CAJ | 학술논문

目的探索健康教育与规范治疗对哮喘儿童生命质量的影响.方法对本院110例哮喘儿童进行为期半年的门诊治疗,按是否接受规范治疗及教育管理分为2组,接受规范治疗及教育管理者为规范治疗组(60例),未拟行规范治疗及教育管理者为对照组(50例).规范治疗组加强教育管理,严格按照全球哮喘防治创议(GINA)方案制定相应的治疗措施进行分级治疗,并定期随访；对照组治疗方法同规范治疗组,家长未进行哮喘教育管理培训,仅采取不定期随访及监管.对两组治疗前后临床效果及肺功能进行比较；并采用哮喘儿童生命质量量表调查问卷(PAQ LQ)及治疗依从性积分法对治疗前后患儿进行评估.结果半年后随访,规范治疗组治疗效果明显优于对照组(P＜0.01).肺功能测定呼气最高流速(PEF)和第1秒时间肺活量(FEV1)规范治疗组较对照组亦明显增高(P＜0.01).规范治疗组半年后PAQLQ评分,总分及各维度得分均较治疗前明显提高(P＜0.01)；两组相比各维度得分及总得分比较差异均有统计学意义(P ＜0.01,P＜0.05).规范治疗组治疗依从性积分[(12.4±2.1)分]高于对照组[(8.1±2.3)分](t=2.5,P ＜0.01).结论健康教育与规范治疗能有效控制哮喘,治疗依从性好,复发率低,并能改善哮喘患儿的生命质量,值得推广应用.
목적 탐색건강교육여규범치료대효천인동생명질량적영향.방법 대본원110례효천인동진행위기반년적문진치료,안시부접수규범치료급교육관리분위2조,접수규범치료급교육관리자위규범치료조(60례),미의행규범치료급교육관리자위대조조(50례).규범치료조가강교육관리,엄격안조전구효천방치창의(GINA)방안제정상응적치료조시진행분급치료,병정기수방；대조조치료방법동규범치료조,가장미진행효천교육관리배훈,부채취불정기수방급감관.대량조치료전후림상효과급폐공능진행비교；병채용효천인동생명질량량표조사문권(PAQ LQ)급치료의종성적분법대치료전후환인진행평고.결과 반년후수방,규범치료조치료효과명현우우대조조(P＜0.01).폐공능측정호기최고류속(PEF)화제1초시간폐활량(FEV1)규범치료조교대조조역명현증고(P＜0.01).규범치료조반년후PAQLQ평분,총분급각유도득분균교치료전명현제고(P＜0.01)；량조상비각유도득분급총득분비교차이균유통계학의의(P ＜0.01,P＜0.05).규범치료조치료의종성적분[(12.4±2.1)분]고우대조조[(8.1±2.3)분](t=2.5,P ＜0.01).결론 건강교육여규범치료능유효공제효천,치료의종성호,복발솔저,병능개선효천환인적생명질량,치득추엄응용.
Objective To investigate the impact of health education and standard treatments on the life quality of asthmatic children.Methods We conducted clinic treatments of 110 cases of asthmatic children lasting for 6 months,which were divided into standard treatment and health education group with 60 cases and group without standard treatment and health education with 50 cases.We emphasized the education management on cases in experimental group,which strictly obeyed the Global Initiative for Asthma (GINA) to formulate classified treatments as well as regular follow-up.Control group received the same treatments as experimental group yet without emphasizing health education about asthma on parents,which was accompanied with irregular follow-up.We compared the before-treatment and after-treatment life-quality and lung functions of asthmatic children.Moreover,we used Pediatric Asthma Quality of Life Questionnaire (PAQLQ) to evaluate the before-treatment and after-treatment life quality of asthmatic children.Results After follow-up lasting for 6 months,the treatments of experiment group had obvious improvements (P ＜0.01).The improvements of peak expiratory flow (PEF) of lung function test and timed vital capacity of the first second (FEV1) of experimental group were also better than the improvements of these two metrics of control group (P ＜ 0.01).In addition,after 6 months,in both all dimensions of PAQLQ and total score,the differences between before and after treatment of experimental group were significant (P ＜ 0.01,P ＜ 0.05) ; and the differences between experimental group and control group were also significant in both all dimensions of PAQLQ score (12.4 ±2.1) and total score comparing to the control group (8.1 ±2.3),and the differences are also significant (t =2.5,P ＜ 0.01).Conclusions Health education and standard treatments significantly improved the life quality of asthmatic children with a good compliance of treatment and a low recurrence rate,which is worth of popularizing.