基于移动互联网技术儿童哮喘自我管理工具的构建与应用研究

发布时间：2018-06-19 07:29

  本文选题：哮喘 + 疾病管理　； 参考：《中国全科医学》2017年28期

【摘要】：目的研发基于移动互联网技术的儿童哮喘自我管理工具并予以临床应用实践,初步探索移动互联网技术应用于儿童哮喘自我管理的临床价值。方法根据儿童哮喘管理的基本要素,研发基于Android手机操作系统的儿童轻松呼吸远程管理APP,测试并优化APP的使用功能。选取2016年2—6月在首都医科大学附属北京儿童医院过敏反应科就诊并确诊的64例支气管哮喘患儿,根据患儿监护人的意愿,分为APP管理组28例和传统日记卡管理组36例。APP管理组采用智能手机下载APP,远程管理哮喘患儿;传统日记卡管理组采用传统纸质版日记卡记录哮喘患儿症状、用药等情况。比较管理前和随访1个月后两组患儿的哮喘控制率、儿童哮喘控制测试(C-ACT)得分,随访1个月后两组患儿用药依从性、自我管理执行情况[记录症状天数和记录峰值呼气流速(PEFR)天数],并评估患儿监护人对APP管理的满意度和认可度。结果完成1个月随访的APP管理组患儿18例,传统日记卡管理组患儿33例。管理前和管理1个月后,两组患者支气管哮喘控制率、C-ACT得分比较,差异均无统计学意义(P0.05);管理后,两组患儿支气管哮喘控制率、C-ACT得分均高于管理前,差异有统计学意义(P0.05)。管理1个月后,两组患儿用药依从性、记录PEFR天数比较,差异无统计学意义(P0.05);记录症状天数比较,差异有统计学意义(P0.05)。APP管理组16例哮喘患儿监护人中,对APP管理的满意度为93.7%(15/16),认可度为81.3%(13/16)。结论儿童哮喘自我管理工具有较高的接受度和满意度,但在提高哮喘控制率、C-ACT得分及用药依从性方面没有显著优势,未来需进一步优化APP功能,并开展大样本随机对照研究。
[Abstract]:Objective to develop a self-management tool for childhood asthma based on mobile Internet technology and to explore the clinical value of mobile Internet technology in childhood asthma self-management. Methods according to the basic elements of childhood asthma management, the remote management of children breathing easily based on Android mobile operating system was developed, and the function of app was tested and optimized. Sixty-four children with bronchial asthma who were diagnosed in the allergic reaction Department of Beijing Children's Hospital affiliated to Capital Medical University from February to June 2016 were selected according to the wishes of the child guardian. App management group was divided into two groups: app management group (n = 28) and traditional diary card management group (n = 36). App management group used smart phone to download app for remote management of asthmatic children, while traditional diary card management group used traditional paper diary card to record symptoms and medication of asthmatic children. The control rate of asthma and the score of C-ACT were compared between the two groups before and after 1 month follow-up. The drug compliance of the two groups was observed after one month follow-up. Self-management performance [record symptom days and record peak expiratory flow rate (PEFR) days] and assess the child's guardian's satisfaction and recognition with app management. Results 18 cases of app management group and 33 cases of traditional diary card group were followed up for 1 month. Before and after one month of management, there was no significant difference in the control rate of bronchial asthma between the two groups (P 0.05), but the control rate of bronchial asthma in the two groups was higher than that before management, and the difference was statistically significant (P 0.05). After one month of management, there was no significant difference in drug compliance and PEFR days between the two groups, and there was no significant difference in the number of symptom days between the two groups, and the difference was statistically significant in 16 guardians of asthmatic children in the control group. Satisfaction with app management was 93. 7 / 16, and recognition was 81. 3 / 16. Conclusion Children asthma self-management tools have higher acceptance and satisfaction, but there are no significant advantages in improving asthma control rate and drug compliance, and further optimization of app function is needed in the future, and a large sample randomized controlled study is carried out.
【作者单位】： 首都医科大学附属北京儿童医院过敏反应科;北京市通州区妇幼保健院儿科;首都医科大学附属北京儿童医院耳鼻咽喉头颈外科;
【基金】：北京市科技计划课题(Z131100006813044)
【分类号】：R562.25;TP311.56
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本文编号：2039105