CAJ | 학술논문

目的：探讨自我管理模式对合并鼻炎的哮喘缓解期患儿未来风险的影响。方法将符合研究对象的80例患儿按随机数字表法分为实验组39例和对照组41例，对照组患儿、家长接受口头讲授哮喘基本知识和首次用药技术指导，实验组由自我管理健康团队制订个体化的哮喘行动计划，并通过“作业”、“考试”、PDC A循环、远程健康服务等自我管理模式对行动计划进行实施。观察实施2年后，自我管理模式对哮喘健康促进行为和控制水平及未来风险的影响。结果实验组患者哮喘健康促进行为优于对照组，哮喘相关不良事件少于对照组，差异均有统计学意义（P＜0．01）；自我管理模式实施后第1年、第2年，实验组患者鼻炎症状和ACT评分、肺功能与对照组比较，差异均有统计学意义（P＜0．01）。结论自我管理模式有利于合并鼻炎的哮喘缓解期患儿维持哮喘控制水平和降低未来风险。
목적：탐토자아관리모식대합병비염적효천완해기환인미래풍험적영향。방법장부합연구대상적80례환인안수궤수자표법분위실험조39례화대조조41례，대조조환인、가장접수구두강수효천기본지식화수차용약기술지도，실험조유자아관리건강단대제정개체화적효천행동계화，병통과“작업”、“고시”、PDC A순배、원정건강복무등자아관리모식대행동계화진행실시。관찰실시2년후，자아관리모식대효천건강촉진행위화공제수평급미래풍험적영향。결과실험조환자효천건강촉진행위우우대조조，효천상관불량사건소우대조조，차이균유통계학의의（P＜0．01）；자아관리모식실시후제1년、제2년，실험조환자비염증상화ACT평분、폐공능여대조조비교，차이균유통계학의의（P＜0．01）。결론자아관리모식유리우합병비염적효천완해기환인유지효천공제수평화강저미래풍험。
Objective To study the effect of establishment of self‐management model for alleviating future risk of remission stage asthma prepubertal children with rhinitis .Method The study objects were randomly divided into ex‐perimental group (39 cases) and control group (41 cases) .The knowledge about asthma disease ,medication techni‐cal guidance for child patients and it’s parents in control group was taught orally .A self‐managed health team was set up ,individualized asthma control plan was made by this team for patients in experimental group .Implementation of the asthma control plan by “work” ,“examination” ,PDCA cycle and remote health service .The health‐promoting behaviors of asthma ,asthma control level ,the impact of future risk of asthma was measured and compare between the two groups two years after plan implementation .Result Less adverse events and performing behavior of health promotion in experimental group was better than that of the control group .There was significant difference between the two group (P<0 .01) .The rhinitis symptoms score ,ACT score ,pulmonary function in experimental group at one year and two years after mode implementation .There are significant difference compared with control group (P<0 .01) .Conclusion Standardized self‐management mode can help to keep asthma control level and reduce the fu‐ture risks .