基于家庭-医院联合理念的健康教育结合沙盘游戏对学龄期毛细支气管炎患儿抵抗情绪及行为问题的影响  

Effects of health education based on family-hospital joint concept combined with sandplay on resistance emotion and behavioral problems in school-age children with bronchiolitis

作　　者：王艳妮 张翠 王建英 史维娟 WANG Yanni;ZHANG Cui;WANG Jianying;SHI Weijuan(Pediatrics Department,Xi'an Daxing Hospital,Xi'an 710082,China;Child Health Department,Xi'an Daxing Hospital,Xi'an 710082,China)

机构地区：[1]西安大兴医院儿科,陕西西安710082 [2]西安大兴医院儿童保健科,陕西西安710082

出　　处：《临床医学研究与实践》2024年第19期166-169,174,共5页Clinical Research and Practice

摘　　要：目的分析基于家庭-医院联合理念的健康教育结合沙盘游戏对学龄期毛细支气管炎患儿抵抗情绪及行为问题的影响。方法选择2019年3月至2020年5月我院收治的80例学龄期毛细支气管炎患儿为研究对象,以随机数字表法将其分为对照组、观察组,每组40例。对照组接受常规护理,观察组在对照组基础上加施基于家庭-医院联合理念的健康教育结合沙盘游戏。比较两组的干预效果。结果干预前,两组的照护者照护能力量表(FCTI)、抵抗情绪评分比较,差异无统计学意义(P>0.05);干预后,观察组的FCTI、抵抗情绪评分低于对照组,差异具有统计学意义(P<0.05)。干预前,两组的Achenbach儿童行为量表(CBCL)各维度评分比较,差异无统计学意义(P>0.05);干预后,观察组的CBCL各维度评分均低于对照组,差异具有统计学意义(P<0.05)。干预前,两组的半胱氨酸白三烯(CysLTs)、肺表面活性蛋白-D(SP-D)水平比较,差异无统计学意义(P>0.05);干预后,观察组的CysLTs、SP-D水平均低于对照组,差异具有统计学意义(P<0.05)。结论基于家庭-医院联合理念的健康教育结合沙盘游戏可缓解学龄期毛细支气管炎患儿的抵抗情绪,改善行为问题,缓解机体炎症反应,值得推广。Objective To analyze the effects of health education based on family-hospital joint concept combined with sandplay on resistance emotion and behavioral problems in school-age children with bronchiolitis.Methods A total of 80 school-age children with bronchiolitis admitted in our hospital from March 2019 to May 2020 were selected as the research objects.The children were divided into control group and observation group by random number table method,with 40 cases in each group.The control group received routine nursing,while the observation group received health education based on family-hospital joint concept combined with sandplay on the basis of the control group.The intervention effects of the two groups were compared.Results Before intervention,there were no significant differences in Family Caregiver Task Inventory(FCTI)and resistance emotion scores between the two groups(P>0.05);after intervention,the scores of FCTI and resistance emotion in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in scores of each dimension of Child Behavior Checklist(CBCL)between the two groups(P>0.05);after intervention,the scores of each dimension of CBCL in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in cysteinyl leukotrienes(CysLTs)and surfactant protein-D(SP-D)levels between the two groups(P>0.05);after intervention,the levels of CysLTs and SP-D in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Health education based on family-hospital joint concept combined with sandplay can alleviate the resistance emotion of school-age children with bronchiolitis,improve behavioral problems,and relieve the body's inflammatory response,which is worthy of promotion.

关 键 词：基于家庭-医院联合理念的健康教育 沙盘游戏 学龄期 毛细支气管炎 抵抗情绪 行为问题 

分 类 号：R473[医药卫生—护理学]