【摘要】 目的 探讨诺丁斯关怀理论指导下的护理干预对支气管哮喘儿童心理健康、生活质量的影响。方法方便选取2022年3月—2023年3月福建省儿童医院收治的98例支气管哮喘患儿作为研究对象，按照随机数表法分为对照组和观察组，各49例。对照组接受临床支气管哮喘常规护理，观察组在常规护理基础上加入诺丁斯关怀理论指导下的护理干预。对比两组患儿的服药依从性、心理健康、生活质量的差异。结果 入院当日，两组患儿的服药依从率、儿童抑郁障碍自评量表（Depression Self-rating Scale for Children, DSRSC）、儿童焦虑性情绪障碍筛查表（Screen for Child Anxiety Related Emotional Disorders, SCARED）、儿童哮喘生活质量问卷（Pediatric Rhinoconjunctivitis Quality of Life Questionnaire, PAQLQ）评分对比，差异无统计学意义（P均>0.05）。出院当日，观察组的服药依从率93.88%优于对照组，差异有统计学意义（P<0.05）；观察组的DSRSC(8.19±0.97)分、SCARED(13.11±1.76)分低于对照组，差异有统计学意义（t=8.077、9.730,P均<0.05）；观察组的PAQLQ中症状、活动、情感功能等评分均高于对照组，差异有统计学意义（P均<0.05）。结论 诺丁斯关怀理论指导下的护理干预应用于支气管哮喘儿童中，可有效强化服药依从性、优化心理健康、提升生活质量，是一种优质的护理模式。更多还原

【Abstract】 Objective To explore the impact of nursing intervention guided by Noddings Care Theory on the mental health and quality of life of children with bronchial asthma. Methods 98 children of bronchial asthma in Fujian Provincial Children’s Hospital from March 2022 to March 2023 were conveniently selected as research subjects. They were divided into a control group and an observation group with 49 cases each according to the random number table method. The control group received routine clinical nursing care for bronchial asthma, while the observation group received nursing intervention guided by Noddings Care Theory on the basis of routine care. Compared the differences in medication compliance, mental health, and quality of life between the two groups of children. Results On the day of admission, the medication adherence rate, Depression Self-rating Scale for Children(DSRSC), Screen for Child Anxiety Related Emotional Disorders(SCARED), and Pediatric Rhinoconjunctivitis Quality of Life Questionnaire(PAQLQ)scores were compared between the two groups, and the differences were not statistically significant(all P>0.05). On the day of discharge, the medication adherence rate of 93.88% in the observation group was better than that of the control group, and the difference was statistically significant(P<0.05); the DSRSC(8.19±0.97) points and SCARED(13.11±1.76) points in the observation group were lower than those in the control group, and the differences were statistically significant differences(t=8.077, 9.730, both P<0.05). The PAQLQ scores for symptoms, activities, and emotional functioning in the observation group were higher than those in the control group, and the differences were statistically significant(all P<0.05). Conclusion Nursing intervention under the guidance of Noddings Care Theory can effectively strengthen medication compliance, optimize mental health, and improve quality of life when applied to children with bronchial asthma. It is a high-quality nursing model.更多还原