家庭干预对哮喘儿童吸入皮质激素依从性的影响

目的探讨家庭干预对哮喘患儿吸入皮质激素 (ICS)不依从行为的影响。方法通过直接面询法对 68例接受ICS治疗不依从的中度哮喘患儿的家长进行调查 ,采用抑郁自评量表 (SDS)和焦虑自评量表 (SAS)评定两组患儿家长的情绪变化 ,针对相关因素对家长进行综合干预。干预组 3 8例 ,在药物治疗的基础上对家长进行综合心理干预 ;对照组 3 0例 ,仅给药物治疗。两组均治疗观察一年。结果干预前两组患儿临床症状比较及家长的焦虑 (分别为 63 .2 %、60 .0 % )、抑郁 (分别为 2 6.3 %、2 3 .3 % )发生率无显著性差异 (P >0 .0 5 ) ;干预后干预组的家长焦虑 (15 .7% )、抑郁 (7.8% )发生率明显改善 ,对照组的家长焦虑 (4 6.7% )、抑郁 (3 0 .0 % )发生率无明显改善 ,两组比较有显著性差异 (P <0 .0 5或 <0 .0 1)。干预后干预组患儿ICS的依从性 (92 .11% )与对照组 (2 6.67% )比较显著提高 (P <0 .0 1)。结论对家长综合心理干预可提高哮喘患儿ICS的依从性 ,依从性的提高是控制哮喘的关键。

The effect of family intervention on compliance of asthma child who inhale cortex steroids

Objective To study the effect of family intervention in compliance of asthma child who inhale cortex steroids (ICS) as maintenance treatment. Methods68 uncompliance moderate asthma cases who accepted ICS treatmentwere studied by inquiring their father or mother directly. SDS and SAS were adopted to evaluate two groups' family emotion change. The intervention group includes 38 cases, who were treated with colligation family psychological intervention at the basis of drug treatment. The control group 30 cases were treated only with drug. All were followed one year. ResultsBefore intervention, there was no statistic significant between the two group in anxiety and depression (63.2% and 60.0%, 26.3% and 23.3%, respectively, P>0.05). After intervention, the emotional disturbance incidence in family and the ICS compliance of child were amelioration obviously in intervention group (P<0.05 orP<0.01). ConclusionThe colligation family psychological intervention could improve asthma child's ICS compliance, which is a key factor in controlling asthma.