TRACK自评模式对慢性哮喘患儿家庭雾化的依从性和哮喘控制干预研究

Study on compliance of TRACK self-assessment model for family atomization and intervention of asthma control in children with chronic asthma

目的:应用儿童呼吸和哮喘控制测试(TRACK)自评模式对慢性哮喘患儿进行家庭干预,评估患儿家庭雾化的依从性及对哮喘控制效果。方法:200例慢性哮喘患儿,按干预方式不同分为实验组与对照组,每组各100例。对照组给予常规家庭干预;实验组应用TRACK自评模式干预。评估两组患儿哮喘控制率、哮喘急性发作次数、TRACK评分、潮气量(VT/kg)、潮气呼气峰流速(PEF)水平、呼出气一氧化氮浓度(FeNO)、家庭雾化依从性、满意度评分。结果:实验组患儿哮喘总控制率为78.00%,高于对照组的48.00%(P<0.05);实验组患儿哮喘急性发作次数为(1.15±0.54)次,低于对照组的(3.93±0.60)次(P<0.05);实验组干预后TRACK评分、VT/kg、PEF、FeNO、家庭雾化依从性、满意度评分结果均高于对照组,差异均有统计学意义(P<0.05)。结论:应用TRACK自评模式对慢性哮喘患儿进行家庭干预,能够更好的控制患儿哮喘。

Objective:To intervene the children with chronic asthma by the self-assessment model of children s respiratory and asthma control test(TRACK),and evaluate the compliance of children s family atomization and the effect of asthma control.Methods:200 children with chronic asthma were divided into experimental group and control group according to different intervention methods,with 100 cases in each group.The control group was given routine family intervention,the experimental group was given TRACK self-evaluation model intervention.The control rate of asthma,the number of acute attacks of asthma,TRACK score,tidal volume(VT/kg),peak tidal expiratory flow(PEF),exhaled nitric oxide concentration(FeNO),family atomization compliance and satisfaction score were evaluated.Results:The total control rate of asthma in the experimental group was 78.00%,which was higher than 48.00%in the control group(P<0.05).The number of acute asthma attacks in the experimental group was(1.15±0.54)times,which was lower than that of the control group(3.93±0.60)times(P<0.05).The TRACK score,VT/kg,PEF,FeNO,household atomization compliance and satisfaction scores of the experimental group after intervention were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Use of TRACK self-evaluation model for family intervention in children with chronic asthma,which could better control chronic asthma.