物联网管理模式在低龄哮喘儿童管理中的应用研究

Application of Internet of Things in asthma management for children at an early age

目的探讨物联网管理模式在低龄组儿童哮喘管理中的应用效果。方法将178例低龄哮喘儿童纳入物联网管理,包括制定并推行儿童哮喘行动计划、建立哮喘儿童电子病历、建立以症状监测和效果评估为基础的随访体系、给予多渠道的健康教育。监测哮喘儿童入组时,随访4周、8周、12周后儿童呼吸和哮喘控制测试评分,评估哮喘症状控制率;分析监测药物不良反应;分析比较随访前及随访第1、2、3个月末儿童定期复诊率;比较随访前后用药依从性。结果随着治疗和随访管理的持续进行,儿童哮喘症状控制率逐渐增高(P<0.01);定期复诊率及用药依从性显著提高(均P<0.01)。结论对低龄组哮喘儿童采取物联网管理,可提升哮喘管理效果。

Objective To explore the effect of Internet of Things(IoT) applied to management of asthma in young children.Methods A total of 178 young children with asthma were enrolled in a management program using IoT, including formulating and implementing action plan, developing electronic medical records, conducting follow-ups based on symptom monitoring and effect evaluation, and providing multi-channel health education.Test for Respiratory and Asthma Control in Kids was conducted at enrollment and 4, 8, and 12 weeks of follow-up to evaluate asthma control rate. Side effects of drugs were monitored. Regular follow-up visits before and at 1,2 and 3 months of follow-up, medication compliance before and after the follow-up were compared.Results The rate of asthma control was gradually increased(P<0.01). The rate of regular follow-up visits and medication compliance were significantly improved(P<0.01 for both). Conclusion Employing IoT for young children with asthma can improve the management effect.