任务护照手册在哮喘儿童门诊管理中的应用效果

Application effect of mission passport manual in outpatient management of asthmatic children

目的探讨应用任务护照手册进行门诊哮喘管理对于患儿自我管理和哮喘控制的影响。方法选取2018年6月~9月广州医科大学附属第一医院儿科门诊就诊的32例哮喘患儿纳入研究,指导患儿每次门诊访问时依据任务护照完成门诊自我管理任务,3次门诊访问结束后,统计患儿任务完成情况,并选用自制的吸入技术评分表和儿童哮喘控制测试问卷进行结果测量。结果每例患儿平均完成10.25次任务,干预后吸入技术评分、哮喘控制评分和哮喘控制者占比均较干预前提高,差异均有高度统计学意义(均P <0.01);Spearman相关分析显示任务完成数量与哮喘控制得分呈正相关(r=0.657,P <0.01);以哮喘控制作为应变量的线性回归方程得出两个自变量,任务完成数量和吸入技术评分,解释了哮喘控制变异的54.8%,且任务完成数量影响作用更大。结论应用任务护照手册的哮喘门诊管理能有效促进患儿自我管理,在提高吸药技术和增强哮喘控制方面具有显著促进作用。

Objective To explore the effect of mission passport manual on self-management and asthma control in children. Methods A total of 32 asthmatic children admitted to the pediatric clinic of the First Affiliated Hospital of Guangzhou Medical University from June to September 2018 were included in the study. Guide the children to complete the self-management task according to the task passport during each outpatient visit, after 3 outpatient visits, the task completion of the children was counted and the results were measured using the self-made inhaling technique score scale and the questionnaire for asthma control in children. Results On average, each child could complete 10.25 tasks. The inhalation technique score, asthma control score and the proportion of patients with asthma control after intervention were higher than before intervention, with highly statistically significant differences (all P < 0.01). Spearman correlation analysis showed task completion number was positively correlated with asthma control score (r = 0.657, P < 0.01). The linear regression equation of asthma control as the dependent variable obtained two independent variables, task completion quantity and inhalation technique score, which explained 54.8% of asthma control variation, and task completion quantity had a greater effect. Conclusion The application of task passport manual in asthma outpatient management can effectively promote the self-management of children, and has a significant role in improving drug absorption technology and enhancing asthma control.