儿童互助健康教育护理模式在学龄期哮喘患儿随访中的应用

Application of child to child health education nursing model on following up school-age children with asthma

目的探讨儿童互助健康教育护理模式在学龄期哮喘患儿随访中的应用效果。方法选择在陕西省安康市中医医院门诊接受治疗的学龄期患儿97例为研究对象,其中2014年8月~2015年3月收治的48例患儿设为对照组,2015年4~10月收治的49例患儿设为观察组。两组患儿均接受常规的健康教育,观察组在此基础上实施儿童互助健康教育模式进行干预。干预前及干预后1周内评估两组患儿的哮喘控制水平、肺功能及生活质量。结果两组患儿干预后儿童哮喘控制水平测试(C-ACT)得分、呼气高峰流量占预计值的百分比(PEF%)和第1秒用力呼气量占预计值的百分比(FEV1%)均较干预前明显提高,且观察组明显高于对照组(P<0.05);在生活质量方面,观察组患儿干预后儿科哮喘生命质量调查问卷(PAQLQ)情感功能、症状、活动各维度得分明显高于干预前及同期对照组(P<0.05);同时观察组患儿在干预期内的急性发作次数和住院次数明显少于对照组(P<0.05)。结论儿童互助健康教育模式有利于促进学龄期哮喘儿童对疾病的自我管理,提升临床疗效,改善生活质量。

Objective To explore the effect of child to child health education nursing model on following up school-age children with asthma2 Methods Ninety-seven school-age children with asthma received treatment in the Outpatient Department of Ankang Hospital of Chinese Medicine were selected as research objects, among whom, 48 children from August 2014 to March 2015 were set as control group, 49 children from April to October 2015 were set as observation group. Both groups received conventional health education, on basis of which, the observation group was taken child to child health education nursing model. The asthma control level, pulmonary function and the quality of life of the two groups before intervention and after intervention within one week were evaluated. Results After intervention, the scores of childhood asthma control test （C-ACT）, the percentage of peak expiratory flow accounted for predicted value （PEF%） and the percentage of forced expiratory volume in the first second accounted for predicted value （FEV,%） in the two groups were all significantly higher than those before intervention, and the observation group were significantly higher than those of the control group （P 〈 0.05）; in terms of quality of life, the scores of emotional function, symptom, activity of pediatric asthma quality of life questionnaire （PAQLQ） after intervention in the observation group were all higher than those before intervention and those of the control group after intervention （P 〈 0.05）; meanwhile, the frequency of acute attack and the frequency of hospitalization during the intervention time in the observation group were significantly less than those of the control group （P 〈 0.05）. Conclusion Child to child health education nursing model is conducive to promote the self-management of school-age children with asthma for the diseases, improve the clinical therapeutic effect and enhance the quality of life.