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慢病管理模式对哮喘患儿自我管理能力及控制效果
胡禕静,陶珏,范辉,邵晨,章洁如
0
(上海交通大学附属儿童医院呼吸科)
摘要:
目的 探讨慢病管理模式对哮喘患儿自我管理能力和控制效果。方法 本文所选择的研究对象主要是从2017年的6月~2019年的6月之间在我院接受哮喘治疗的200位儿童,根据随机数字表法,将其分为研究组与对照组各100例。所有患儿均给予吸入性糖皮质激素+长效β2受体激动剂。对照组给予常规护理,研究组采用慢病管理模式。比较两组患儿在干预前和干预后的肺功能指标、哮喘控制情况和自我管理自评量表评分。结果 干预后,两组患儿PEF%、FEV1%、25%FEF、50%FEF和75%FEF等指标均有所升高,但研究组比对照组升高更多,差异具有统计学意义(P<0.05);研究组哮喘症状完全控制的患儿有32例(32.00%),对照组完全控制的患儿为16例(16.00%),差异具有统计学意义(P<0.05);两组患儿自我管理自评量表3个维度评分及总分均有所增加,但是研究组与对照组对比增加更多,差异具有统计学意义(P<0.05)。结论 慢病自我管理模式下的家庭干预宣教可以改善患儿的肺功能及控制效果,提高患儿的自我管理能力,是一种有效的干预措施,可在临床推广应用。
关键词:  慢病管理模式  哮喘  自我管理能力  控制效果
DOI:
基金项目:国家自然科学基金(U1609220);上海市卫计委课题基金(ZHYY-ZXYJHZX-2-10);2017年第二期护理高原学科建设首批科研型临床护士国际交流基金(Hlgy1847qnhb)
Influence of chronic disease management mode on self management ability and control effect for children with asthma
HU Yijing,TAO Jue,FAN Hui,SHAO Cheng,ZHANG Jieru
(Department of Pulmonology, Shanghai Children′s Hospital Affiliated to Shanghai Jiaotong University)
Abstract:
Objective To explore the selfmanagement ability and control effect of chronic disease management model for children with asthma. Methods 200 children with asthma were enrolled in this study from June 2017 to June 2019 in our hospital and divided into study group and control group, according to the random number table method. All children were given inhaled glucocorticoid +longacting beta 2 receptor agonists. The control group was given routine care and the study group given chronic disease management model. The lung function, asthma control, and selfrating self  rating scale were compared between the two groups before discharge and at the end of the followup. Results At the end of followup, PEF%, FEV1%, 25% FEF, 50% FEF and 75% FEF increased in the two groups, but that of the study group were higher than that of the control group (P<0.05). At the end of followup, there were 32 cases with complete control of asthma symptoms (32.00%) in the study group and 16 cases with complete control of asthma symptoms (16.00%) in the control group (P<0.05). At the end of followup, the three dimensions and total scores of selfrating selfrating scale increased in the two groups, but that of the study group were higher than that of the control group (P<0.05).Conclusion The self management model of chronic disease can improve the lung function of children with asthma, the control effect of children and the self management ability of children.
Key words:  Chronic disease management model  Asthma  Self management ability  Control effect

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