摘要
目的探讨集束化策略对支气管哮喘患儿治疗依从性及临床康复效果的影响。方法将128例支气管哮喘患儿分为对照组及观察组,每组各64例,2组均给予哮喘规范化治疗,对照组采用传统管理模式,在门诊进行诊疗并给予疾病相关知识宣教和用药指导;观察组在治疗全程中执行集束化策略,由专科医师、护士、营养专家组建哮喘患儿管理团队及随访管理中心,建立良好的伙伴式关系,对患儿及家长进行安慰、鼓励等心理护理,消除其对规范化管理模式的抵触情绪,共同制订日常生活防御措施、随访和运动计划及互动式的吸入技术等,营养专家进行营养评估及饮食指导。比较2组的治疗依从性、肺功能、哮喘控制水平等指标。结果观察组哮喘急性发作期及缓解期治疗依从性均高于对照组,观察组缓解期长期吸入治疗及特异性免疫治疗持续时间均长于对照组,差异均有统计学意义(P<0.01);观察组肺功能改善优于对照组.哮喘控制水平优于对照组,差异均有统计学意义(P<0.01)。结论规范化治疗联合全程集束化策略能提高哮喘儿童的治疗依从性,有效改善肺功能,并利于实现哮喘临床控制目标。
Objective To explore the effect of cluster strategy on treatment compliance and clinical rehabilitation of children with bronchial asthma.Methods A total of 128 children with asthma were divided into a control group and an observation group(n=64 each).The two groups were given standardized treatment of asthma.The control group was treated with traditional management mode,and was given disease-related knowledge education and medication guidance in outpatient clinic.In the obsenation group,cluster strategy was implemented during the whole course of treatment.The management team and follow一up management center of asthmatic children were set up by specialists,nurses and nutrition experts.Good partnership was established.Psychological nursing such as comfort and encouragement was given to the children and their parents,so as to eliminate their resistance to standardized management mode,and to work out defensive measures,follow-up and exercise plans for daily life as well as interactive inhalation techniques.Nutrition experts conducted nutritional assessment and dietary guidance.The treatment compliance,pulmonary function and the control level of asthma were compared between the two groups.Results The compliance of treatment in acute attack and remission stage of asthma in the observation group was higher than that in the control group,and the duration of long-term inhalation therapy and specific immunotherapy in the remission stage of the observation group was longer than that in the control group,with statistical significance(P<0.01).The improvement of pulmonary function in the observation group was better than that in the control group,and the control level of asthma in the observation group was better than that of control group,with statistical significance(P<0.01).Conclusions Standard therapy combined with continuous cluster strategy can improve treatment compliance of asthma children,effectively improve lung function and achieve the clinical goals of asthma control.
作者
林小飞
王玉美
张军
于春琳
吴云朵
孙海平
刘成全
吕艳关
范广来
王军
LIN Xiaofei;WANG Yumei;ZHANG Jun;YU Chunlin;WU Yunduo;SUN Haiping;LIU Chengquan;LYU Yanguan;FAN Guanglai;WANG Jun(Department of Pediatrics,Huai'an Maternal and Child Health Hospital Affiliated to Medical College of Yangzhou University,Huai'an,Jiangsu 223002,China;Pediatric Hospital,the Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu 221002)
出处
《徐州医科大学学报》
CAS
2019年第7期526-529,共4页
Journal of Xuzhou Medical University
基金
江苏省淮安市科研立项(HAS2015010)
江苏省卫计委科教兴卫青年人才课题(QNRC2016441)
关键词
哮喘
儿童
集束化策略
依从性
肺功能
asthma
children
cluster strategy
compliance
lung function
