哮喘患儿家庭环境和家庭功能与其主观生活质量的相关性分析  

Correlation of family environment and family functioning with life quality for children with asthma

作　　者：牛庆玲[1] 

机构地区：[1]黑龙江省大庆油田总医院儿科39病区,163001

出　　处：《中华现代护理杂志》2016年第18期2553-2557,共5页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金（30771679）

摘　　要：目的：探析家庭环境与家庭功能对哮喘患儿主观生活质量的影响。方法选取120例哮喘患儿，根据疾病轻重分为轻度哮喘组（71例）和中度哮喘组（49例）；同期选取120名健康儿童作为健康组。3组均给予家庭环境量表（FES-CV）、家庭功能量表（FAD）和儿少主观生活质量问卷进行评估。比较3组患儿家庭环境、家庭功能情况及生活质量评分，分析 FES-CV、FAD 评分与主观生活质量评分的相关性。结果 FES-CV 因子中除成功性外，3组 FES-CV、FAD 其他各因子评分差异均有统计学意义（P ＜0．05）；与中度哮喘组比较，健康组和轻度哮喘组的情感表达、文化性、娱乐性评分较高，矛盾性和控制性评分较低，差异有统计学意义（P ＜0．05）；与轻度哮喘组比较，健康组文化性评分较高，矛盾性评分较低（P ＜0．05）。健康组和轻度哮喘组 FAD 各因子得分均低于中度哮喘组（P ＜0．01）；健康组 FAD 各因子得分均较低于轻度哮喘组（P ＜0．05）。3组在家庭生活、自我认识、抑郁体验、焦虑体验、躯体体验、认知成分、感情成分及总分方面差异有统计学意义（P ＜0．05）；轻度哮喘组的自我认识、抑郁体验评分低于健康组，中度哮喘组的家庭生活、自我认识、抑郁体验、认知成分、总评分均低于健康组（P ＜0．05）。患儿主观生活质量总评分与 FES-CV 中的矛盾性、控制性呈负相关（r ＝－0．605，－0．445；P ＜0．05）；与亲密度、情感表达、独立性、文化性、娱乐性、道德宗教观、组织性均呈正相关（r ＝0．345～0．628，P ＜0．05）。哮喘患儿主观生活质量总评分均与 FAD 中的问题解决能力、沟通、角色分工、情感反应、情感介入、行为控制和总功能评分呈负相关（r ＝－0．651～－0．526，P ＜0．05）。结论家庭功能及家庭环境与哮喘患儿主观生活质量密切关系�Objective To investigate the correlation of family environment and family functioning with life quality for children with asthma.Methods Totally 120 asthma children were selected and divided into mild asthma group （n =71）and moderate asthma group （n =49）;and 120 healthy children were selected as healthy group at the same time.3 groups were given the Chinese version of family environment scale（FES-CV）,family assessment device（FAD）and children′s subjective living quality （ISLQ）.The scores of FES-CV,FAD,ISLQ of 3 groups were compared,and the correlation of FES-CV,FAD with ISLQ were analyzed.Results Besides the factor score of achievement orientation,the other factors scores of FES-CV and FAD were significantly different among the three groups（P 〈0.05）.Compared with moderate asthma group,the scores of emotional expression, culture,entertainment in mild asthma group and healthy group were higher,and the scores of contradiction and controlled were lower （P 〈0.05）.Compared with mild asthma group,the scores of culture in healthy group were higher,and the scores of contradiction were lower （P 〈0.05）.FAD of mild asthma group and healthy group were lower than those of moderate asthma group （P 〈0.01）.Factors of FAD of healthy group were lower than those of mild asthma group （P 〈0.05）.There were significant differences on the scores of family life experience,self-awareness,depression,anxiety,body experience,cognitive component,emotional elements and total points of 3 groups （P 〈0.05）.The scores of self-awareness,depression in mild asthma group were lower than that of healthy group;the scores of family life experience,self-awareness,depression,cognitive component and total points of moderate asthma group were lower than those of healthy group （P 〈0.05）.ISLQ was negatively correlated with contradiction,controlling of FES-CV （r =-0.605,-0.445;P 〈0.05）;and was positively correlated with intimacy,emotional expression,independence,culture,entertaining,moral relig

关 键 词：哮喘 儿童 家庭环境 家庭功能 生活质量 

分 类 号：R473.72[医药卫生—护理学]