照护者共同参与疾病管理对学龄期哮喘患儿影响的研究

Efficacy of disease management involving caregivers in the process of intervention on preschool kids’ quality of recovery from asthma

目的探讨照护者共同参与疾病管理的干预措施对改善学龄期哮喘患儿肺功能、生活质量以及哮喘复发、再就医的效果。方法120例学龄期哮喘患儿,按确诊顺序编号随机分为观察组和对照组各60例。观察组给予照护者共同参与疾病管理的干预措施,对照组给予常规护理指导措施;干预12个月,比较两组患儿肺功能、生活质量以及哮喘复发再就医等指标。结果干预前两组患儿基线资料、生活质量及肺功能比较,差异无统计学意义(P>0.05);出院后6个月、12个月,观察组患儿肺部功能、生活质量优于对照组,出院12个月内哮喘发作次数、住院次数、住院天数、再就医次数低于对照组,差异均有统计学意义(P<0.05)。结论照护者共同参与疾病管理,可改善学龄期哮喘患儿的肺功能、提高生活质量,降低患儿出院后哮喘急性发作和再就医次数,对患儿疾病康复起到积极作用。

Objective To evaluate the efficacy of a disease management model in which the caregivers involved in the process of nursing intervention in optimizing the lung function,life quality,relapse,and re-admission of preschool children with asthma.Methods Firstly,120 preschoolers diagnosed as cases of asthma were randomly divided into a control group(n=60)and an experimental group(n=60)of study.The experimental group were subjected to disease management in which the caregivers were involved in the process of nursing intervention.The control group were subjected to traditional The intervention carried on for a period of 12 months.Lastly,the two groups were compared in terms of disease management,lung function,life quality,relapse and re-admission.Results Before intervention,no statistically significant differences were found between the two groups in basic disease-related conditions,life quality and lung function(P>0.05).The experimental group were found to have better lung function and life quality than the control in the following six months or 12 months after discharge.The experimental were also found to be lower than the control in the number of times of recurrence of disease,times of hospitalization,days of hospitalization,and times of re-admission.The differences were statistically significant(P<0.05).Conclusions Caregivers’participation in the process of disease management can improve the lung function and life quality,reduce the recurrence and re-admission of preschoolers with asthma,and thus significantly contribute to the patients’recovery from the disease of asthma.