天津市哮喘患儿家长哮喘知识及行为调查  

A survey on the knowledge and behavior in asthmatic children＇s parents in Tianjin

作　　者：王峥[1] 刘长山[1] 阮小玲[1] 王雪艳[1] 张奕[1] 李霞[1] 杨静[1] 

机构地区：[1]天津医科大学第二医院儿科,300211

出　　处：《中国综合临床》2010年第12期1334-1336,共3页Clinical Medicine of China

摘　　要：目的 调查天津市哮喘患儿家长对哮喘知识的了解程度及其对治疗的依从性.方法 随机抽取2009年6月1日至7月31日期间哮喘专科门诊就诊的93名哮喘患儿家长（患儿均在我哮喘专科门诊规范治疗半年以上）进行问卷调查.结果 接受调查的家长中,72.04%知晓哮喘本质是气道慢性炎症性疾病;100%患儿遵医嘱规律使用吸入激素55.91%或吸入激素与长效β2受体激动荆联合制剂44.09%作为长期维持治疗药物;74.68%认为患儿病情控制后可以正常参加各项运动.＞5岁患儿中分别有93.55%及97.85%未使用过峰流速仪及＂儿童哮喘控制测试（CACT）＂监测病情;哮喘急性发作时,25.81%首选吸入速效β2受体激动剂作为自我紧急处理措施,19.35%及11.83%仍分别选择加用抗生素及束手无措;43.01%认为即使遵从医嘱规律使用吸入激素,对孩子生长发育仍有影响.结论 经规范治疗的天津市哮喘患儿家长对哮喘的认知普遍较好,但仍存在薄弱环节.哮喘知识的宣传教育可帮助患儿及其家长了解哮喘知识,树立对疾病及其防治的正确认识,增加治疗依从性,应长期坚持进行.Objective To investigate the understanding level of asthma related knowledge and the treatment compliance in parents of children with asthma in Tianjin. Methods Questionnaire survey was given to 93 randomly selected parents of children with asthma at our asthmatic clinic ,whose children began to receive regularly asthmatic administration for at least 6 months from June to July in 2009. Results 72.04% of the parents included into the survey knew that asthma was a chronic airway inflammatory disease; 100% of them adhered to use prescription inhaled corticosteroid （55.91%） or inhaled corticosteroid combined with an inhaled long-acting β2-agonist （44. 09% ） ;74. 68% of them believed that if the child is in a well control state, he/she could participate in exercise as healthy children. There were 93.55% and 97.85% children patients aged 〉 5 had never used PEF meter or CACT respectively to monitor the ill conditions. 25.81% of the parents chose rapid-acting β2-agonist to deal with asthma at acute attack stage, while 19.35% chose to add antibiotics and 11.83% were unable to do anything. 43.01% of the parents worried that the long-term use of inhaled corticosteroid would have side effects on the growth and development of their children, although they chose to obey to the doctor＇s prescription. Conclusions The general understanding of asthma is good in the parents, whose children had received asthmatic administration regularly in Tianjin area,but there are still some weak links exist. The related education may help asthmatic children＇ s parents to master the knowledge of asthma, give them correct recognition of the treatment and prevention of asthma, increase the treatment compliance. This work should be insisted continuously.

关 键 词：哮喘 问卷调查 知识 儿童 

分 类 号：R725.6[医药卫生—儿科]