目的:探讨程序化健康教育对哮喘患儿负性情绪及主观幸福感的影响。方法:将120例哮喘急性期患儿随机分为观察组和对照组各60例,对照组实施常规性护理,观察组在对照组基础上应用程序化健康教育;比较两组患儿干预前后肺功能改善情况,分别于干预前后应用汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)及总体幸福感量表(GWB)对两组患者负性情绪及主观幸福感进行评价。结果:干预后观察组患儿第1秒呼吸气体的容积(FEV1)、用力呼吸的肺活量(FVC)及FVC占预计值百分比(FVC%)与对照组比较差异有统计学意义(P〈0.05),HAMA、HAMD评分低于对照组,而GWB评分高于对照组(P〈0.05)。结论:程序化健康教育可提高哮喘患儿肺功能,改善患儿负性情绪,提高患儿主观幸福感。
Objective:To discuss the influence of the programmed health education on the negative emotion and subjective well -being of children with asthma. Methods :120 children with acute asthma were randomly divided into the observation group and the control group ( 60 cases in each group ). The routine nursing care was taken in the control group and the programmed health education was additionally conducted in the observation group. The improvement of pulmonary function of the children was compared between the two groups before and after the intervention. Hamilton Anxiety Scale ( HAMA ) , Hamilton Depression Scale ( HAMD ) and general well - being scale ( GWB ) were used to respectively evaluate the negative emotion and subjective well - being of the children in the two groups before and after the in- tervention. Results :There were statistically significant differences in the comparison of the forced expiratory volume in one second( FEV1 ) , the forced vital capacity ( FVC ) and FVC% between the two groups after the intervention ( P 〈0. 05 ) ; the scores of HAMA and HAMD were lowel: and the scores of GWB were higher in the observation group than the control group (P 〈0. 05 ). Conclusion:Implementation of the programmed health education can improve the pulmonary function of children with asthma, relieve their negative emotions and improve the subjective well - being of the children.