对学龄期哮喘患儿实施儿童医疗辅助服务的效果观察

Effect of Child Medical Assistance Services on School-age Children with Asthma

目的探讨儿童医疗辅助服务对学龄期哮喘患儿自我管理能力的影响。方法选取我院2018年3—8月哮喘专病门诊就诊的患儿为研究对象,2018年3—5月纳入50例患儿为对照组,2018年6—8月纳入50例患儿为观察组。对照组给予常规护理,观察组在对照组基础上实施儿童医疗辅助服务。观察比较2组学龄期哮喘患儿于干预前和干预6个月末自我管理能力、哮喘复发率和哮喘急性发作就诊率。结果观察组哮喘患儿干预6个月末自我管理能力各维度及总分均高于对照组,差异有统计学意义(P<0.05);观察组哮喘患儿哮喘复发率低于对照组(χ^(2)=4.320,P=0.038);2组患儿哮喘急性发作就诊率的比较差异无统计学意义(χ^(2)=1.895,P=0.169)。结论儿童医疗辅助服务能提升学龄期哮喘患儿自我管理能力,降低患儿哮喘复发率,促进患儿疾病控制。

Objective To explore the effect of child medical assistance services on self-management ability of school-age asthmatic children.Methods Fifty patients in the outpatient department of asthma in our hospital from March to May 2018 were included as control group and another fifty patients from June to August 2018 as observation group.Routine care was performed in the control group and child medical assistance services were provided in the observation group.Self-management ability,asthma recurrence rate and visit rate of acute asthma attack in the two groups were compared before the and at the end of 6 months intervention.Results There was higher score of self-management ability in the observation group at the end of 6 months of intervention(P<0.05)but lower rate of asthma recurrence(χ^(2)=4.320,P=0.038)than the control group.There was no statistically significant difference in the rate of acute asthma attack visit between the 2 groups(χ^(2)=1.895,P=0.169).Conclusion Child medical assistance services are effective for improving the self-management ability and reducing the recurrence rate of school-age children with asthma.