联合干预模式对哮喘患儿吸入激素依从性的影响  

THE EFFECT OF COMBINATION INTERVENTION MODEL ON COMPLIANCE OF ASTHMA CHILDREN WHO INHALE STEROIDS

作　　者：和强[1] 封稚[1] 杨少芬[1] 虞靖虹[1] 李雪华[2] 

机构地区：[1]广东医学院第二附属医院儿科,湛江524003 [2]广东医学院附属医院

出　　处：《现代预防医学》2007年第5期969-970,共2页Modern Preventive Medicine

摘　　要：[目的]探讨联合干预模式对哮喘患儿吸入激素依从性的影响作用。[方法]采用临床试验方法将136例支气管哮喘儿童随机分为联合干预组和对照组。所有患儿均给予吸入皮质激素,其中联合干预组辅予医生—家庭—社会联合干预措施,而对照组则只依靠医生单一方面的指导,两组均随访观察1年,比较其吸入激素的依从性及哮喘复发率。[结果]干预组哮喘患儿吸入激素依从率为60.56%,对照组为33.85%,两者差异有统计学意义(P﹤0.01);而干预组患儿哮喘复发率为30.99%,对照组为61.54%,两者差异有统计学意义(P﹤0.01)。[结论]医生-家庭-社会联合干预模式可有效地提高哮喘患儿的皮质激素吸入依从性,降低哮喘复发率,值得临床进一步推广。[Objective ] To explore the effect of combination intervention model on compliance of child suffered from asthma inhaling steroids. [Methods] 136 cases of children suffered from bronchial asthma were divided into the combination intervention group （71 cases） and the comparison group （65 cases） randomly. All the children inhaled steroids, of which, the combination intervention group was given doctor-family-society combination intervention measures but the comparison group was given the doctor＇s instruction only. Two groups were observed for one year, and the inhaling steroids compliance and asthmas relapse rate were compared. [Results] The children suffered from asthma inhaling steroids compliance rate was 60.56% in the intervention group and 33.85% in the comparison group, there was significant difference between the two groups （P 〈 0.01 ） ; The relapse rate with children suffered from asthmas was 30.99% in the intervention group and 61.54% in the comparison group, There was significant difference between the two groups （P 〈 0.01 ） . [ Conclusion ] Doctor-family- society combination intervention model can improve the inhaling steroids compliance of children suffered from asthma effectively, and reduce asthmas relapse rate; It＇s worthy of promoting in the future.

关 键 词：哮喘 吸入激素 依从行为 联合干预 

分 类 号：R725.6[医药卫生—儿科]