哮喘联盟

   摘要
   我们对父母和孩子的情商（EI）与他们哮喘发生间的关系知之甚少。本研究的目的在于评估：1)父母和孩子对哮喘发作的情绪反应的报告（代表EI），2）情绪、自我行为管理和症状间的关系。
实验设计和方法：我们对7-12岁哮喘儿童进行了一项描述性、混合方法研究。通过父母-子女组合（n=104）对哮喘发作的反应来获取情绪、症状和自我行为管理的信息。其他评估信任和焦虑的问题采用5-点李克特量表获得。采用专题分析和描述性统计评估定性和定量结果。
   结果：儿童主要是男性（58%），7-9岁（58%）和白人（46%）。儿童报告的最常见的消极情绪是恐惧和悲伤。向成人寻求帮助的儿童比不寻求帮助的儿童更少使用药物治疗(39.5% vs. 62.3%, p=.029)。与存在高度焦虑和缺乏自信的儿童相比，少焦虑和高度自信的儿童症状更少(症状:白天 3.24 vs. 6.77, p=.012, 夜间 2.71 vs. 5.36, p=.004)。
   结论：儿童对哮喘发作进行适当的情绪反应；情绪与自我行为管理和症状相关。还需要更多的研究去专门评估这类人群的EI。
   临床意义：高EI的家长和儿童可能会更好的明白他们的需求、进行自我行为管理和与他们的护士交流，从而提高他们的支持网络和获得服务的能力。
 

（杨冬 审校）
JPediatrNurs. 2015Dec18.pii:S0882-5963(15)00323-1.doi:10.1016/j.pedn.2015.10.002. [Epub ahead of print]

 

Parent and Child Independent Report of Emotional Responses to Asthma-Specific Vignettes: The Relationship Between Emotional States, Self-Management Behaviors, and Symptoms.
 

Conn KM1, Fisher SG2, Rhee H3.
 

Abstract
Little is known about the emotional intelligence (EI) of parents and their children with asthma. Objectives of this study were to assess: 1) parent's and children's report of emotions in response to an asthma vignette (proxy for EI) and 2) the relationship between emotions, self-management behaviors, and symptoms.
DESIGN AND METHODS:We conducted a descriptive, mixed methods study of children 7-12 years old with asthma. Parent-Child dyads (n=104) responded to an asthma vignette to gain insight into emotions, symptoms, and self-management behaviors. Additional questions assessed confidence and worry using a 5-point Likert scale. Thematic analyses and descriptive statistics were used to assess qualitative and quantitative outcomes.
RESULTS:Children were predominantly male (58%), 7-9 (58%), and White (46%). The most common negative emotions reported by children were scared and sad. Children who sought help from an adult were less likely to report using medications compared to children who did not seek help (39.5% vs. 62.3%, p=.029). Children with low worry and high confidence had fewer symptoms compared to children reporting high worry and low confidence (symptoms: days 3.24 vs. 6.77, p=.012, nights 2.71 vs. 5.36, p=.004).
CONCLUSIONS:Children provided appropriate emotional responses to the asthma vignette; emotions were related to self-management behaviors and symptoms. More studies are needed to specifically assess EI in this population.
PRACTICE IMPLICATIONS:Parents and children with greater EI may be better able to understand their needs, engage in self-management behaviors, and communicate with their nurses, to improve their support network and ability to access services.
 

JPediatrNurs. 2015Dec18.pii:S0882-5963(15)00323-1.doi:10.1016/j.pedn.2015.10.002. [Epub ahead of print]