学龄期儿童哮喘行为问题分析及护理对策分析

发布时间：2018-05-31 08:32

本文选题：哮喘 + 行为问题　；参考：《中国儿童保健杂志》2016年12期

【摘要】：目的分析学龄期哮喘患儿存在的行为问题并分析护理对策。方法随访学龄期哮喘患儿64例,用自制的哮喘儿童家长疾病认知调查表、Conners父母问卷(PQS)分析患儿哮喘管理现状及存在的行为问题,应用延续护理措施引导患儿家长参与哮喘疾病管理、关注并改善患儿行为问题。结果延续护理干预后家长坚持规范用药、避免哮喘触发因素、正确吸入气雾剂、《全球哮喘防治创议》(GINA)方案及行为问题知晓率明显高于干预前。哮喘患儿常伴有品行问题、学习问题、心身障碍、冲动-多动、焦虑等行为问题,延续护理干预6个月后患儿学习问题得以改善(P=0.021 3)、焦虑、心身障碍无明显改善(P=0.058 4,0.317 4),特别是干预1年改善更明显(P=0.004 0,0.016 2,0.037 8)。结论学龄期哮喘儿童常伴有比较明显的行为问题,长期规范的延续护理干预能引导家长坚持哮喘长期管理、改变教养理念及方式,有效改善患儿行为问题。
[Abstract]:Objective to analyze the behavioral problems and nursing strategies of children with asthma at school age. Methods Sixty-four children with asthma of school age were followed up. The management status and behavioral problems of asthma were analyzed by Conners parents' questionnaire (PQSs). The application of continuous nursing measures to guide parents to participate in the management of asthma disease, pay attention to and improve the behavior of children. Results after the continuous nursing intervention, parents adhered to standardized medication, avoided the trigger factors of asthma, inhaled aerosol correctly, and the awareness rate of global plan and behavior problem of prevention and treatment of asthma was significantly higher than that before intervention. Children with asthma often have behavioral problems, such as behavior problems, learning problems, psychosomatic disorders, impulse-hyperactivity, anxiety and other behavioral problems. After 6 months of continuous nursing intervention, the learning problems of children with asthma can be improved by P0.021.3, anxiety. There was no significant improvement in psychosomatic disorders (P0. 058 4 + 0. 317 4), especially in 1 year of intervention. Conclusion Children with asthma at school age often have obvious behavioral problems. Long-term nursing intervention can guide parents to adhere to long-term management of asthma, change the concept and way of education, and effectively improve children's behavior problems.
【作者单位】：南通大学附属医院儿科;
【基金】：南通大学附属医院科技项目(Tfh1408)
【分类号】：R473.72

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