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目的研究儿童支气管哮喘患者的社会行为能力以及焦虑敏感指数现状,并找出两者的相关性,以期为临床干预提供理论依据。方法选择湖北省建始县人民医院2013年6月—2015年6月收治的儿童支气管哮喘患者128例作为研究对象。采用Achenbach儿童行为评定量表(CBCL)以及儿童焦虑敏感指数(CASI)量表对哮喘患儿社会行为能力以及焦虑敏感指数进行评价。结果儿童支气管哮喘患者CBCL总均分为(79.94±11.76)分,社会行为问题检出率为46.09%,CASI总均分为(23.30±3.17)分,行为问题以及焦虑敏感指数在性别、不同年龄组间比较,差异有统计学意义(P<0.05);CASI与哮喘患儿活动能力、社交能力、学习能力呈负相关,与行为问题呈正相关(P<0.05)。结论焦虑敏感指数越高,哮喘患儿越易表现出社会适应能力低,易出现行为问题的症状。医务人员以及患者家属应指导哮喘患儿建立积极的应对方式,加强心理疏导和健康教育,改善患儿的生活质量。
Objective To study the status of children with asthma in social behavior and anxiety sensitivity index and find the correlation between the two in order to provide a theoretical basis for clinical intervention. Methods 128 children with bronchial asthma admitted from June 2013 to June 2015 in Jianshi County People’s Hospital of Hubei Province were selected as research objects. Achenbach Children’s Behavior Scale (CBCL) and Children’s Anxiety Index (CASI) were used to evaluate the social behavior and anxiety-sensitive index of children with asthma. Results The overall average CBCL score was (79.94 ± 11.76), the prevalence rate of social behavior problems was 46.09%, and the overall CASI score was (23.30 ± 3.17). The behavioral problems and anxiety sensitivity index were significantly different in gender, age The differences between the two groups were statistically significant (P <0.05). CASI was negatively correlated with activity, social ability and learning ability of children with asthma, and positively correlated with behavioral problems (P <0.05). Conclusions The higher the anxiety index, the more likely the children with asthma have symptoms of low social adaptability and prone to behavioral problems. Medical staff and their families should guide asthmatic children to establish a positive coping style, strengthen psychological counseling and health education, improve children’s quality of life.