Objective To investigate the impact of mobile phone-based chronic disease management system on self-management ability and asthma control effect in bronchial asthma children in community.Methods From March 2016 to March 2017 in Beixia Street community health service center,Shibali River Town community health service center,Chaohe Road community health service center,Nancao Town health center,Chengdong Road community health service center in Guancheng District,Linke Road community health service center in Zhengzhou,a total of 108 children with bronchial asthma were selected,and they were divided into control group and study group according to random number table,each of 54 cases. Children in control group received routine out-patient care and disease management,while children's parents in study group installed mobile phone-based chronic disease management system(mobile phone APP of Hongyun Health)to make up asthma management unit with attending physician,meanwhile received same routine out-patient care and disease management as control group. Self-management ability score before intervention and 6 months after intervention,and asthma control effect during intervention were compared between the two groups.Results No statistically significant differences of daily life management score,disease medical management score,social psychological management score,asthma drug inhalation technology score or total points was found between the two groups before intervention(P>0.05);daily life management score,diseasemedical management score,social psychological management score,asthma drug inhalation technology score and total points in study group were statistically significantly higher than those in control group 6 months after intervention(P<0.05). Acute exacerbation times,emergency treatment times and hospitalization times in study group were statistically significantly less than those in control group during intervention,meanwhile hospital stays and absenting duration from school in study group were statistically significantly shorter than those in control group(P<0.05).Conclusion Mobile phone-based chronic disease management system can effectively improve the self-management ability and asthma control effect in bronchial asthma children in community.%目的 探讨基于手机端的慢病管理系统对社区支气管哮喘患儿自我管理能力及哮喘控制效果的影响.方法 选取2016年3月—2017年3月在郑州市北下街社区卫生服务中心、十八里河镇社区卫生服务中心、潮河路社区卫生服务中心、南曹乡卫生院、管城区城东路社区卫生服务中心、林科路社区卫生服务中心就诊的支气管哮喘患儿108例,采用随机数字表法分为对照组和研究组,每组54例.对照组患儿接受常规门诊治疗及疾病管理;在对照组基础上,研究组患儿家长在手机上安装基于手机端的慢病管理系统——红云健康手机APP,注册后与主管医师组成哮喘管理小组,进行疾病管理.比较两组患儿干预前和干预6个月后自我管理能力评分及干预期间哮喘控制效果.结果 干预前两组患儿日常生活管理评分、疾病医学管理评分、社会心理管理评分、哮喘药物吸入技术评分及总分比较,差异无统计学意义(P>0.05);干预6个月后研究组患儿日常生活管理评分、疾病医学管理评分、社会心理管理评分、哮喘药物吸入技术评分及总分高于对照组(P<0.05).研究组患儿干预期间急性加重次数、急诊次数、住院次数少于对照组,住院时间和缺课时间短于对照组(P<0.05).结论 基于手机端的慢病管理系统能有效提高社区支气管哮喘患儿自我管理能力及哮喘控制效果.
展开▼
