护理干预对支气管哮喘患者吸入糖皮质激素依从性的影响  

Effect of nursing intervention on inhaled cortex steroids compliance in asthmatic patients

作　　者：林雅[1] 刘月花[1] 戴丽群[1] 林彩仪[1] 

机构地区：[1]暨南大学医学院第五附属医院清远市人民医院呼吸内科,广东清远511500

出　　处：《现代临床护理》2009年第3期17-19,共3页Modern Clinical Nursing

摘　　要：目的观察护理干预对支气管哮喘患者吸入糖皮质激素依从性的影响。方法对60例吸入糖皮质激素依从性差的哮喘患者进行问卷调查,并随机分为对照组和干预组各30例,对照组采用激素吸入治疗,干预组在药物治疗基础上,根据患者治疗不依从的原因,采取健康护理干预,观察并比较1年后两组患者激素治疗依从性及症状控制情况。结果干预组与对照组患者治疗依从性分别为90.0%与20.0%;哮喘控制测试评分较对照组明显降低,两组比较,差异具有统计学意义(P<0.01)。结论针对支气管哮喘患者激素治疗不依从性的原因,采取针对性的健康护理干预,可提高哮喘患者激素吸入治疗依从性,从而控制患者哮喘发作和改善哮喘症状。Objective To study the effect of nursing intervention on inhaled cortex steroids （ICS） compliance in patients with bronchial asthma. Methods Sixty patients with bronchial asthma who had poor ICS compliance were studied with questionnaire. They were randomly divided into the intervention group and the control group. The intervention group （n = 30） were treated with nursing intervention in addition to drug treatment. The control group （n = 30） were treated only with drug. All were followed for one year. The clinical symptoms and ICS compliance were compared. Results There was significant difference in the ICS compliance between the intervention group （90%） and the control group （20%） （P 〈 0.01 ）. After intervention, the symptoms of asthma and common cold incidence were decreased significantly in intervention group compared with the control group （P 〈 0.01）. Conclusion The effective nursing intervention could improve patients＇ ICS compliance, which in turn help to control asthmatic attack and improve symptoms of asthma.

关 键 词：哮喘 糖皮质激素 依从行为 护理干预 

分 类 号：R473.5[医药卫生—护理学]