摘要
目的:调查重症哮喘儿童社交焦虑现状并进行logistics回归分析。方法:①将医院2016年12月-2018年12月收治的137例重症哮喘患儿纳为研究对象,待患儿病情稳定后,要求其填写儿童社交焦虑量表(SASC),调查重症哮喘患儿社交焦虑发生率;②根据是否发生社交焦虑将重症哮喘患儿分为焦虑组与正常组,多因素Logistics回归分析影响重症哮喘患儿社交焦虑的危险因素。结果:①重症哮喘患儿社交焦虑发生率为37.23%;②单因素分析提示,重症哮喘社交焦虑组患儿及正常组患儿哮喘病程、哮喘控制程度、合并呼吸衰竭情况、重症哮喘发作次数、哮喘日常控制程度、母亲文化程度、主要照护者焦虑程度、家庭人均月收入、家庭结构、父母婚姻状态、父母对患儿治疗信心均存在显著性差异(χ~2=17.76,14.06,43.36,20.35,23.19,7.09,7.13,6.35,6.58,49.56;P<0.05),两组年龄、性别无显著性差异(P>0.05);③多因素logistics回归分析提示,重症哮喘多次发作、哮喘日常控制不良、母亲低学历水平是重症哮喘患儿社交焦虑患病的危险因素(OR=3.550,5.737,3.873;P<0.05),而父母对患儿治疗信心是患儿社交焦虑的保护因素(P>0.05)。结论:重症哮喘患儿社交焦虑发生率较高,提高患儿母亲对疾病的知晓率及照护能力,有效稳定哮喘日常控制水平,增强患儿父母对疾病治疗的信心,在降低重症哮喘患儿社交焦虑发生率中具有良好的应用效果。
Objective:To investigate the social anxietystatus in children patients with severe asthma and to perform logistics regression analysis.Methods:A total of 137 children patients with severe asthma admitted to the hospital from December 2016 to December 2018 were included as study subjects.After disease stabilization of children patients,all children were asked to fill out the Social Anxiety Scale for Children(SASC)to investigate the incidence rate of social anxiety in children patients with severe asthma.According to whether social anxiety occurred,the children patients with severe asthma were divided into anxiety group and normal group,and multivariate Logistics regression analysis was used to analyze the risk factors affecting social anxiety in children patient with severe asthma.Results:The incidence rate of social anxiety was 37.23%in children patients with severe asthma.Univariate analysis showed that there were significant differences in the asthma course,asthma control degree,combined respiratory failure,frequency of severe asthma attacks,degree of asthma daily control,maternal education level,anxiety degree of primary caregivers,family monthly income,family structure,marital status of parents and parental confidence in children’treatment between social anxiety group and normal group among children patients with severe asthma(χ~2=17.76,14.06,43.36,20.35,23.19,7.09,7.13,6.35,6.58,49.56;P<0.05),and there were no significant differences in age and gender between the two groups(P>0.05).Multivariate logistics regression analysis suggested multiple attacks of severe asthma,poor daily control of asthma and low maternal education level were risk factors for social anxiety in children patients with severe asthma(OR=3.550,5.737,3.873,P<0.05),and parental confidence in children’treatment was a protective factor for social anxiety(P>0.05).Conclusion:The incidence rate of social anxiety is high in children patients with severe asthma,and improving the disease awareness rate and care ability of mother,effectively stabilizing the daily control level of asthma and enhancing parental confidence in disease treatment have good application effects in reducing incidence rate of social anxiety in children patients with severe asthma.
作者
张伟东
王幸丽
杨红
张义堂
ZHANG Weidong;WANG Xingli;YANG Hong(PICU,The Affiliated Hospital of Zhengzhou University,Nanyang473000,China)
出处
《中国健康心理学杂志》
2020年第3期363-367,共5页
China Journal of Health Psychology
基金
2017年河南省医学科技攻关计划项目(编号:172102310006).
关键词
重症哮喘患儿
社交焦虑
现状调查
logistics回归分析
Children patients with severe asthma
Social anxiety
Status investigation
Logistic regression analysis
