慢性咳嗽儿童生活质量研究

摘要

Objective To explore the impact of chronic cough on children’s life quality, and to observe their life quality after drugs and psychological intervention. Methods One hundred 9 to 12 years old children with chronic cough were randomly selected. The drugs and psychological intervention were administrated. The children had been follow-up. The children’s quality of life was assessed by“Inventroy of Subjective Life Questionnaire”before and after treatment. Meanwhile 100 healthy children were randomly selected as a control group. Results With the prolonged treatment, the recovery rate and effective rate in children with chronic cough increased. Before the treatment, the scores of family life, peer interaction, self cognitive, experience of depression, experience of anxiety, cognitive and emotional component, and overall satisfaction were significantly lower in children with chronic cough than those in healthy children (P<0.05). After the treatment, the scores of family life, peer interaction, self cognitive, experience of depression, experience of anxiety, physical experience, cognitive and emotional component, and overall satisfaction were significantly improved in children with chronic cough (P<0.05), even the scores of physical experience and emotional component were significantly higher in children with chronic cough than those in healthy children (P<0.05). Conclusions The quality of life in children with chronic cough decline, however, drug and psychological intervention can improve their quality of life.%目的：探讨慢性咳嗽对儿童生活质量的影响，以及药物、心理干预后儿童生活质量的变化。方法随机选取9~12岁慢性咳嗽儿童100例，给予药物和心理综合治疗并随访，采用《儿少主观生活质量问卷》评估治疗前后的生活质量，同时以100例9~12岁健康儿童作为对照。结果随着药物治疗和心理干预时间延长，慢性咳嗽儿童的治愈率和显效率呈现上升趋势(χ2=113.38，P<0.001)。治疗前，慢性咳嗽儿童的家庭生活、同伴交往、自我认识、抑郁体验、焦虑体验、认知成分、情感成分、总体满意度的得分均低于健康组，差异有统计学意义(P均<0.05)；治疗后，其家庭生活、同伴交往、自我认识、抑郁体验、焦虑体验、躯体体验、认知成分、情感成分、总体满意度的得分均高于治疗前，甚至躯体体验和情感成分的得分高于健康组，差异均有统计学意义(P均<0.05)。结论慢性咳嗽儿童生活质量下降，药物及心理干预可改善慢性咳嗽儿童的生活质量。