“互联网+FCC”延伸管理模式对儿童哮喘病慢性持续期病情控制水平及依从性的影响  

The influence of the"Internet+FCC"extended management model on the level of control and compliance of childhood asthma in chronic persistence

作　　者：孙传萍[1] 杨道平 SUN Chuan-ping;YANG Dao-ping(Children's Hospital of Soochow University Department of Respiratory Diseases,Jiangsu Suzhou 215003,China;Children's Hospital of Soochow University,Department of Cardiology,Jiangsu Suzhou 215003,China)

机构地区：[1]苏州大学附属儿童医院1.呼吸科 [2]心内科,江苏苏州215003

出　　处：《临床医药文献电子杂志》2020年第88期2-4,共3页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨和评价基于“互联网+以家庭为中心(FCC)”延伸管理模式对儿童哮喘病患儿哮喘控制水平、依从性及肺功能指标干预效果。方法选取我院呼吸科2018年01月—2019年12月间100例经系统治疗进入哮喘慢性持续期的哮喘病儿童作为研究对象,出院后均定期接受哮喘专科门诊随访,选取其中的48例接受传统随访管理的患儿作为对照组,另外52例接受“互联网+FCC”延伸管理模式的患儿作为观察组,通过微信实施以家庭为中心的延伸支气管哮喘教育和管理服务。干预12个月,对比出院12个月内两组患儿急性发作次数、每季度哮喘控制水平(C-ACT)、肺功能指标(PEF%、FEV1%)变化情况及用药依从性和家长满意度。结果出院12个月内:观察组患儿急性哮喘发作次数、再次住院次数均明显少于对照组(P<0.05);干预第1个月的两组C-ACT得分及肺功能指标PEF%、FEV1%检测值比较无明显差异(P>0.05);干预第3、6、12个月,观察组C-ACT得分均明显优于对照组(P<0.05);干预第3、6及12个月,观察组患儿肺功能指标PEF%、FEV1%检测值均明显高于对照组(均P<0.001)。干预12个月测评,观察组患儿用药依从性及家长满意度均显著高于对照组(P<0.001)。结论对经系统治疗进入哮喘慢性持续期的哮喘病患儿,实施基于“互联网+FCC”延伸管理模式进行持续性专业干预,患儿出院后急性哮喘发作次数及再次住院次数均明显减少,用药依从性明显提高,哮喘控制水平及肺功能指标明显改善,患儿家长满意度明显提高。Objective To explore and evaluate the effect of the extended management model based on the"Internet+family-centered(FCC)"on the level of asthma control,compliance and lung function indicators in children with asthma.Methods We selected 100 children with asthma who entered the chronic persistent period of asthma through systematic treatment in the Department of Respiratory Medicine of our hospital from January 2018 to December 2019 as the research subjects.After discharge from the hospital,they were regularly followed up in the asthma specialist clinic,and 48 of them were selected to accept the traditional The children under follow-up management were used as the control group,and the other 52 children who received the"Internet+FCC"extended management model were used as the observation group to implement family-centered extended bronchial asthma education and management services through WeChat.Intervention for 12 months,comparing the number of acute attacks,quarterly asthma control level(C-ACT),changes in lung function indicators(PEF%,FEV1%),medication compliance and parent satisfaction between the two groups within 12 months of discharge.Results Within 12 months of discharge:the number of acute asthma attacks and readmissions in the observation group were significantly less than those in the control group(P<0.05);the C-ACT scores and lung function indexes PEF%and FEV1 of the two groups in the first month of intervention There was no significant difference in%detection value(P>0.05);the C-ACT scores of the observation group were significantly better than those of the control group at the 3rd,6th,and 12th months of the intervention(P<0.05);The detection values of PEF%and FEV1%of children in the observation group were significantly higher than those in the control group(both P<0.001).After the intervention for 12 months,the medication compliance and parent satisfaction of the observation group were significantly higher than those of the control group(P<0.001).Conclusions For children with asthma who have entered the

关 键 词：儿童哮喘病 互联网+ 以家庭为中心 哮喘控制 肺功能 依从性 

分 类 号：R473.72[医药卫生—护理学]