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自我效能理论为指导的自我管理对哮喘患儿心理发育及自我管理行为的影响

  • 张晓静

* 通信作者: 张晓静, 单位:河南医学高等专科学校附属医院儿科

摘要

【摘要】
目的:观察以自我效能理论为指导的自我管理对哮喘患儿哮喘控制效果、心理发育状态、心里韧性及自我管理行为的影响。

方法:选取我科2018年6月至2020年6月期间93例哮喘患儿作为研究对象,对照组46例实施常规治疗和管理方案,观察组47例采用以自我效能理论为指导的自我管理方案进行干预,6个月后,对比两组患儿哮喘控制效果、心理发育情况及自我管理行为评分。

结果:干预后两组患儿的C-ACT评分、FEV1%和PEF%均明显优于干预前(P<0.05),干预后观察组患儿的C-ACT评分、FEV1%和PEF%均明显优于对照组(P<0.05)。干预后两组患儿的HAMA、HAMD和SASC评分均明显优于干预前(P<0.05),干预后观察组患儿的HAMA、HAMD和SASC评分均明显优于对照组(P<0.05)。干预后两组患儿自我管理行为各方面得分均明显优于干预前(P<0.05),干预后观察组患儿自我管理行为各方面得分均明显优于对照组(P<0.05)。

结论:自我效能理论为指导的自我管理能够明显提高哮喘患儿的哮喘控制效果,改善其焦虑、抑郁情绪,增强自我管理能力,值得临床应用。

关键词:【关键词】自我效能理论;自我管理;哮喘患儿;心理发育;自我管理行为

ABSTRACT

[Abstract]
Objective: To observe the effect of self-management guided by self-efficacy theory on asthma control effect, psychological development state, psychological resilience and self-management behavior in children with asthma. Selection methods: our department during June 2018 to June 2020, 93 cases of children with asthma as the research object, 46 cases of control group routine treatment and management scheme, observation group of 47 patients with self-efficacy theory as the guidance of self management solution to intervene, after six months, compared two groups of children with asthma control effect, the psychological development and self management behavior score.

Results: The c-ACT scores, FEV1% and PEF% of children in the two groups were significantly better than those before intervention (P<0.05), and the C-ACT scores, FEV1% and PEF% of children in the observation group were significantly better than those in the control group (P<0.05). HAMA, HAMD and SASC scores of the two groups after the intervention were significantly better than those before the intervention (P<0.05), and HAMA, HAMD and SASC scores of the observation group were significantly better than those of the control group after the intervention (P<0.05). After intervention, scores of all aspects of self-management behavior of children in the two groups were significantly better than those before intervention (P<0.05), and scores of self-management behavior of children in the observation group were significantly better than those in the control group (P<0.05).

Conclusion  : Self-management guided by self-efficacy theory can significantly improve the asthma control effect of children with asthma, improve their anxiety and depression, and enhance their self-management ability, which is worthy of clinical application.

Key words: 【 Key words 】 Self-efficacy theory; Self-management; Children with asthma; Psychological development; Self-management behavior

引用本文 / How to Cite This Article

张晓静.自我效能理论为指导的自我管理对哮喘患儿心理发育及自我管理行为的影响[J]. 国际精神病学杂志, 2021, 48(4): 757-760

参考文献