临床儿科杂志 ›› 2015, Vol. 33 ›› Issue (8): 706-.doi: 10.3969 j.issn.1000-3606.2015.08.007

• 呼吸系统疾病专栏 • 上一篇    下一篇

儿童哮喘规范化管理治疗效果评价

马旭升1,涂林修1,梅依君1,毕海燕1,余胜波1,王辉杰1,王财富2,陈志敏2   

  1. 1. 宁波市北仑区人民医院( 浙江宁波 315800);2. 浙江大学医学院附属儿童医院( 浙江杭州 310003)
  • 收稿日期:2015-08-15 出版日期:2015-08-15 发布日期:2015-08-15
  • 通讯作者: 马旭升 E-mail:mxsheng0574@163.com

Treatment efficacy evaluation of standardized management for children with asthma

MA Xusheng1, TU Linxiu1, MEI Yijun1, BI Haiyan1, YU Shengbo1, WANG Huijie1, WANG Caifu2, CHEN Zhimin2   

  1. 1.The People’s Hospital of Ningbo Beilun, Ningbo 315800, Zhejiang, China;2.The Children's Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou, 310003, Zhejiang, China
  • Received:2015-08-15 Online:2015-08-15 Published:2015-08-15

摘要: 目的 评价儿童哮喘规范化管理治疗的效果。方法 对150例哮喘患儿建立哮喘医疗管理档案,按是否接受规范化管理治疗分为管理组和对照组,对管理组78例患儿及家长进行哮喘基本知识教育、健康教育并定期随访等综合教育管理,同时进行哮喘的规范化治疗;对照组72例未进行哮喘教育管理,仅接受一般临床治疗。观察1年,比较两组儿童哮喘临床疗效、家长知信行变化及患儿用药依从性情况。结果 管理组患儿哮喘控制率明显高于对照组(χ2=54.68,P<0.01);在随访1年内,管理组患儿哮喘发作次数、急诊次数、住院次数均明显减少,与对照组比较差异有统计学意义(P均<0.01);两组比较,管理组患儿家长对哮喘知识的了解和对患儿治疗及管理执行情况等知信行水平显著提高(P<0.01);同期管理组患儿用药依从性也显著高于对照组(χ2=66.27,P<0.01)。结论 推广儿童哮喘规范化管理治疗,可提高哮喘患儿家长的知信行水平,改善患儿治疗依从性,从而有效控制哮喘。

Abstract:  Objective To evaluate the treatment efficacy of the treatment promotion of standardized management for children with asthma. Methods Medical records of 150 children with asthma were reviewed and divided into management group or control group according to whether standardized management was accepted. Comprehensive asthma education for asthma patients and their parents including asthma associated basic knowledge education, health education as well as follow-ups at defined intervals was conducted in 78 cases. In the meantime, standardized asthma therapies were performed. Control group involved 72 cases who did not receive asthma education managements and only accepted regular clinical therapies. After 1-year observational follow-up, , clinical efficacy of children with asthma, changes of knowledge-attitude-practice of parents, and compliance of medication were compared between the two groups. Results After promotion of standardized managements treatment, asthma control rates in the management group were significantly higher than that of the control group ( χ2=54.68, P<0.01); In addition, the rate of asthma attacks, emergency visits as well as hospitalizations were obviously reduced in the management group than control group (both with P<0.01). Knowledge associated with asthma, therapy and management executions as well as knowledge-attitude- practice of parents also demonstrated apparent elevations in the management group (P<0.01); At the same time, management group has illustrated superior medication compliance over the control group ( χ2=66.27, P<0.01). Conclusion Promotion of standardized treatment management among children with asthma can help to achieve effective control by raising levels of knowledge- attitude-practice of the parents as well as the patient’s compliance to the treatment.