运动处方在哮喘儿童情绪障碍中的干预应用 - 第三军医大学学报.doc

运动处方在哮喘儿童情绪障碍中的干预应用 李红 张际 蒋永慧1黄英1袁小平1刘玉玲1 王涛1 （400014重庆，重庆医科大学附属儿童医院：哮喘中心1，院办公室2） [摘要] 目的 探讨运动处方在改善哮喘儿童焦虑抑郁情绪中的作用。方法 选取2011年8月-11月在重庆医科大学附属儿童医院哮喘中心进行焦虑抑郁障碍筛查阳性的103名哮喘儿童作为研究对象，随机分为实验组52人和对照组51人。实验组在常规门诊治疗和护理的同时进行为期12周的以家庭为中心的运动处方干预，对照组仅进行常规门诊治疗和护理。以儿童焦虑性情绪障碍筛查表（SCARED）、儿童抑郁障碍自评量表（DSRSC）为评估工具,干预前后对哮喘儿童家长各进行一次半结构式访谈。结果 实验组干预后SCARED评分、DSRSC评分较干预前均降低（p＜0.05）；各量表评分较对照组有明显降低（p＜0.05）。而对照组干预前后各量表评分均无明显改善（p＞0.05）。患儿家长的半结构式访谈前后对比发现，哮喘儿童的情绪问题有明显好转，运动和疾病的自我管理能力有所提高。结论 以家庭为中心的运动处方干预能够有效缓解哮喘儿童焦虑抑郁情绪，对哮喘儿童的心理康复有积极作用。 [关键词] 运动处方 焦虑 抑郁 哮喘 儿童 哮喘儿童 焦虑 抑郁 运动处方 Exercise prescription in asthma in childrens emotional disorders intervention applications LI Hong1,ZHANG Ji2,JIANG Yong-hui1,HUANG Ying1, YUAN Xiao-ping1,LIU Yu-lin1,WANG Tao1 (1Asthma Center, 2Administrative Office, Children′s Hospital, Chongqing University,Chongqing,400014,China) [ Abstract ] Objective Explore the role of exercise prescription anxiety and depression in children with asthma. Methods Randomly selected from anxiety and (or) depressive disorder screening positive for 103 asthmatic children as research subjects ,They were randomly divided into experimental and control groups. Experimental group carried out conventional patient treatment and care patient treatment and care ,and 12-week exercise prescription intervention. The control group only for conventional patient treatment and care . Table for Child Anxiety Related Emotional Disorders ( SCARED ) , children s depressive disorder self - rating scale ( DSRSC ), parents of semi-structured interviews for the evaluation tool. Results Experimental group after the intervention SCARED score DSRSC score lower than before the intervention ( p 0.05 ) ; Scale scores of the experimental group than the control group was significantly lower ( p 0.05) . Control group before and after the intervention scale scores were not improved ( p 0.05 ) . Contrast, semi-structured interviews before and after the parents of children with marked improvement . Conclusion Exer