Effect of cognitive behavioral intervention based on the humanism perspective on the compliance behavior of children with asthma and the psychological state of their parents#br#
SONG Qingmei1 SONG Qingli2 ZHANG Xiaojuan1 XIE Kaili1 ZHU Yaqiong1 LIANG Juan1▲
1.Pediatric Outpatient and Emergency, Xijing Hospital, the First Affiliated Hospital of Air Forth Medical University, Shaanxi Province, Xi’an 710032, China; 2.Department of Laboratory, Xijing Hospital, the First Affiliated Hospital of Air Forth Medical University, Shaanxi Province, Xi’an 710032, China
Abstract Objective To explore the impact of cognitive behavioral intervention based on the humanism perspective on the compliance behavior of children with asthma and the psychological state of their parents, and to provide theoretical references for clinical practice. Methods Ninety children with asthma admitted to Xijing Hospital of the First Affiliated Hospital of Air Forth Medical University, from January 2018 to December 2020 were selected as the research objects. They were divided into control group and observation group by random number table method, with 45 cases in each group. The control group adopted conventional nursing intervention, while on the basis of the control group, the observation group adoped cognitive behavioral intervention based on humanism psychological. The compliance behaviors, parents’ awareness rate of asthma health knowledge, self-rating anxiety scale (SAS) scores, and self-rating depression scale (SDS) scores were compared between the two groups. Results The observation group adhered to the doctor’s prescribed medication, avoided contact with allergens, paid attention to keeping warm, physical exercise, and scientific diet compliance behavior rates were higher than those of the control group, and the differences were statistically significant (P ＜ 0.05). The awareness rate of parents’ health knowledge in the observation group was higher than that in the control group, and the difference was statistically significant (P ＜ 0.05). After the intervention, the SAS and SDS scores of the two groups were lower than before the intervention, while the observation group was lower than the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Cognitive behavior intervention based in the humanism perspective can improve the compliance behavior of children with asthma, enhance parents’ cognition of asthma health knowledge, and regulate parents’ mental state. It is worthy of clinical widespread promotion and application.
SONG Qingmei1 SONG Qingli2 ZHANG Xiaojuan1 XIE Kaili1 ZHU Yaqiong1 LIANG Juan1▲. Effect of cognitive behavioral intervention based on the humanism perspective on the compliance behavior of children with asthma and the psychological state of their parents#br#[J]. 中国医药导报, 2021, 18(29): 170-173.
[1] Goswami U，Bernabé E. Asthma，Long-Term Asthma Control Medication and Tooth Wear in American Adolescents and Young Adults [J]. J Asthma，2020，15（2）：1-11.
[2] 林敏仪，林艳，刘玲，等.支气管哮喘患儿急性发作次数与儿童行为异常的关系分析[J].贵州医药，2019，43（1）：69-71.
[3] 崔慧贤，葛宾，赵静维，等.专职化护理小组模式在重症哮喘患儿中的应用效果[J].中华现代护理杂志，2021，27（4）：480-484.
[4] 卢蓉，吕苏芳.以人为本的认知行为干预对剖宫产产妇及其家属遵医行为的影响[J].中国医学伦理学，2019，20（3）：328-330.
[5] 刘恩梅.2005年全球哮喘防治创议有关儿童哮喘的诊治指南[J].实用儿科临床杂志，2007，22（4）：319.
[6] 陶明，高静芳.修订焦虑自评量表（SAS-CR）的信度及效度[J].中国神经精神疾病杂志，2017，15（5）：1023-1025.
[7] 王文菁，谭文艳.Zung抑郁自评量表的因子分析[J].广东医学，2018，32（16）：2191-2193.
[8] 商建萍，黄洋，舒俊华，等.哮喘患儿家长知信行问卷调查分析及临床意义[J].中国妇幼保健，2019，31（16）：1023-1026.
[9] 唐燕萍.家长及患儿全面健康教育对支气管哮喘急性发作患儿病情控制的作用[J].中国妇幼保健，2020，21（12）：2163-2165.
[10] Ara J. The Efficacy of Cognitive Behavioral Intervention to Reduce Symptoms of Anxiety Disorder with an Adult in Bangladesh：A Clinical Case study [J]. Psychol Behav Sci，2020，35（12）：2561-2565.
[11] 钟东影，冯石莲，利传倩.以人为本护理在孕产妇认知行为中的应用[J].护理实践与研究，2020，11（10）：50-51.
[12] 宋元玉，陈霞，应赟.哮喘患儿病情控制现状及影响哮喘控制的因素分析[J].中国妇幼保健，2019，34（12）：2831-2833.
[13] 宋华芳，陈晓君，余瑛.人本位整体护理在新生儿病房护理管理中的应用[J].中医药管理杂志，2020，311（4）：71-72.
[14] V?觟r?觟s K，Kói T，Magyar D，et al. The influence of air pollution on respiratory allergies，asthma and wheeze in childhood in Hungary [J]. Minerva Pediatrica，2019，42（26）：1842-1846.
[15] 余晓萍.人本位护理在肺炎患者中的应用效果研究[J].中国全科医学，2019，20（S1）：456-460.
[16] Dodman NH，Brown DC，Serpell JA，et al. Associations between owner personality and psychological status and the prevalence of canine behavior problems [J]. PLoS One，2018，13（2）：e0192846.
[17] Wang K，Xue Y，Fan X，et al. Sedentary Behaviors，Psychological Status，and Sleep Quality in Chinese University Students [J]. Social Behavior Personality，2019，47（1）：1-10.
[18] Pothiban L，Srirat C. Association between stroke knowledge，stroke awareness，and preventive behaviors among older people：A cross sectional study [J]. Nurs Health Sci，2019，21（7）：399-405.
[19] 裴迎营.基于人本位视野下的认知行为干预对哮喘患者心理健康及知信行水平的影响[J].医学临床研究，2020， 37（4）：622-624.
[20] 康娟.支气管哮喘患者的相关危险因素分析及其心理健康状况[J].临床肺科杂志，2017，22（8）：1468-1470.
[21] 王来，姜海碧.综合心理护理干预对老年咳嗽变异性哮喘患者哮喘控制及生活质量的影响[J].中国慢性病预防与控制，2017，25（11）：859-862.
[22] 王莉莉.基于健商理念指导下的健康教育对支气管哮喘患者疾病认知及生活质量的影响[J].医学临床研究，2019，36（6）：1245-1247.
[23] 朱海云.哮喘患儿主要照顾者心理痛苦水平及其影响因素调查[J].检验医学与临床，2020，17（11）：72-74，79.
[24] 黄晗，梁丽红，卢红霞，等.哮喘患儿肺炎支原体和衣原体感染状况调查[J].中华医院感染学杂志，2018，4（28）：125-128，145.
[25] 王晴，程倩，周云军，等.牡丹江市哮喘患儿哮喘家庭控制情况调查及影响因素分析[J].中国现代医生，2020， 58（8）：151-154.
[26] 范淑红，郝玉娥.过敏性哮喘患者心理应激与希望水平的相关性研究及其目标干预[J].内蒙古医科大学学报，2020，42（S1）：42-45.
