基层医院110例哮喘患者健康教育和管理分析

Education and management analysis on the primary hospital for 110 patients with asthma

目的探讨基层医院对哮喘患者健康教育和管理现状。方法将2003年1月至2009年1月笔者所在医院110例哮喘患者分成坚持治疗随访组和不能坚持治疗随访组，分析两组哮喘发作次数、临床症状及肺功能改善情况。结果坚持治疗和随访患者哮喘发作次数为（0.74±1.38）次／年，肺功能较前改善，不能坚持治疗及随访者哮喘发作次数为（2.87±1.52）次／年，肺功能损害加重甚至死亡，P〈0.05，两者有明显差异。结论对于基层医院应加强医生培训，提高患者依从性，使绝大多数哮喘患者积极参加随访、坚持治疗，降低哮喘患者发作次数，提高哮喘患者生活质量，降低死亡率、致残率。

Objective To investigate the primary hospital for asthma education and management of health status. Methods From January 2003 to January 2009 collected 110 cases of consecutive patients with asthma, adherence to treat- ment is divided into groups and follow - up treatment can not adhere to follow - up group, analysis of the two groups the number of asthma attacks, clinical symptoms and lung function to improve the situation. Results Adherence to treatment and fol- low - up of patients with asthma attack frequency was （0.74±1.38） times one year, lung function improvement over the previous, can not adhere to treatment and follow - up of number of asthma attacks were （2.87±1.52） times one year, increasing the damage or even death in lung function, P 〈 0.05, there are significant differences. Conclusion Asthma patients with primary hospital for health education and management training of doctors should be strengthened to improve compliance of patients to actively participate in the vast majority of follow-up of patients with asthma, adherence to treatment and reduce the number of asthma attacks and improve the quality of life of asthma patients, reducing mortality, disability.