基于微信平台的个体化延续护理对儿童哮喘的疗效

Effect of individualized extended care based on WeChat platform on childhood asthma

目的:评价基于微信平台的个体化延续护理对儿童支气管哮喘治疗效果的影响。方法:选取年龄在4~11岁的支气管哮喘儿童患者65例,按照随机数字表法分成对照组(33例)和观察组(32例)。对照组患儿采用常规护理方式;观察组采用个体化延续护理模式,包括为每个患儿制定书面个性化哮喘行动计划,通过微信发布针对性护理提示信息,收集和监测哮喘日志数据及医生建议反馈。结果:观察组依从率高于对照组,且哮喘发作、急诊或无计划门诊次数及影响学习的天数少于对照组(P <0. 05或P <0. 01)。结论:基于微信平台的个体延续化护理提高了患儿、家长依从性行为,对维持哮喘控制和治疗有效性方面具有显著效果。

Objective ： To assess the effect of individualized extended care based on WeChat on childhood asthma. Methods ： A total of 65 children with bronchial asthma（ aged 4-11 years ） were enrolled and randomly divided into observation group（ n = 32 ） and control group（ n = 33 ）. The control group received routine care, and the intervention group received routine care plus extending care, including the development of a written individualized asthma action plan for each child, the release of targeted care tips via Wechat, the collection and monitoring of asthma log data and feedback fi＇om doctors＇ recommendations. Results： After 12 months, the compliance rate of the observation group was higher than that of the control group, and the frequency of asthma attack, emergency or unplanned outpatient service and the days affecting learning were less than those of the control group（ P 〈 0. 05 or P 〈 0. 01 ）. Conclusion ： Individualized extended care based on WeChat can improve the compliance behavior of children and parents, and has significant effect on maintaining the effectiveness of asthma control and treatment.