基于微信的教育干预在学龄前期哮喘患儿吸入治疗中的应用效果研究

发布时间：2018-12-27 18:16

【摘要】：目的探讨基于微信的教育干预在学龄前期哮喘患儿吸入治疗中的应用效果。方法选取2014年10月—2015年6月在原沈阳军区总医院确诊的慢性持续期哮喘患儿108例,因失访剔除6例,最终纳入患儿102例。采用随机数字表法,将其分为对照组(n=51)和干预组(n=51)。对照组家庭采用传统教育干预,干预组家庭采用基于微信(微信公众号+微信群)的教育干预,干预期均为6个月。比较两组干预后的吸入技术掌握程度和哮喘控制程度。结果干预前两组性别、年龄、家长文化程度、家庭人均月收入、用药时间、Morisky量表评分、吸入技术总分比较,差异无统计学意义(P0.05)。干预后两组打开、漱口评分比较,差异无统计学意义(P0.05);干预组上药、呼气、吸药、屏气评分及吸入技术总分高于对照组,差异有统计学意义(P0.05)。干预后两组外壳推至最远、滑杆推至最远、吸口倾斜45°、口部远离吸口、用口吸气、用水漱口、漱口3次、吐出漱口水正确率比较,差异无统计学意义(P0.05);干预组转动底座至听到响声、尽量呼出肺内空气、双唇包紧吸口、用力平稳吸气、吸气至不能再吸入为止、移开装置、屏气、屏气时间5 s正确率高于对照组,差异有统计学意义(P0.05)。干预组哮喘控制程度优于对照组,差异有统计学意义(P0.05)。结论基于微信的教育干预能够提高学龄前期哮喘患儿的吸入技术掌握程度和疾病控制程度。
[Abstract]:Objective to explore the effect of educational intervention based on WeChat in inhaled treatment of preschool asthmatic children. Methods 108 children with chronic persistent asthma diagnosed in the former Shenyang military region General Hospital from October 2014 to June 2015 were selected. 6 cases were excluded because of missing visit and 102 cases were included. The patients were randomly divided into two groups: control group (n = 51) and intervention group (n = 51). The families of the control group were treated with traditional education intervention, and the families of the intervention group were treated with the education intervention based on WeChat (WeChat Public number WeChat Group) for 6 months. The degree of inhalation technique and asthma control after intervention were compared between the two groups. Results there was no significant difference between the two groups in sex, age, parents' education level, family average monthly income, time of medication, Morisky scale score and total score of inhaled technology before intervention (P0.05). After intervention, the two groups opened, gargle score, there was no significant difference (P0.05); the intervention group on medicine, breath, suction, breath holding score and the total score of inhaling technology were higher than the control group, the difference was statistically significant (P0.05). After intervention, the shell of the two groups was pushed furthest, the slider pushed the farthest, the suction mouth tilted 45 掳, the mouth was far away from the sucking mouth, inhale with mouth, gargle with water, gargle 3 times, the correct rate of spitting mouthwash was not significantly different (P0.05). In the intervention group, the pedestal was rotated until the sound was heard, and the air in the lung was exhaled as far as possible. The lips were tightly entrapped and inhaled steadily, inhale until it could not be inhaled. The correct rate of holding breath for 5 seconds was higher than that in the control group. The difference was statistically significant (P0.05). The degree of asthma control in the intervention group was better than that in the control group, and the difference was statistically significant (P0.05). Conclusion the education intervention based on WeChat can improve the degree of inhaling technique and disease control in preschool asthmatic children.
【作者单位】：原沈阳军区总医院儿科;原沈阳军区总医院护理部;
【分类号】：R473.72

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