequency in psychological treatment group. C-ACT scores and pulmonary index （FVC, pre-FEV1%, pre-PEF% ） in psychological treatment made great progress than that in the control group. [Conclusion] Psychological treatment plus healthy education could reduce the frequency of asthma exacerbation and improve the asthma control level of asthmatic children.

关 键 词：支气管哮喘 心理干预 健康教育 儿童哮喘控制 

分 类 号：R725.6[医药卫生—儿科]