CAJ | 학술논문

目的：探讨家庭干预对变应性鼻炎患儿免疫治疗的效果及治疗依从性的影响.方法便利抽样法选取2012年6月至2013年2月在湖南省儿童医院耳鼻咽喉-头颈外科门诊就诊的变应性鼻炎患儿297例为研究对象，按随机数字表法将其分为对照组(n＝148)和观察组(n＝149).对照组患儿按免疫标准化治疗方案进行；观察组患儿在对照组的基础上采取家庭护理干预方法，着重于对鼻炎患儿家长进行健康指导，让其对患儿进行监督和护理.观察两组患儿免疫治疗的疗效和治疗的依从性.结果通过1年的免疫治疗观察，观察组患儿鼻炎症状改善明显，治疗总有效率优于对照组，差异有统计学意义(P＜0．05).观察组患儿治疗依从性明显高于对照组，差异有统计学意义(P＜0．01).结论家庭干预有利于提高门诊变应性鼻炎患儿免疫治疗的依从性，对提高鼻炎疗效、防止其他并发症的发生和发展有着重要意义.
목적：탐토가정간예대변응성비염환인면역치료적효과급치료의종성적영향.방법편리추양법선취2012년6월지2013년2월재호남성인동의원이비인후-두경외과문진취진적변응성비염환인297례위연구대상，안수궤수자표법장기분위대조조(n＝148)화관찰조(n＝149).대조조환인안면역표준화치료방안진행；관찰조환인재대조조적기출상채취가정호리간예방법，착중우대비염환인가장진행건강지도，양기대환인진행감독화호리.관찰량조환인면역치료적료효화치료적의종성.결과통과1년적면역치료관찰，관찰조환인비염증상개선명현，치료총유효솔우우대조조，차이유통계학의의(P＜0．05).관찰조환인치료의종성명현고우대조조，차이유통계학의의(P＜0．01).결론가정간예유리우제고문진변응성비염환인면역치료적의종성，대제고비염료효、방지기타병발증적발생화발전유착중요의의.
Objective To explore the influence of familial intervention on curative effect and compliance of children with allergic rhinitis undergoing immunotherapy.Methods Two hundred and ninety-seven outpa-tient children with allergic rhinitis were randomly divided into the control group (n=148)and the observa-tion group(n=149),The patients in control group were treated with standardized allergen specific immu-notherapy,while the observation group received familial nursing intervention based on standard nursing, which emphasize on the health education about allergic rhinitis,keeping supervision and care to their children.The compliance and treatment effect of two groups was compared.Results According to one-year observation,the improvement of nasal symptoms and total effective rate of the observation group were superior to those of the control group,which statistical difference also existed between two groups(P<0.05),and the compliance of the observation group was much higher than that of control group(P<0.01). Conclusion The familial intervention could improve patients ’compliance with immunotherapy,and it plays a significant role in improving the therapeutic effect of rhinitis and preventing the occurrence and development of complications.