论文部分内容阅读
目的:探讨心理干预在哮喘儿童治疗中的作用,为提高患儿的心理健康水平,更好地控制哮喘发作提供依据。方法:采用随机对照方法,将符合标准的哮喘患儿分为干预和非干预组,两组均进行规范治疗,干预组同时给予12周的心理治疗;采用儿童状态-特质焦虑问卷(STAIC)、儿童抑郁自评量表(SSDC)对哮喘患儿82例和健康对照儿童38例进行焦虑和抑郁情绪的心理评估,比较干预前后两组患儿在情绪、躯体症状、肺功能和唾液中SIgA含量的变化。结果:哮喘患儿焦虑、抑郁得分明显高于健康儿童,而SIgA含量明显低于健康儿童;两组患儿的焦虑、抑郁评分均低于治疗前,干预组患儿的焦虑、抑郁评分明显低于非干预组(P<0.01);肺功能改善亦优于非干预组(P<0.05);唾液中SIgA含量明显高于非干预组。结论:心理干预能明显改善患儿的情绪障碍、躯体症状和肺功能,是一种有效地辅助治疗方法。
Objective: To explore the role of psychological intervention in the treatment of children with asthma, in order to improve the mental health of children, to provide a basis for better control of asthma attacks. Methods: Children with asthma were divided into intervention group and non-intervention group by randomized controlled trial. Both groups were given standard treatment. The intervention group was given 12 weeks of psychological treatment at the same time. The children’s status-trait anxiety questionnaire (STAIC) Child depression self-rating scale (SSDC) 82 children with asthma and healthy control children 38 cases of psychological anxiety and depression, emotional and physical symptoms, lung function and saliva in children before and after the intervention compared SIgA content The change. Results: The scores of anxiety and depression in children with asthma were significantly higher than those in healthy children, while the levels of SIgA in children with asthma were significantly lower than those in healthy children. The scores of anxiety and depression in both groups were significantly lower than those before treatment and in intervention group (P <0.01). The improvement of pulmonary function was also better than non-intervention group (P <0.05). The content of SIgA in saliva was significantly higher than that in non-intervention group. Conclusion: Psychological intervention can significantly improve children with mood disorders, somatic symptoms and lung function, is an effective adjuvant therapy.