摘要
Abstract
Objective To assess anxiety status in children with asthma using questionnaires,and investigate its associations with treatment compliance,symptom control,sleep,and quality of life.Methods A total of 126 school-aged children with asthma were enrolled and divided into two groups:the acute asthma attack group(n=84)and the well-controlled asthma group(n=42).Anxiety,treatment compliance,sleep,symptom control,and quality of life were assessed using the screen for child anxiety related emotional disorders(SCARED),the Morisky-Green(MG)medication adherence scale,the Pittsburgh sleep quality index(PSQI),the childhood asthma control test(C-ACT),and the pediatric asthma quality of life questionnaire(PAQLQ),respectively.Results A total of 118 valid questionnaires were collected,including 80 from the acute asthma attack group and 38 from the well-controlled asthma group.Among these,36 children in the acute asthma attack group exhibited anxiety(12 mild,18 moderate,and 6 severe cases),while 9 children in the well-controlled asthma group showed anxiety(6 mild and 3 moderate cases).Significant differences were observed in both the incidence and severity of anxiety between the two groups(both P<0.05).In children with acute asthma attack,anxiety was significantly associated with asthma duration,disease severity,family income,and place of residence(all P<0.05).These children demonstrated significantly lower scores on the MG,C-ACT,and PAQLQ with a severity gradient of mild>moderate>severe(all P<0.001),and significantly higher PSQI scores with a severity gradient of mild<moderate<severe(P<0.001).The SCARED scores showed significantly negative correlations with MG,C-ACT,and PAQLQ scores(all P<0.05),and a significantly positive correlation with PSQI scores(P<0.05).Conclusion A significant proportion of school-aged children with asthma experience anxiety,especially during acute asthma attack.This anxiety is frequently accompanied by poor treatment compliance,impaired sleep quality,suboptimal symptom control,and reduced quality of life.关键词
学龄期哮喘儿童/焦虑情绪/治疗依从性/症状控制/睡眠质量/生活质量Key words
school-aged children with asthma/anxiety/treatment compliance/symptom control/quality of sleep/quality of life
