哮喘儿童自我管理教育的评估  

Evaluation of self-management education for asthma children

作　　者：徐琳玲[1] 林小璎[1] 华雪玲[1] 王勇[1] 刘敏珍[1] 

机构地区：[1]福建医科大学附属协和医院

出　　处：《现代康复》1999年第5期536-537,共2页Modern Rehabilitation

摘　　要：目的：评估哮喘儿童自我管理教育的效果。方法：对５４例哮喘儿童自我管理教育前后１ａ的肺功能、哮喘发作情况、医疗费用，以及自我管理知识和技能、治疗依从性进行自身对照研究。结果：病人教育后，呼气峰流速（ＰＥＦ）及其变异率（ＰＥＦＲＶ）有明显改善（Ｐ＜０．０１）。哮喘引起的急性发作和急诊、住院次数、缺课、父母缺勤和使用口服激素、支气管扩张剂日数，以及医疗费用皆显著减少（Ｐ＜０．０１）。结论：自我管理知识和技术（认识哮喘、环境控制、吸入技术、峰流速仪使用和监测），以及治疗依从性皆显著提高和改善（Ｐ＜０．０１）。Objective:To evaluate results of self-management education for asthma children.Methods:Patient's state of pulmonary function, asthmatic attacks,medical costs,knowledge and skills on self-managemant,compliance with treatment were evaluated for a period of 1 year before and after education,using the autocontrol study on 54 asthma children. Result: After education,peak expiratatory flow (PEF)and peak expiratory flow rate variation (PEFRV) had a significantly improvement (P<0.01).The incidents(acute episodes,emergency departmint visits and hospital admission, days off school and parents work) caused by asthma, courses of oral steroids and bronchodilators,and medical costs were significantly reduced (P<0.01).Knowledge and skills on self-management (understanding asthma,environmental control,inhaled technique,peak flow meter use and monitoring ),and compliance with treatment were significantly increased and improved(P<0.01).Conclusion: The patients can receive more benefit from integrated self_mana

关 键 词：哮喘 儿童 自我管理教育 医疗服务 

分 类 号：R725.622.5[医药卫生—儿科]