基于微信的教育干预在学龄前期哮喘患儿吸入治疗中的应用效果研究  

Effect of We Chat-based Educational Intervention on Inhalation Therapy among Preschool Children with Asthma

作　　者：李雪华[1] 李健[1] 周丽娟[2] 

机构地区：[1]原沈阳军区总医院儿科,辽宁省沈阳市110840 [2]原沈阳军区总医院护理部,辽宁省沈阳市110840

出　　处：《中国全科医学》2017年第10期1251-1255,共5页Chinese General Practice

摘　　要：目的探讨基于微信的教育干预在学龄前期哮喘患儿吸入治疗中的应用效果。方法选取2014年10月—2015年6月在原沈阳军区总医院确诊的慢性持续期哮喘患儿108例,因失访剔除6例,最终纳入患儿102例。采用随机数字表法,将其分为对照组(n=51)和干预组(n=51)。对照组家庭采用传统教育干预,干预组家庭采用基于微信(微信公众号+微信群)的教育干预,干预期均为6个月。比较两组干预后的吸入技术掌握程度和哮喘控制程度。结果干预前两组性别、年龄、家长文化程度、家庭人均月收入、用药时间、Morisky量表评分、吸入技术总分比较,差异无统计学意义(P>0.05)。干预后两组打开、漱口评分比较,差异无统计学意义(P>0.05);干预组上药、呼气、吸药、屏气评分及吸入技术总分高于对照组,差异有统计学意义(P<0.05)。干预后两组外壳推至最远、滑杆推至最远、吸口倾斜>45°、口部远离吸口、用口吸气、用水漱口、漱口>3次、吐出漱口水正确率比较,差异无统计学意义(P>0.05);干预组转动底座至听到响声、尽量呼出肺内空气、双唇包紧吸口、用力平稳吸气、吸气至不能再吸入为止、移开装置、屏气、屏气时间>5 s正确率高于对照组,差异有统计学意义(P<0.05)。干预组哮喘控制程度优于对照组,差异有统计学意义(P<0.05)。结论基于微信的教育干预能够提高学龄前期哮喘患儿的吸入技术掌握程度和疾病控制程度。Objective To evaluate the effect of WeChat - based educational intervention on inhalation therapy among preschool children with asthma. Methods 108 children who were diagnosed with chronic asthma in persistent period at the Former General Hospital of Shenyang Military from October 2014 to June 2015 were selected,6 lost to follow - up and 102 were finally included. The subjects were assigned to control group （n = 51）and intervention group （n = 51）by random number table method. In the control group,the traditional educational intervention was adopted. The intervention group used WeChat - based educational intervention （WeChat official accounts ＋ WeChat groups）. The intervention lasted for 6 months. The mastery degree of inhalation technique and the control degree of asthma were compared between the two groups after intervention. Results There were no significant differences in gender,age,educational level of parents,family monthly income per capita,medication time, Morisky score and total score of inhalation technique between the two groups before intervention （P 〉 0. 05）. There was no significant difference in the score of opening and gargling between the two groups after intervention （P 〉 0. 05）. The score of medicine applying,breathing,drugs absorption,breath holding and total score of inhalation technique in the intervention groupwere significantly higher than those in the control group （P 〈 0. 05）. After the intervention,the accuracy of pushing shells to the farthest,pushing the slider to the farthest,the tilt angle of suction port 〉 45°,mouth away from the suction port,mouth breathing,gargling with water,gargling 〉 3 times,mouthwash spitting was not significantly different between the two groups （P〉 0. 05）;to the accuracy of turning the base until hearing the sound,exhaling the air in the lungs as much as possible,lips wrapping suction,forced breathing smoothly,keeping inhaling to the greatest extent,removing the device,breath holding,and breath holding time 〉 5 s

关 键 词：哮喘 呼吸疗法 健康教育 儿童 学龄前 

分 类 号：R562.25[医药卫生—呼吸系统]