CAJ | 학술논문

目的：评价儿童哮喘规范化管理治疗的效果。方法对150例哮喘患儿建立哮喘医疗管理档案，按是否接受规范化管理治疗分为管理组和对照组，对管理组78例患儿及家长进行哮喘基本知识教育、健康教育并定期随访等综合教育管理，同时进行哮喘的规范化治疗；对照组72例未进行哮喘教育管理，仅接受一般临床治疗。观察1年，比较两组儿童哮喘临床疗效、家长知信行变化及患儿用药依从性情况。结果管理组患儿哮喘控制率明显高于对照组(χ2=54.68，P<0.01)；在随访1年内，管理组患儿哮喘发作次数、急诊次数、住院次数均明显减少，与对照组比较差异有统计学意义(P均<0.01)；两组比较，管理组患儿家长对哮喘知识的了解和对患儿治疗及管理执行情况等知信行水平显著提高(P<0.01)；同期管理组患儿用药依从性也显著高于对照组(χ2=66.27，P<0.01)。结论推广儿童哮喘规范化管理治疗，可提高哮喘患儿家长的知信行水平，改善患儿治疗依从性，从而有效控制哮喘。
목적：평개인동효천규범화관리치료적효과。방법대150례효천환인건립효천의료관리당안，안시부접수규범화관리치료분위관리조화대조조，대관리조78례환인급가장진행효천기본지식교육、건강교육병정기수방등종합교육관리，동시진행효천적규범화치료；대조조72례미진행효천교육관리，부접수일반림상치료。관찰1년，비교량조인동효천림상료효、가장지신행변화급환인용약의종성정황。결과관리조환인효천공제솔명현고우대조조(χ2=54.68，P<0.01)；재수방1년내，관리조환인효천발작차수、급진차수、주원차수균명현감소，여대조조비교차이유통계학의의(P균<0.01)；량조비교，관리조환인가장대효천지식적료해화대환인치료급관리집행정황등지신행수평현저제고(P<0.01)；동기관리조환인용약의종성야현저고우대조조(χ2=66.27，P<0.01)。결론추엄인동효천규범화관리치료，가제고효천환인가장적지신행수평，개선환인치료의종성，종이유효공제효천。
ObjectiveTo evaluate the treatment efifcacy of the treatment promotion of standardized management for chil-dren with asthma.MethodsMedical records of 150 children with asthma were reviewed and divided into management group or control group according to whether standardized management was accepted. Comprehensive asthma education for asthma pa-tients and their parents including asthma associated basic knowledge education, health education as well as follow-ups at deifned intervals was conducted in 78 cases. In the meantime, standardized asthma therapies were performed. Control group involved 72 cases who did not receive asthma education managements and only accepted regular clinical therapies. After 1-year observational follow-up, , clinical efifcacy of children with asthma, changes of knowledge-attitude-practice of parents, and compliance of med-ication were compared between the two groups.ResultsAfter promotion of standardized managements treatment, asthma con-trol rates in the management group were signiifcantly higher than that of the control group(χ2=54.68,P<0.01); In addition, the rate of asthma attacks, emergency visits as well as hospitalizations were obviously reduced in the management group than control group (both withP<0.01). Knowledge associated with asthma, therapy and management executions as well as knowledge-atti-tude-practice of parents also demonstrated apparent elevations in the management group (P<0.01); At the same time, management group has illustrated superior medication compliance over the control group (χ2=66.27,P<0.01).ConclusionPromotion of standardized treatment management among children with asthma can help to achieve effective control by raising levels of knowl-edge-attitude-practice of the parents as well as the patient’s compliance to the treatment.