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支气管哮喘反复发作患儿压力知觉对哮喘控制情况的影响

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目的 探讨支气管哮喘反复发作患儿压力知觉对哮喘控制情况的影响.方法 回顾性收集2021年6月至2023年3月周口市中医院收治的89例支气管哮喘反复发作患儿的临床资料,根据患儿治疗后的哮喘控制情况[儿童哮喘控制测试问卷(C-ACT)]分为未控制组(39例,C-ACT评分<20分)和控制组(50例,C-ACT评分≥20分).治疗3个月时采用压力知觉量表(CPSS)评估患儿压力知觉水平,比较两组患儿压力知觉和基线资料,分析支气管哮喘反复发作患儿压力知觉对哮喘控制情况的影响.结果 未控制组年龄、家庭年收入、遵医用药、血红蛋白水平、主要照顾者受教育程度与控制组比较,差异有统计学意义(P<0.05);两组性别、体重、主要照顾者年龄、主要照顾者性别比较,差异无统计学意义(P>0.05);未控制组CPSS评分高于控制组(P<0.05);经logistic回归分析结果显示,年龄、压力知觉水平是气管哮喘反复发作患儿哮喘控制情况的危险因素(OR>1,P<0.05),性别、主要照顾者受教育程度、家庭年收入、血红蛋白水平、遵医用药是气管哮喘反复发作患儿哮喘控制情况的保护因素(OR<1,P<0.05).结论 压力知觉水平可影响支气管哮喘反复发作患儿哮喘控制情况,且受不同年龄、主要照顾者受教育程度、家庭年收入、血红蛋白水平、遵医用药影响,临床应积极采取有效干预措施,以提高其疾病控制水平,促进疾病康复.
Effect of Pressure Perception on Asthma Control in Children with Recurrent Attacks of Bronchial Asthma
Objective To explore the impact of pressure perception on asthma control in children with recurrent attacks of bronchial asthma.Methods The clinical data of 89 children with recurrent bronchial asthma admitted to Zhoukou Hospital of TCM from June 2021 to March 2023 were retrospectively collected.According to the asthma control status after treatment[children asthma control test(C-ACT)],they were divided into uncontrolled group(39 cases,C-ACT score<20 points)and control group(50 cases,C-ACT score ≥20 points).All children were evaluated for their level of pressure perception using Chinese perceived stress scale(CPSS)at the end of 3 months of treatment.The pressure perception and baseline data of the two groups of children were compared,and the impact of pressure perception on asthma control in children with recurrent asthma attacks was analyzed.Results There were differences in terms of age,family annual income,medication adherence,hemoglobin levels,and education level of primary caregivers between the uncontrolled group and the control group(P<0.05).There were no differences in gender,body mass,age of primary caregivers and gender of primary caregivers between the two groups(P>0.05).The CPSS score of the uncontrolled group was higher than that of the control group(P<0.05).The results of logistic regression analysis showed that age and pressure perception level were risk factors for asthma control in children with recurrent attacks of tracheal asthma(OR>1,P<0.05),while gender,education level of primary caregivers,annual family income,hemoglobin level and medication adherence were protective factors for asthma control in children with recurrent tracheal asthma(OR<1,P<0.05).Conclusion The level of stress perception can affect the asthma control status of children with recurrent bronchial asthma,and is influenced by different ages,educational levels of primary caregivers,annual family income,hemoglobin levels,and medication adherence.Effective intervention measures should be actively taken in clinical practice to improve their disease control level and promote disease recovery.

bronchial asthmapressure perceptionasthma control

刘海泳、卢平、黄晓雪

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周口市中医院儿科,河南周口 466000

周口市中心血站控感科,河南周口 466000

支气管哮喘 压力知觉 哮喘控制

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(22)