摘要
目的观察多媒体联合健康教育手册在哮喘患儿中的应用效果。方法选取海口市妇幼保健院2019年1—12月收治的192例哮喘患儿,采用随机数字表法分为观察组和对照组各96例。对照组给予以口头教育为主的常规健康教育,观察组在对照组基础上采用多媒体联合健康教育手册进行干预。2组患儿均连续干预4周,干预结束后6个月,2组均进行随访。于干预结束后评估患儿的治疗依从性,并记录2组患儿干预前后的健康行为及生命质量情况,统计2组患儿随访中再次出现哮喘急性发作例数、因哮喘再次入院及住院例数。结果观察组患儿在按时按量服药、使用吸入器及记录哮喘日记3个方面的依从性均明显优于对照组,差异有统计学意义(Z值为9.809、10.082、10.287,均P<0.05)。观察组干预后在远离变应源、遵医服药、注意保暖、饮食控制、运动锻炼、吸入器使用各方面健康行为均明显高于对照组同期,差异有统计学意义(χ^(2)值为5.169~19.006,均P<0.05)。观察组干预后症状、活动、情感3个方面评分及儿科哮喘生命质量问卷(PAQLQ)总分分别为(48.52±7.46)、(25.16±4.83)、(36.57±5.64)、(110.32±20.64)分,均明显高于对照组的(42.17±7.12)、(18.65±3.72)、(29.86±5.48)、(85.06±16.23)分,差异有统计学意义(t值为6.146~10.463,均P<0.05)。观察组患儿随访期间哮喘急性发作、因哮喘再次入院及因哮喘再次住院的发生率分别为21.89%(20/91)、15.38%(14/91)、9.89%(9/91),均低于对照组的39.33%(35/89)、23.58%(29/89)、25.84%(23/89),差异有统计学意义(χ^(2)值为6.381、7.321、7.833,均P<0.05)。结论多媒体联合健康教育手册能有效改善哮喘患儿的治疗依从性、健康行为,提升其生命质量,减少哮喘相关事件发生率。
Objective To observation the application of multimedia combined with health education manuals in asthma children.Methods A total of 192 asthma children who were admitted to Haikou Hospital of the Maternal and Child Health between January and December 2019 were enrolled.They were divided into observation group and control group by random number table method,96 cases in each group.The control group was given routine health education based on oral education,while observation group was additionally given multimedia intervention.Both groups were continuously intervened for 4 weeks.After intervention,treatment compliance was evaluated.The health behaviors and quality of life before and after intervention in both groups were recorded.Both groups were followed up after 6 months of intervention.The number of cases with acute asthma attacks,and number of re-admission and hospitalization cases due to asthma in both groups were statistically analyzed.Results The compliance of observation group was significantly better than that of control group in terms of quantitative medication on time,inhaler usage and recording asthma diary(Z values were 9.809,10.082,10.287,P<0.05).After intervention,health behaviors such as keeping away from allergens,medication following doctor's advice,paying attention to keep warm,diet control,exercise training and inhaler usage in observation group were significantly higher than those in control group(χ^(2) values were 5.169-19.006,P<0.05).After intervention,scores of symptoms,activities and emotion,and total score of Pediatric Asthma Quality of Life Questionnaire(PAQLQ)in observation group were(48.52±7.46),(25.16±4.83)(110.32±20.64)and(36.57±5.64)points,significantly higher than(42.17±7.12),(18.65±3.72),(29.86±5.48)and(85.06±16.23)points in control group(t values were 6.146-10.463,P<0.05).During follow-up,the incidence rates of acute asthma attack,re-admission and re-hospitalization due to asthma in observation group were 21.89%(20/91),15.38%(14/91),9.89%(9/91),which were lower than 39.33%(35/89),23.58%(29/89),25.84%(23/89)in control group(χ^(2) values were 6.381,7.321,7.833,P<0.05).Conclusion The multimedia combined health education manuals can effectively improve treatment compliance,health behaviors and quality of life in asthma children,and reduce incidence of asthma related events.
作者
陈才女
吴时
灵周谨
邢红怡
Chen Cainyu;Wu Shiling;Zhou Jin;Xing Hongyi(Department of Pediatrics,Haikou Hospital of the Maternal and Child Health,Haikou 571100,China)
出处
《中国实用护理杂志》
2021年第30期2329-2334,共6页
Chinese Journal of Practical Nursing
关键词
哮喘
多媒体
健康教育手册
治疗依从性
健康行为
Asthma
Multimedia
Health education manual
Treatment compliance
Health behavior
