中医护理干预对缓解期支气管哮喘患儿心理状态及康复的影响

目的:探讨中医护理干预支气管哮喘缓解期患儿对其心理状态及康复的影响。方法:采用分层抽样法抽选本院接收的支气管哮喘缓解期患儿共120例,采用均等双盲划分法将其中60例纳入对照组(按常规开展护理),剩余60例纳入观察组(在对照组基础上加予中医护理干预),统计并比较2组总有效率,护理前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)、哮喘生活质量评分表(AQLQ)评分,第1秒用力呼气容积(FEV1)、最大呼吸流量(PEF)、用力肺活量(FVC)情况。结果:观察组的总有效率比对照组更高(P<0.05)。护理前,2组SAS、SDS及AQLQ评分比较,差异无统计学意义(P>0.05)。护理后,2组SAS、SDS及AQLQ评分较前改善,观察组SAS、SDS评分比对照组更低,AQLQ评分比对照组更高(P<0.05)。护理前,2组的FVC、FEV1及PEF比较,差异无统计学意义(P>0.05);护理后,2组肺功能较前改善,观察组FVC、FEV1及PEF水平比对照组更高(P<0.05)。结论:予以支气管哮喘缓解期患儿中医护理干预效果明显,能改善其心理状态,促进其肺功能恢复。

Effect of Intervention of Chinese Medicine Nursing on Psychological State and Rehabilitation of Children with Bronchial Asthma at Remission Stage

Objective:To investigate the effect of intervention of Chinese medicine nursing on psychological state and rehabilitation of children with bronchial asthma at remission stage. Methods:A total of 120 children with bronchial asthma at remission stage admitted to our hospital were selected by stratified sampling,and were divided into the control group and the observation group by equal double-blind division,60 cases in each group. The control group was intervened with normal nursing,and the observation group was additionally intervened with Chinese medicine nursing based on the intervention of the control group. The total effective rate was calculated and compared between the two groups. Before and after nursing,the scores of Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS) and Asthma Quality of Life Questionnaire(AQLQ),and levels of forced expiratory volume in one second(FEV1),peak expiratory flow(PEF) and forced vital capacity(FVC)were calculated. Results:The total effective rate was higher in the observation group than that in the control group(P<0.05).Before nursing,there was no significant difference being found in the comparison of the scores of SAS,SDS and AQLQ in the two groups(P>0.05). After nursing, the scores of SAS, SDS and AQLQ in the two groups were improved when compared with those before nursing;the SAS and SDS scores in the observation group were lower than those in the control group, and the AQLQ score was higher than that in the control group(P<0.05). Before nursing, there was no significant difference being found in the comparison of the levels of FVC,FEV1 and PEF(P>0.05). After nursing,the lung function in the two groups was improved,and the above three levels in the observation group were higher than those in the control group(P<0.05). Conclusion:The effect of intervention of Chinese medicine nursing on children with bronchial asthma at remission stage is obvious,which can improve their psychological state and promote the recovery of their lung function.