The value of peer interactive education in improving the disease self-management of school-age asthmatic children
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摘要: 目的 增强哮喘患儿自我管理的主观能动性,是改善儿童哮喘控制状态的重要内容之一,是患者教育的重要组成部分。儿童的特殊年龄与心理特点需要不同于成人的教育形式。本文通过问卷的方式,评价同辈互动教育在提高学龄期哮喘儿童疾病自我管理能力方面的应用价值。 方法 选择2016年8月9—22日在首都医科大学附属北京儿童医院参与异国疗养的哮喘儿童(8~14岁)39例,在脱离父母监护的疗养期间开展同辈互动哮喘教育(同龄人参与并互动引导),研究前后分别进行涉及哮喘知识、哮喘治疗方法、哮喘管理意识等内容的问卷调查。 结果 患儿对自己过敏原的识别方法(Z=-4.088,P<0.001),对出现过敏性鼻炎(t=-2.806,P=0.007)、哮喘发作(Z=-2.864,P=0.004)、食物过敏(t=-3.480,P=0.001)、皮肤过敏(t=-3.517,P=0.001)时的治疗措施,对哮喘吸入装置(Z=-2.726,P=0.006)和峰流速仪的使用方法(Z=-3.708,P<0.001),对哮喘患者运动管理(Z=-2.795,P=0.005)等项目的掌握程度,在研究后均比研究前有显著提高。过敏症状了解的全面程度、识别同伴症状的能力有一定改善,但差异无统计学意义。研究后了解哮喘急性发作首选吸入沙丁胺醇治疗的人数(27/31)较研究前(12/31)显著增多。具备动态观察病情意识的人数提高了1.12倍(研究后70人次 vs. 研究前33人次)。 结论 同辈互动哮喘教育可有效提高儿童哮喘知识水平和疾病自我管理能力,在哮喘规范化管理中应予开展。Abstract: Objective To evaluate the value of peer interactive education in improving school-aged children asthma disease self-management ability. Methods Thirty-nine asthmatic children (age 8 to 14 years) participating rehabilitation program were chosen. During the convalescent period without parental guardianship, peer interaction asthma education (peer participation and interactive guidance) was carried out. Questionnaires were conducted before and after the study on asthma knowledge, asthma treatment methods and asthma management awareness. Results Recognition their own allergens (Z=-4.088, P<0.001), treating allergic rhinitis (Z=-2.806, P=0.007), treating asthma episodes (Z=-2.864, P=0.004), treating food allergies (Z=-3.480, P=0.001), treating skin allergies (Z=-3.517, P=0.001), using asthma inhalation device (Z=-2.726,P=0.006) and the peak flow meter (Z=-3.708, P<0.001), and understanding sport management of asthma (Z=-2.795, P=0.005) were significantly improved after the study than before. The comprehensive understanding of allergic symptoms and the ability to identify peer symptoms were improved, but there was no significant difference. After the study, the number of patients who knew that inhaled salbutamol was the first choice for the treatment of acute asthma attack (27/31) was significantly increased than that before (12/31). The number of people with the awareness of dynamic observation increased by 1.12 times (70 vs. 33). Conclusion Peer interaction asthma education can effectively improve children's asthma knowledge level and disease self-management ability, which should be carried out in the standardized management of asthma.
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Key words:
- Children /
- Asthma /
- Patient education /
- Disease management /
- Peer interactive
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