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焦虑情绪对哮喘患儿治疗依从性及生活质量的影响

The influence of anxiety on treatment compliance and quality of life in children with asthma

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【作者】 朱萍王书举吴宗跃

【Author】 ZHU Ping;WANG Shuju;WU Zongyue;Nanyang Central Hospital;

【通讯作者】 朱萍;

【机构】 南阳市中心医院

【摘要】 目的 调查焦虑情绪对哮喘患儿治疗依从性及生活质量的影响。方法 选择2020年4月~2022年4月80例哮喘患儿为研究对象,采用儿童焦虑敏感指数(CASI)评估患儿焦虑情绪,并根据CASI评分≥18分、<18分设为焦虑组以及非焦虑组。采用Morisky-Green(MG)量表评价服药依从性,采用儿童哮喘控制测试(C-ACT)评价症状控制情况,采用儿科哮喘生活质量调查问卷(PAQLQ)评价哮喘相关生活质量。结果 80例哮喘患儿检出焦虑30例,检出率37.50%;焦虑组MG评分、C-ACT评分显著低于非焦虑组(P<0.05);焦虑组PAQLQ量表中症状、活动、情感以及总分均显著低于非焦虑组(P<0.05)。结论 哮喘患儿焦虑检出率较高,焦虑情绪会降低哮喘患儿治疗依从性、哮喘症状控制效果及生活质量。

【Abstract】 Objective To investigate the influence of anxiety on treatment compliance and quality of life of children with asthma. Methods Eighty asthmatic children from April 2020 to April 2022 were selected as the study subjects. Children’s anxiety sensitivity index(CASI)was used to evaluate their anxiety,and they were divided into anxiety group and non-anxiety group according to CASI score ≥ 18 points or <18 points. Morisky Green(MG)scale was used to evaluate drug compliance. Children’s asthma control test(C-ACT)was used to evaluate symptom control. Asthma related quality of life was assessed with the Pediatric Asthma Quality of Life Questionnaire(PAQLQ). Results Anxiety was detected in 30 of 80 asthmatic children(37.50%). MG score and C-ACT score in anxiety group were significantly lower than those in non-anxiety group(P<0.05). The symptom,activity,emotion and total score of PAQLQ in anxiety group were significantly lower than those in non-anxiety group(P<0.05). Conclusion The detection rate of anxiety in children with asthma is high. Anxiety will reduce the treatment compliance,the control effect of asthma symptoms and the quality of life in children with asthma.

  • 【文献出处】 国际精神病学杂志 ,Journal of International Psychiatry , 编辑部邮箱 ,2023年02期
  • 【分类号】R725.6
  • 【下载频次】47
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