APP在门诊哮喘儿童吸入用药依从性中的应用效果

The effective test of an APP in the inhalation medicine adherence of children with asthma in outpatient department

目的调查应用哮喘管家APP在门诊哮喘儿童吸入用药依从性中的效果,提高哮喘儿童吸入用药依从率,提升自我管理能力。方法采用自身前后对照研究,运用支气管哮喘用药依从性调查问卷对门诊哮喘儿童进行调查,引入哮喘管家APP对哮喘儿童进行为期2个月的干预,再次使用支气管哮喘用药依从性调查问卷对哮喘儿童用药依从性进行监测与追踪,比较使用APP前后哮喘儿童用药依从性、疾病相关知识和使用方法的正确率、肺功能等方面的差异。结果使用APP后哮喘儿童吸入用药依从性由25.78%提高至68.75%;患者及家属相关知识知晓率由使用前的25%提升至使用后的65%;APP使用率达42.18%;差异均有统计学意义(P<0.05)。结论哮喘管家APP能有效提高哮喘儿童吸入性用药应从性,规范哮喘儿童的用药管理,保障治疗效果,提高哮喘儿童的生存质量;同时降低医疗成本,提升工作效率和医疗护理服务质量,值得推广。

Objective To test the effect of an APP in the adherence of inhalation medicines for children with asthma,improve the rate of inhalation medicines compliance,self management ability and the quality of life of children with asthma.Methods The research use self-control study.We use Medication Adherence Report Scale for Asthma（MARS-A）to test the adherence of inhalation medicines for children with asthma in outpatient department.After 2months using the APP,the children with asthma may be re-tested by the MARS-A to compare the differences in medication adherence,asthma knowledge,use method and pulmonary function,etc.Finally,data analysis using paired t test.Results After using the APP,the inhalation medicines adherence rate is increased from 25.78%to 68.75%,the awareness rate of patients and their caregivers are increased from 25% to 65%,and the APP usage rate is 42.18%,there was significant difference（P〈0.01）.Conclusion The APP can effectively improve the adherence of inhalation drugs,standardized medication management,guarantee treatment effect and improve the quality of life of children with asthma.It could also reducing medical costs and improving work efficiency and service quality,thus deserves promotion.