"全链式"信息化健康管理模式在儿童支气管哮喘居家护理中的效果研究

Study on the effect of"full chain"information-based health management mode in home care of children with bronchial asthma

目的研究"全链式"信息化健康管理模式在儿童支气管哮喘居家护理中的应用效果,为儿童支气管哮喘居家护理模式的选择提供依据。方法用简单随机抽样法选取2020年1-6月徐州市儿童医院呼吸科支气管哮喘患儿60例,按随机数字表法将其分为对照组和观察组,每组30例。对照组接受常规居家护理,观察组在对照组基础上实施"全链式"信息化健康管理模式居家护理。干预时间6个月,观察比较2组干预后病情控制情况、用药依从性、自我管理执行情况、气道功能。结果观察组6个月内哮喘发作次数、急诊次数、用药依从性、最高呼气流速、症状天数及呼气流速峰值天数分别为6.67%(2/30)、3.33%(1/30)、93.33%(28/30)、(1.83±0.23)L、(163.00±6.74)d、(168.00±3.78)d,均优于对照组的26.67%(8/30)、20.00%(6/30)、66.67%(20/30)、(1.67±0.24)L、(144.00±5.88)d、(157.00±4.08)d,差异有统计学意义(χ2值为4.320、4.043、6.667,t值为2.636、11.635、10.833,P<0.05)。2组干预6个月后第1秒用力呼气容积、第1秒用力呼气容积占用力肺活量比值比较差异无统计学意义(P>0.05)。结论"全链式"信息化健康管理能够减少支气管哮喘患儿发作次数及急诊次数,有效提高用药依从性,从而改善气道功能、提高患儿生命质量。

Objective To determine the application effect of the"full chain"information-based health management model in the home care of children with bronchial asthma.Methods Sixty children with bronchial asthma who were hospitalized in the Respiratory Department of Xuzhou Children's Hospital from January to June 2020 were selected and divided into a control group and an observation group according to a random number table with 30 cases in each group.The control group received routine nursing care,and the observation group implemented a"full-chain"informatized health management on the basis of the control group.The intervention time was 6 months.The condition control,medication compliance,self-management and airway function were observed and compared between the two groups.Results After 6 months of intervention,the frequency of attacks,emergency cases,the medication compliance,the maximum expiratory flow rate,symptom days and peak expiratory flow days were 6.67%(2/30),3.33%(1/30),93.33%(28/30),(1.83±0.23)L,(163.00±6.74)d,(168.00±3.78)d in the observation group,and 26.67%(8/30),20.00%(6/30),66.67%(20/30),(1.67±0.24)L,(144.00±5.88)d,(157.00±4.08)d in the control group.The differences were statistically significant(χ2 values were 4.320,4.043,6.667,t values were 2.636,11.635,10.833,P<0.05).There was no significant difference in the ratio of forced expiratory volume and forced expiratory volume in forced vital capacity in the first second after 6 months of intervention between the two groups(P>0.05).Conclusions"Full chain"information health management can reduce the number of attacks and emergency visits of children with asthma,effectively improve medication compliance,thus improving airway function and improving the quality of life of children.