微信健康教育对哮喘儿童吸入糖皮质激素治疗依从性及疗效的影响

摘要

Objective To explore the effect of WeChat health education on the compliance and outcome of inhaled corticosteroid treatment in children with asthma.Methods A total of 112 children with moderate bronchial asthma in Outpatient Department of Pediatrics of the First People's Hospital of Yibin from March 2015 to May 2017 were selected as research objects.All patients were divided into observation group and control group by random number table,with 56 cases in each group.The control group received routine education,the observation group was given WeChat health education on the basis of the control group.After intervention for 12 weeks,the inhaled corticosteroid compliance,asthma control level and lung function [including forced vital capacity (FVC),forced expiratory volume in one second (FEV1),peak ex piratory flow (PEF),25％ forced expiratory flow (FEF25％),50％ forced expiratory flow (FEF50％),75％ forced expiratory flow (FEF75％)] were compared between the two groups.Results After 12 weeks intervention,the inhaled corticosteroid compliance in the observation group was higher than the control group,the asthma control level was better than the control group,the differences were statistically significant (all P ＜ 0.05).The indicators of lung function in the observation group were all higher than those before intervention (all P ＜ 0.05);there were no statistically significant differences on all indicators of lung function before and after intervention in the control group (P ＞ 0.05);after intervention,the indicators of lung function in the observation group were higher than those in the control group,there were statistically significant differences (all P ＜ 0.05).Conclusion The intervention of WeChat health education on children with asthma can promote the compliance of corticosteroid inhalation treatment,improve the level of asthma control and the lung function.%目的 探讨微信健康教育对哮喘患儿吸入糖皮质激素治疗依从性及治疗效果的影响.方法 选取2015年3月～2017年5月于宜宾市第一人民医院儿科门诊就诊的中度哮喘患儿112例为研究对象,采取随机数字表法将其分为观察组和对照组,每组各56例.对照组予以常规教育,观察组在对照组的基础上予以微信健康教育,干预12周.对两组哮喘患儿吸入糖皮质激素依从性、哮喘控制水平和肺功能[包括用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、呼气峰值流速(PEF)、用力呼气25％肺活量的瞬间流速(FEF25％)、用力呼气50％肺活量的瞬间流速(FEF50％)和用力呼气75％肺活量的瞬间流速(FEF75％)]进行比较.结果 干预12周后,观察组吸入糖皮质激素依从性明显高于对照组,哮喘控制水平明显优于对照组,差异均有统计学意义(P＜0.05).观察组肺功能各项指标均高于干预前,差异有统计学意义(P＜ 0.05);对照组肺功能各项指标与干预前比较差异无统计学意义(P＞0.05);治疗后观察组肺功能各项指标均高于对照组,差异有统计学意义(P＜0.05).结论 微信健康教育可提高哮喘患儿糖皮质激素吸入治疗的依从性和哮喘控制水平,改善肺功能.