农村哮喘儿童激素吸入执行情况调查

Study of glucocorticosteriod inhalation performance of asthma children in rural areas

【目的】了解本地区农村哮喘儿童激素吸入执行情况及其影响因素,并探讨相应防治措施。【方法】选择接受激素吸入治疗的农村哮喘患儿216例,采用问卷式调查方式,主要了解患儿激素吸入执行情况,影响坚持吸入治疗的原因,吸入方法掌握情况等。【结果】78.1%哮喘患儿不能坚持规范吸入治疗,主要影响因素有:对吸入激素有顾虑,经济困难,症状缓解,效果不明显,不配合或不会应用等,年龄、病情、父母文化程度及农村缺医少药的情况也有一定影响。45.5%患儿不能掌握正确的吸入方法。【结论】农村哮喘儿童激素吸入坚持率低,其主要原因是哮喘防治知识缺乏,对吸入激素缺乏了解。应加强对基层农村哮喘防治知识的健康教育。

[Objective] To study the situation of glucocorticosteriod inhalation performed by rural asthma children in this area and its influencing factors. [Method] A total of 216 asthma children who used glucocorticosteriod inhalation were selected and investigated with questionnaire in rural areas. [ Results] 78.1% of them had not regularly persisted in inhaler therapy. Main influencing factors：scruples about inhaling glucocorticosteriod of children and parents, economic difficulties, symptoms relieved, effects weren,t obvious, children didn,t cooperate and couldn, ruse etc. Ages, conditions of children , parents educational levels and the rural shortage of doctors and medicine had influences in a certain degree, too 45.5% of them could not master right inhalation methods. [Conclusions] The persistence rate of glucocorticosteriod inhalation of asthma children in rural areas is lower. Main reasons are lacking of knowledge about asthma prevention and therapy, and lacking of understanding about glucocorticosteriod inhalation. Hence the health education of asthma prevention and therapy should be enhanced in rural areas.