管理干预改善哮喘儿童生活质量的研究

Effects of Health Management on Improvement of Quality of Life in Children with Asthma

目的通过对哮喘患儿进行健康教育,探讨规范管理干预在指导哮喘患儿用药方面的作用,以及对其生活质量以及家庭负担的影响。方法本研究严格按照GINA方案的儿童哮喘诊断标准,对广州医学院第一附属医院2008年3月-2009年9月以来收治的150名哮喘患儿,按照年龄群分为3组并对其管理干预前后的各组数据进行详细记录并进行t检验,以明确规范管理干预的实际效能。结果通过健康教育以及管理干预,儿童的生活学习质量(P=0.047,0.032)、治疗依从性(P=0.0331)以及家庭经济负担(P=0.042,0.041,0.041)都明显地改善。结论健康教育的系统管理干预对于有效控制哮喘发作、减轻家庭经济负担和提高患儿学习质量有着积极的意义,值得在临床工作中认真落实,以提高护理工作质量和改善医护患三方的关系。

Objective By carrying through the systemic health education program, we try to investigate the effects produced by standardized education and intervention on the quality of life of children with asthma, including the impact on therapy compliance enhancement, life quality improvement and family burden reduction. Methods Strictly following the diagnostic criteria established by GINA,150 children with asthma aged from 6 months to 15 years were entered into the study group. According to age range, we divide the patients into three groups and then give systematic health education to all patients and their parents. At last, all the data concerning to changes before and after standardized education and intervention were recorded with questionnaire. Results The standardized education and intervention on children with asthma can effectively improve the study level and therapeutic compliance, and decrease their economic burden. Conclusion Health education is of importance in improving asthma control, alleviating economy burden and improving study, and worthy to generalize in clinical nursing practice.