北京市哮喘儿童家长知信行问卷调查  

Survey on knowledge, attitude and practices in asthmatic children＇s parents in Beijing

作　　者：张国卿[1] 赵京[1] 申昆玲[2] 向莉[2] 夏光明[3] 杨雪秋[4] 鲍慧玲[5] 

机构地区：[1]首都儿科研究所哮喘防治与教育中心,北京100020 [2]首都医科大学附属儿童医院内科 [3]中日友好医院儿科 [4]北京和平里医院儿科 [5]北京大学附属第三医院儿科

出　　处：《中华儿科杂志》2009年第12期942-945,共4页Chinese Journal of Pediatrics

摘　　要：目的 了解北京市哮喘儿童家长哮喘知信行现状及影响因素。方法2008年8-10月，采取多中心问卷调查的方法，在北京市20家医院的哮喘专科或儿科门诊，对北京市常住居民中诊断为哮喘6个月以上的就诊患儿家长进行调查。结果共调查390名患儿家长，有效问卷351份，回收率90．0％。接受调查的家长中，75．2％认识到哮喘的本质是气道过敏性慢性炎性疾病；54．4％的认为即使孩子处于哮喘控制状态下也只能参加轻微运动；88．4％的家长认为按照医嘱长期吸入激素对于孩子的生长发育有影响。32．5％的哮喘儿童坚持规律使用吸入激素；47．2％的哮喘患儿坚持规律使用白三烯受体调节剂；45．3％的家长在孩子哮喘急性发作时会加用抗生素，只有18．1％的家长选用速效B2受体激动剂。多因素Lostic分析显示，家长受教育程度及患儿哮喘控制状态下的复诊频率对于家长的知信行有影响（P〈0．05，OR〉1）。结论北京市的哮喘儿童家长对于哮喘这种疾病的认识普遍较好；家长受教育程度越高，哮喘儿童控制状态下的复诊频率越高，越有利于家长的知信行。Objectives To study the knowledge, attitude and practice （KAP） concerning asthma in parents of children with asthma and the related factors. Method Questionnaire survey was conducted by using the multi-center research methods in twenty hospitals with asthmatic clinic or pediatric clinic in Beijing from August to October in 2008. The investigation focused on Beijing permanent residents with children who have been diagnosed as asthma for more than 6 months. Result Totally 390 parents of asthmatic children were investigated among whom 351 provided valid questionnaires, the response rate reached 90. 0% ; 75.2% of the parents knew that the nature of asthma is a chronic allergic airway inflammatory disease; 54. 4% of parents think that even if the child is in a state of asthma control he/she can participate in only mild exercise ; 88.4% of parents consider that the long-term use of inhaled corticosteroid would have a mild effect on growth and development of children. Of the asthmatic children, 32. 5% adhered to use inhaled eorticosteroid prescription; 47.2% adhered to use leukotriene receptor modulator; 45.3% of parents of children with acute asthma attack will add antibiotics; 18. 1% of parents would choose short-acting β2- agonist. The multi-factors l,ogistic regression suggested that the parents＇ educational background and the frequency of referral in children with asthma under control may have an influences on the parents＇ KAP （ P 〈 0. 05, OR 〉 1 ）. Conclusion The general understanding of asthma in asthmatic children＇s parents in Beijing area is good, the higher the parents＇ educational background and revisit frequency of asthmatic children whose disease is under control, the better the Parents＇ KAP.

关 键 词：哮喘 问卷调查 知识 北京 

分 类 号：R193[医药卫生—卫生事业管理]