喘息性疾病患儿居家雾化吸入接受度现状及差异性分析

Acceptance status and difference analysis of aerosol inhalation at home in Children with asthmatic diseases

目的了解喘息性疾病患儿对居家雾化接受现状及差异性相关因素分析,为开展居家雾化吸入提供依据。方法采用问卷法调查医院呼吸科雾化中心和专科病房出院后需继续雾化治疗的喘息性疾病患儿家长388名。结果按患儿家长是否愿意接受居家雾化分为接受组和拒绝组,其中接受组169人(43.56%)、拒绝组219人(56.44%)。两组疾病诊断、来医院的单程时间、家长文化程度、喘息症状改善情况、家长依从性等方面有差异(P<0.01或P<0.05),家长文化程度越低、依从性越高的患儿家长较倾向于选择居家雾化。结论患儿疾病诊断、家长文化程度、来医院的单程时间以及家长的依从性和个人的主观因素均对居家雾化的选择有影响。居家雾化的接受度不高,居家雾化吸入还需要护理人员不断提高针对性的健康教育能力,指导患儿及其家长接受有效的治疗,同时需要患儿及其家属的配合,按预期实行雾化吸入治疗的规范化操作流程,提高患儿居家雾化吸入治疗的依从性,提升患儿生活生存质量。

Objective To investigate the status and relevant factors of acceptance of aerosol inhalation at home in children with asthmatic diseases, in order to offer reference for establishing the standard mode of aerosol inhalation at home. Methods Totally,388 parents whose children with asthmatic diseases need continued treatment of aerosol inhalation after discharge in respiratory atomization center and respiratory ward were investigated with a self - designal question- naire. Results In all questionnaires,169（43.56% ） parents accepted aerosol inhalation at home while 219（56.44% ） parents rejected. There were significant differences in diagnosis of disease, one- way time to hospital, parents education level, therapeutic effect and parents ~ treatment adherence between two groups （ P 〈 0.05 ）. Parents with lower education level and higher treatment adherence tended to choose aerosol inhalation at home. Conclusion The diagnosis of dis- ease,parents＇education level,one- way time to hospital,therapeutic effect, parents＇treatment adherence and some personal subjective factors have influence on the choice of aerosol inhalation at home or not. The results show that parents have low acceptance of aerosol inhalation at home. It is suggested to offer more targe- ted health education and enhance children and their parents＇treatment adherence. Carry out standardization operation of aersol inhalation at home can improve treatment adherence,and then improve children~ quality of life.