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作 者:钟晓红 黎群娣 叶巧媚 孙善恩 陈智敏 ZHONG Xiao-hong;LI Qun-di;YE Qiao-mei;SUN Shan-en;CHEN Zhi-min
出 处:《护理实践与研究》2020年第13期127-129,共3页Nursing Practice and Research
摘 要:目的探讨支气管炎患儿心理行为特征与治疗依从性的相关性。方法选取2018年1月至2019年9月就诊于我院的支气管炎患儿79例,根据病情程度分为轻度组27例、中度组26例、重度组26例,选取同期健康体检的26例儿童为对照组。比较4组儿童的艾式儿童行为量表(CBCL)及治疗依从性评分,并分析心理行为特征与治疗依从性的相关性。结果4组儿童的CBCL量表8项得分重度组最高,其次为中度组、轻度组,对照组最低,差异有统计学意义(P<0.05);4组儿童的依从性调查得分对照组最高,其次为轻度组、中度组,重度组最低,差异有统计学意义(P<0.05);退缩、焦虑/抑郁、躯体主诉、社交问题、攻击性、违纪、思维和注意问题与治疗依从性均呈负相关(P<0.05)。结论支气管炎患儿的不良心理行为与治疗依从性呈负相关,需减轻患儿不良心理行为特征,提高其治疗依从性。Objective To explore the correlation between psychological behavior characteristics and treatment compliance in children patients with bronchitis.Methods To select 79 children patients with bronchitis who were treated in our hospital from January 2018 to September 2019,and they were divided into 27 cases in mild group,26 cases in moderate group and 26 cases in severe group according to the degree of illness.Meanwhile 26 cases of children patients with healthy physical examinations during the same period were selected as the control group to compare the Achenbach's child behavior checklist(CBCL)and treatment compliance scores of children patients of the four groups,and the correlation between psychological behavioral characteristics and treatment compliance was analyzed.Results The children patients in severe group of 4 groups had the highest score in the 8-item CBCL scale,followed by the moderate group and mild group,and the lowest in the control group,and the differences were statistically significant(P<0.05).The children patients in control group of the four groups had the highest score in the compliance score,followed by the mild group,the moderate group,and the severe group was the lowest,and the differences were statistically significant(P<0.05).The flinch,anxiety/depression,physical complaints,social problems,aggression,violation of discipline,thinking and attention problems were all negatively correlated with treatment compliance(P<0.05).Conclusion The adverse psychological behavior of children patients with bronchitis was negatively correlated with treatment compliance.It was necessary to reduce the characteristics of adverse psychological behaviors of children patients and improve their treatment compliance.
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