学龄期慢性持续期哮喘患儿自我概念与治疗依从性的关系  

Relationship Between Self-concept and Treatment Compliance of School-Age Children with Chronic Persistent Asthma

作　　者：陈虹玉 史长松 刘爽 马彩霞 王兰兰 袁梦 CHEN Hongyu;SHI Changsong;LIU Shuang;MA Caixia;WANG Lanlan;YUAN Meng(Department of Pediatrics of Henan Provincial People’s Hospital/the Key Laboratory of Nursing Medicine of Henan/People’s Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院儿科/河南省护理医学重点实验室/郑州大学人民医院,河南郑州450000

出　　处：《河南医学研究》2023年第8期1414-1417,共4页Henan Medical Research

基　　金：河南省医学科技攻关计划(SBGJ202102017)。

摘　　要：目的分析学龄期慢性持续期哮喘患儿自我概念与治疗依从性的关系。方法前瞻性选取河南省人民医院2020年9月至2022年9月收治的124例哮喘患儿作为研究对象。调查患儿的自我概念[儿童自我概念量表(PHC-SS)]、治疗依从性[中文版支气管哮喘用药依从性量表(MARS-A)]及一般资料。比较不同治疗依从性患儿自我概念水平及一般资料,建立logistic回归模型,分析学龄期慢性持续期哮喘患儿自我概念与治疗依从性的关系。结果本研究发放一般资料调查表、PHC-SS、MARS-A问卷各124份,有效回收120份,有效回收率为96.77%。120例学龄期慢性持续期哮喘患儿经评估,治疗依从性良好88例(73.33%),依从性不佳32例(26.67%)。依从性不佳组发生药物不良反应、主要照顾者存在负性情绪占比高于依从性良好组(P<0.05);依从性不佳组PHC-SS评分低于依从性良好组(P<0.05);logistic回归分析结果显示,发生药物不良反应、主要照顾者存在负性情绪、自我概念水平低是学龄期慢性持续期哮喘患儿治疗依从性不佳的影响因素(P<0.05)。结论学龄期慢性持续期哮喘患儿自我概念与治疗依从性密切相关,且发生药物不良反应、主要照顾者存在负性情绪也是影响患儿治疗依从性的重要因素。Objective To analyze the relationship between self-concept and treatment compliance of school-age children with chronic persistent asthma.Methods A total of 124 children with asthma admitted to Henan Provincial People’s Hospital from September 2020 to September 2022 were prospectively selected as the study subjects.The children’s self-concept[children’s self-concept scale(PHC-SS)],treatment compliance[Chinese medication adherence report scale for asthma(MARS-A)]and general data were investigated.The self-concept level and general data of children with different treatment compliance were compared,and the logistic regression model was established to analyze the relationship between self-concept and treatment compliance of school-age children with chronic persistent asthma.Results In this study,124 general data questionnaires,PHC-SS and MARS-A questionnaires were distributed,and 120 were effectively recovered,with an effective recovery rate of 96.77%.A total of 120 school-age children with chronic persistent asthma were assessed,and there were 88 cases(73.33%)had good treatment compliance,32 cases(26.67%)had poor compliance.The proportion of adverse drug reactions and negative emotions of main caregivers in the poor compliance group were higher than that in the good compliance group(P<0.05).The PHC-SS score of poor compliance group was lower than that of good compliance group(P<0.05).The results of logistic regression analysis showed that adverse drug reactions,negative emotions of main caregivers and low self-concept level were the influencing factors of poor treatment compliance of school-age children with chronic persistent asthma(P<0.05).Conclusion The self-concept of school-age children with chronic persistent asthma is closely related to the treatment compliance,and the occurrence of adverse drug reactions and negative emotions of the main caregivers are also important factors affecting the treatment compliance of children.

关 键 词：儿童 哮喘 慢性持续期 自我概念 治疗依从性 关系 

分 类 号：R725.6[医药卫生—儿科]