牛奶过敏患儿父母焦虑状况调查及健康教育效果评价  

Investigation on anxiety status of parents of children with c ow's milk allergy and evaluation of health education effect

作　　者：许松涛 梁艳萍 张孟徐[1] 王玉梅[1] Xu Songtao;Liang Yanping;Zhang Mengxu;Wang Yumei(First author's address the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州大学第三附属医院,河南郑州450000

出　　处：《临床心身疾病杂志》2022年第5期45-48,81,共5页Journal of Clinical Psychosomatic Diseases

基　　金：国家自然科学基金面上项目(编号81871218)。

摘　　要：目的调查牛奶过敏患儿父母的焦虑状况,评价健康教育的效果。方法将117例牛奶过敏患儿的父母按照随机数字表法分为两组,患儿给予对症治疗,两组均给予常规健康宣教,研究组在此基础上给予系统的健康教育。入组后4周末进行随访,评价两组患儿治疗效果,于入组时、入组1周末、入组4周末采用焦虑自评量表评定两组患儿父母的焦虑情绪,比较两组患儿临床表现。结果研究组患儿治疗总有效率显著高于对照组(P<0.01)。不同时间点研究组与对照组焦虑自评量表评分比较差异有统计学意义(F=8.23、22.33,P<0.01,F_(时间)=29.26,P<0.01),入组1周末及入组4周末研究组显著低于对照组(t=4.00、4.72,P<0.01,F_(组间)=13.97,P<0.01)。两组患儿临床表现比较差异无统计学意义(P>0.05)。结论牛奶过敏患儿父母焦虑情绪较严重,系统的健康教育可以有效缓解其焦虑情绪,并提高患儿治疗依从性。临床工作中,在规范化诊疗的同时,做好健康科普工作同样非常重要。Objective To investigate the anxiety status of parents of children with cow's milk allergy(CMA)and evaluate the effect of health education.Methods The parents of 117 children with CMA were divided into two groups according to random number table method,and were given symptomatic treatment.Both groups were given routine health education,and the study group was given systematic health education on this basis.Follow-up was conducted 4 weeks after enrollment to evaluate the treatment effect of the two groups of children.The self-rating anxiety scale(SAS)was used to evaluate the anxiety of the parents in the two groups at the time of enrollment,one week after enrollment,and four weeks after enrollment,and the clinical manifestations of the two groups were compared.Results The total effective rate of children in the study group was significantly higher than that in the control group(P<0.01).There were statistically significant differences in SAS scores between the study group and the control group at different time points(F=8.23,22.33,P<0.01,F time=29.26,P<0.01).At the end of the first week and the fourth week,the study group was significantly lower than the control group(t=4.00,4.72,P<0.01,F time=13.97,P<0.01).There was no significant difference in clinical manifestations between the two groups(P>0.05).Conclusions Parents of children with CMA have severe anxiety,and systematic health education can effectively relieve their anxiety and improve treatment compliance.In clinical work,it is also very important to do a good job in health science while standardizing diagnosis and treatment.

关 键 词：牛奶过敏 患儿父母 焦虑 健康教育 

分 类 号：R593.1[医药卫生—内科学]