哮喘健康教育的临床效果

Clinical effect of asthma health education

目的研究哮喘健康教育各个方面对临床效果的影响，为系统规范的进行哮喘健康教育提供科学参考。方法对我院呼吸科104例哮喘病患者进行健康教育，出院时以问卷调查的方式，对患者掌握健康教育5个方面的效果进行评价。用Logistic回归分析影响复发住院率的因素。结果疾病知识、饮食注意、日常活动、正确用药和心理情绪合格率分别为43．75％，52．86％，76．68％，70．64％，67．46％；复发住院率22．12％；日常活动、疾病知识和正确用药对应的OR值为0．176，0．451，0．791，差异有统计学意义（P〈0．05），表明是复发住院的重要影响因素。饮食注意和心理情绪OR值均小于1，差异无统计学意义（P〉0．05）。结论对于哮喘的健康教育需要更加规范化，专业化，需要着重注意对日常活动、疾病知识和正确用药等方面有针对性地进行健康教育。

Objective TO study the various aspects of asthma health education on clinieal effect, as the system specifications for asthma health education to provide a scientific reference. Methods 104 patients with asthma in respiratory department of our hospital were admitted health education. The effect of health education was evaluated at discharge by way of questionnaire. That factors affecting recurrence rate of hospitalization was analyzed by using logistic regression. Results The pass rate of disease knowledge, attention to diet, daily activities, the correct medication and psychological status and emotion was 43.75% and 52.86%, 76.68%, 70.64%, 67.46% ; recurrent hospitalization rate was 22. 12% ; the OR value of daily activities, disease knowledge and correct medication was 0. 176,0.451,0. 791 （ P 〈 0. 05 ） , that are important factors for recurrent hospitalization. The OR value of diet attention and psychological status and emotion was less than 1 （P 〉 0. 05）, not statistically significant. Conclusions The health education for asthma need more planning, specialization, and need to focus attention on the daily activities, disease, drugs and other aspects of knowledge.