广州市支气管哮喘患儿家长知信行问卷调查分析  

Knowledge-Attitude-Practice Survey on Asthmatic Children′s Parents in Guangzhou

作　　者：黄顺开[1] 陈爱欢[1] 孙丽红[1] 王金华[1] 黄穗[2] 陈虹[3] 陈奋华[3] 

机构地区：[1]广州医学院第一附属医院广州呼吸疾病研究所,广州510120 [2]广州医学院第一附属医院儿科,广州510120 [3]中山大学附属第三人民医院儿科,广州510630

出　　处：《实用儿科临床杂志》2011年第9期653-655,共3页Journal of Applied Clinical Pediatrics

基　　金：卫生部"十一.五"国家科技支撑项目(2007BAI24B05)

摘　　要：目的了解广州市支气管哮喘(简称哮喘)患儿家长对哮喘认知及患儿哮喘的现状。方法采用多中心调查方法,对广州市常住居民诊断为哮喘6个月以上,在广州市2家医院哮喘专科或儿科门诊就诊患儿的家长进行调查。结果共调查148例患儿家长,69.86%的家长意识到哮喘是一种呼吸道慢性炎症性疾病;61.49%的家长认为长期吸入激素对于孩子的生长发育有影响;82.43%的家长认为哮喘主要由感冒诱发。76.22%的患儿未使用过峰流速仪,95.17%的患儿未使用过儿童哮喘控制测试量表测试。在过去的12个月内,56.8%的哮喘患儿有喘息发作,每年喘息发作频率为(3.37±0.28)次;有37.5%的患儿需要急诊治疗,每个家庭每年因急诊治疗的费用为(1 320.34±223.97)元;平均每个家庭每年直接经济花费为(6 111.84±1828.41)元。每人每年缺课(28.13±6.67)d;每个家庭每年误工(18.88±8.73)d。结论广州市的哮喘患儿家长对于哮喘这种疾病有一定的认识,但家长对哮喘患儿的控制用药、诱发因素、家庭及自我管理认知有待提高。Objective To investigate the recognition of asthma by parents of children with asthma in Guangzhou and current prevalence of pediatric asthma.Methods Multicenter survey was carried out on parents who were permanent Guangzhou residents,whose children had the diagnosis of asthma made for over 6 months,or resorted to asthma or pediatric specialists in 2 hospitals in Guangzhou.Results A total of 148 parents were enrolled,among whom 69.86% were aware that asthma was chronic airway inflammatory disease,61.49% realized that long-term inhaled corticosteroids affected children′s growth and development,and 82.43% knew that asthma was mainly induced by cold.There were 76.22% percent of children never used peak flow meter,and 95.17% of children never applied Children-Asthma Control Tests（C-ACT）.In the past 12 months,56.8% of children had wheezing with an average annual frequency of（3.37 ± 0.28） episodes.There were 37.5% of children required emergency treatments,with an average of（1 320.34 ± 223.97） yuan for emergency treatment and（6 111.84±1 828.41） yuan for direct economic costs.The average absence from class was（28.13 ± 6.67） days,and the average loss of working time was（18.88±8.73） days per family per year.Conclusions Parents of asthmatic children in Guangzhou have certain recognition of asthma.However,knowledge of controlling medication,inducing factors,family and self-management need to be improved.

关 键 词：支气管哮喘 健康教育 家长 儿童 

分 类 号：R725.6[医药卫生—儿科]