家庭干预对学龄期哮喘患儿治疗依从性、疗效及生活质量的影响

Influence of family intervention on treatment compliance,curative effect and quality of life of school aged children with asthma

目的:探讨家庭干预对学龄期哮喘患儿治疗依从性、疗效以及生活质量的影响。方法:将140例学龄期哮喘患儿随机分为对照组和观察组,每组70例,对照组采取常规护理,观察组在此基础上采取家庭干预模式,干预时间为1年,比较两组治疗依从性、发作次数、住院次数、住院天数、失学天数及家长满意度,分析干预前后肺功能、生活质量变化。结果:观察组治疗依从性及家长满意度明显高于对照组,而发作次数、住院次数、住院天数、失学天数则低于对照组,差异均有统计学意义(P<0.05);干预后,观察组呼气高峰流量占预计值的百分比和第1秒用力呼气量占预计值的百分比以及社会心理功能、生理心理功能、生活环境得分显著高于对照组(P<0.05)。结论 :家庭干预可明显增强学龄期哮喘患儿治疗依从性,提高疗效,改善生活质量,并有利于增加家长满意度。

Objective:To probe into influence of family intervention on treatment compliance,curative effect and quality of life of school aged children with asthma. Methods:A total of 140 school aged children with asthma were randomly divided into intervention group and control group,70 cases in each. Patients in control group received routine nursing,besides that patients in intervention group received family intervention model for 1 year,then to compare the treatment compliance,attack times,hospitalization times,hospitalization days,loss school days and parents' satisfaction between both groups and analyze pulmonary function and life quality changes before and after intervention. Results:Treatment compliance and parents' satisfaction in intervention group were higher than those in control group(P<0.05);however,attack times,number of hospitalizations,hospitalization days,loss school days in intervention group were lower than those in control group. The differences were statistically significant(P<0.05);after intervention,PEF%,FEV1%,social psychological function scores,physiological psychologicalfunction scores and life environment scores were significant higher in intervention group compared with control group(P<0.05). Conclusion:Family intervention can markedly enhance treatment compliance,enhance curative effect and improve life quality of school age child patients with asthma. Moreover,it contributes to raising parents' satisfaction.