心理行为干预对学龄期哮喘儿童自我概念水平的影响效果研究

目的 探讨心理行为干预对学龄期哮喘儿童自我概念水平的效果.方法 干预组和对照组各取样本50例.干预组在门诊随访和吸入治疗的同时采取为期6个月的心理行为干预,对照组仅接受门诊随访和吸入治疗.分别在于预前、干预3,6个月采用Piers-Harris儿童自我概念量表(PHCSS量表)对2组患儿进行自我概念水平的评价,并收集2组患儿在6个月干预期内哮喘发作次数、缺课天数和住院天数的资料. 结果干预6个月时,干预组患儿哮喘发作次数和缺课天数显著少于对照组患儿,住院天数2组患儿差异不明显,干预组患儿的总体自我概念和大部分分量表(智力与学校情况、躯体外貌与属性、焦虑、合群)得分较对照组显著提高.结论 心理行为干预可有助于减少哮喘对于学龄期哮喘儿童的身心影响,提高学龄期哮喘儿童的自我概念水平,促进其身心全面健康.

Study on psychological and behavioral intervention on self-concept level of school-age children with asthma

Objective To evaluate the impact of psychological and behavioral intervention on self-concept of school- age children with asthma. Methods The intervention group and the control group in-cluded 50 patients each. Those in the intervention group attended a 6-month psychological behavioral inter-vention in addition to routine follow-up visit and inhalation therapy, while the control group received the routine follow-up visit and inhalation therapy only. Piers-Harris children's self-concept scale (PHCSS) was administered to evaluate the self- concept of the sample repeatedly at 3 months and 6 months. Data about the incidence times of asthma, time of absent from school and hospitalization time were collected within 6-month intervention. Results After 6- month intervention ,the incidence times of asthma and time of ab-sent from school in the intervention group were less San those of the control group. No statistical difference was seen in hospitalization time between the two groups. The total self- concept level and the scores of most subscales, including intelligence and academic competence, physical appearance and attribute, anxiety and popularity in the intervention group were higher than those of the control group. Conclusions Psycholog-ical behavioral intervention was effective in reducing psychosomatic effect of asthma, improving self-con-cept of school- age children with asthma, and promoting the physical and mental health of them.