任务表格式健康管理策略在持续使用糖皮质激素雾化吸入哮喘患儿中的应用.docVIP

任务表格式健康管理策略在持续使用糖皮质激素雾化吸入哮喘患儿中的应用 　　[摘要] 目的 探?任务表格式健康管理策略对持续使用糖皮质激素雾化（ICS）哮喘儿童的用药依从性、临床疗效的影响。 方法 将84例在安康市中医医院儿科治疗的哮喘患儿按照入院时间顺序分组，其中，2015年7～12月41例患儿作为常规组，采用传统的护理教育方案；2016年1～6月43例患儿作为干预组，采用任务表格式健康管理策略进行干预。分别在干预前、干预3、6、12个月后比较两组患儿的用药依从性得分、临床症状得分及肺功能主要指标。 结果 组内比较，干预组干预3、6、12个月后的用药依从性得分、呼气峰流速实测值占预计值百分比（PEF%）、第一秒用力呼气容积占预计值百分比（FEV1%）均较干预前明显提高（P 0.05），临床症状得分明显降低（P 0.05）；常规组干预6、12个月后的用药依从性得分较干预前明显下降（P 0.05），PEF%和FEV1%均较干预前明显提高（P 0.05），干预3、6、12个月后的临床症状得分较干预前明显下降（P 0.05）。组间比较，干预组干预3、6、12个月后的用药依从性得分、PEF%明显高于常规组（P 0.01）；干预组干预6、12个月后的临床症状得分明显低于常规组（P 0.01），FEV1%明显高于常规组（P 0.05）。 结论 任务表格式健康管理策略有利于提升持续使用ICS哮喘儿童的用药依从性，降低临床症状困扰和改善肺功能状态。 　　[关键词] 哮喘；儿童；健康教育；依从性；临床疗效 　　[中图分类号] R473 [文献标识码] A [文章编号] 1673-7210（2017）10（b）-0072-05 　　Application of task form health management strategy in asthmatic children treated with continuous inhaled glucocorticoids 　　HA Haixia LUO Yongli▲ YANG Guanshan 　　Department of Pediatrics， Ankang Hospital of Traditional Chinese Medicine， Shaanxi Province， Ankang 725000， China 　　[Abstract] Objective To explore the effect of task form health management strategy on compliance and clinical efficacy of asthmatic children treated with continuous inhaled glucocorticoids. Methods 84 children with asthma treated in Ankang Hospital of Traditional Chinese Medicine were divided into two groups according to the time of admission. Among them， 41 children who were treated from July to December 2015 were selected as the routine group， and the traditional nursing education program was adopted. 43 children treated from January to June 2016 were selected as intervention group， and the task form and health management strategy were adopted to intervene. The medication compliance， clinical symptom score and pulmonary function before and 3， 6， 12 months after the intervention of the two groups were compared. Results Comparison within the same group， compared with before intervention， the medication compliance scores， peak expiratory flow rate measured values of percentage