集束化策略对儿童哮喘临床控制影响的研究

摘要

Objective To explore the effect of bundles strategy on patient′s compliance and children asthma control .Methods One hundred and two asthma children were divided into two groups according to the random number table.Fifty cases in the control group received standard therapy as well as education about the disease -related knowledge and medication guidance ,while 52 cases in the observation group received continuous bundles strategy besides standard therapy ,which included good nurse-patient relationship ,the education about the disease knowledge for asthma children and their parents ,psychological intervention of negative emotions ,daily life protection measures ,follow-up and exercise program as well as interactive inhalation therapy formulated by nurse ,children and their parents .The treatment compliance , pulmonary function changes and the scores of children asthma control test ( C-ACT) were compared between two groups . Results The compliance of children with acute asthma attach or in the remission phase in the observation group was higher than that in the control group ( P<0.01).The duration for long-term inhalation therapy and specific immune treatment performed in asthma children in the remission phase in the observation group was longer in contrast with that in the control group ( all P<0 .01 ) .The improvement of lung function and C-ACT score in the observation group was superior to those in the control group ( P<0 .01 ) .Conclusion Standard therapy combined with continuous bundles strategy could improve treatment compliance of asthma children ,effectively improve lung function and achieve the clinical goals of asthma control .%目的：探讨集束化策略对哮喘患儿治疗依从性及哮喘临床控制的影响。方法按随机数字表法将102例哮喘患儿分为两组，对照组50例给予规范化治疗并给予疾病相关知识宣教和用药指导；观察组52例在规范化治疗全程中给予集束化策略护理，包括建立良好的护患关系，由专科人员对患儿和家长进行疾病知识宣教，解除干扰治疗的负性情绪，与患儿和家长共同制订日常生活防御措施、随访和运动计划及互动式的吸入技术等。比较两组的治疗依从性、肺功能、哮喘控制水平等指标。结果观察组哮喘急性发作期及缓解期治疗依从性均高于对照组（P＜0．01）；观察组缓解期长期吸入治疗及特异性免疫治疗持续时间均长于对照组（P均＜0．01）；观察组肺功能改善优于对照组（P＜0．01），哮喘控制水平明显优于对照组（P＜0．01）。结论规范化治疗联合全程集束化策略能提高哮喘儿童的治疗依从性，有效改善肺功能，并利于实现哮喘临床控制目标。