Effect of individualized health education on treatment compliance and frequency of asthma attack in school-age children with asthma
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摘要: 目的 探讨个性化健康教育对学龄期哮喘患儿治疗依从性和哮喘发作频率的影响。 方法 选取2017年5月—2019年3月金华市妇幼保健院儿科收治的学龄期哮喘患儿110例,根据随机数字表法将其分为观察组和对照组,每组各55例。对照组患儿应用常规护理,观察组在对照组的基础上进行个性化健康教育。比较2组患儿治疗依从性、哮喘发作频率、干预前后患儿自我管理能力及肺功能指标变化。 结果 干预后,观察组患儿每日用药剂量、用药时间、用药次数和遵医行为评分分别是(4.06±0.11)分、(4.21±0.13)分、(4.15±0.27)分和(3.98±0.46)分,明显高于对照组[(3.21±0.17)分、(3.09±0.40)分、(3.22±0.16)分和(3.02±0.41)分],且观察组患儿哮喘发作频率为(0.85±0.12)次/月,明显低于对照组[(1.54±0.34)次/月],差异有统计学意义(均P<0.05)。观察组患儿自我管理能力总分为(138.76±15.46)分,显著高于对照组[(128.47±14.55)分],差异有统计学意义(P<0.05),且观察组肺功能各项指标均明显高于对照组,差异有统计学意义(均P<0.05)。 结论 个性化健康教育能明显提高学龄期哮喘患儿治疗依从性及自我管理能力,有效减少患儿哮喘发作频率,提高肺功能。Abstract: Objective To explore the effect of personalized health education on treatment compliance and asthma attack frequency of school-age children with asthma. Methods A total of 110 school-age children with asthma were selected from May 2017 to March 2019. They were divided into observation group and control group according to random number table method, 55 cases in each group. The patients in the control group were given routine nursing, while the patients in the observation group were given individualized health education on the basis of the control group. Compare the treatment compliance, asthma attack frequency, self-management ability and pulmonary function before and after intervention between the two groups. Results After intervention, Daily dosage score, Medication time score, Number of medications score and compliance behavior score in the observation group were (4.06±0.11), (4.21±0.13), (4.15±0.27) and (3.98±0.46), respectively, which were significantly lower than that in the control group (3.21±0.17), (3.09±0.40),(3.22±0.16) and (3.02±0.41), the frequency of asthma attack in the observation group was (0.85±0.12) times per month, significantly lower than that in the control group which was (1.54±0.34) times per month, the difference was significant (all P<0.05). Total score of self-management ability in the observation was (138.76±15.46), significantly higher than the control group (128.47±14.55), the difference was significant (P<0.05). The scores of pulmonary function of children in the observation group were significantly higher than those in the control group (P<0.05). Conclusion Individualized health education can significantly improve the treatment compliance and self-management ability of school-age children with asthma, effectively reduce the frequency of asthma attack and improve pulmonary function, which is worthy of clinical application.
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Key words:
- Personalized health education /
- School age /
- Asthma /
- Treatment compliance /
- Asthma attack frequency
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