心理干预在哮喘儿童治疗中的作用  

The Effect of psychological intervention in treatment of the children with asthma

作　　者：陈学彬[1] 王文[1] 刘琦[1] 吴莉[1] 

机构地区：[1]兰州大学第一医院心理卫生科甘肃省心理卫生研究所,甘肃兰州730000

出　　处：《中国妇幼保健》2011年第22期3423-3426,共4页Maternal and Child Health Care of China

摘　　要：目的:探讨心理干预在哮喘儿童治疗中的作用,为提高患儿的心理健康水平,更好地控制哮喘发作提供依据。方法:采用随机对照方法,将符合标准的哮喘患儿分为干预和非干预组,两组均进行规范治疗,干预组同时给予12周的心理治疗;采用儿童状态-特质焦虑问卷(STAIC)、儿童抑郁自评量表(SSDC)对哮喘患儿82例和健康对照儿童38例进行焦虑和抑郁情绪的心理评估,比较干预前后两组患儿在情绪、躯体症状、肺功能和唾液中SIgA含量的变化。结果:哮喘患儿焦虑、抑郁得分明显高于健康儿童,而SIgA含量明显低于健康儿童;两组患儿的焦虑、抑郁评分均低于治疗前,干预组患儿的焦虑、抑郁评分明显低于非干预组(P<0.01);肺功能改善亦优于非干预组(P<0.05);唾液中SIgA含量明显高于非干预组。结论:心理干预能明显改善患儿的情绪障碍、躯体症状和肺功能,是一种有效地辅助治疗方法。Objective：To explore the effect of psychological intervention in treatment of the children with asthma,provide reference for improving the level of mental health and controlling the onset of asthma better.Methods：A randomized control method was used in the study,then the children meeting the criterion of asthma were divided into intervention group and non-intervention group,the children in the two groups received regular treatment,and the children in intervention group were treated with psychotherapy for 12 weeks at the same time;STAIC and SSDC were used to evaluate the anxiety state and depression state of 82 children with asthma and 38 healthy children;the changes of emotion,physical symptom,pulmonary function and SIgA content in saliva in the two groups were compared before and after intervention.Results：The scores of anxiety and depression in intervention group were significantly higher than those in non-intervention group,while SIgA content in saliva in intervention group was significantly lower than that in non-intervention group;in the two groups,the scores of anxiety and depression after treatment were significantly lower than those before treatment;after treatment,the scores of anxiety and depression in intervention group were significantly lower than those in non-intervention group（P0.01）;the degree of improvement of pulmonary function in intervention group was superior to that in non-intervention group（P0.05）;SIgA content in saliva in intervention group was significantly higher than that in non-intervention group.Conclusion：Psychological intervention can improve emotional disorder,physical symptom and pulmonary function of the children with asthma obviously,which is an effective assisted therapeutic measure.

关 键 词：支气管哮喘 心理干预 情绪障碍 肺功能 儿童 

分 类 号：R562.25[医药卫生—呼吸系统]