基于家庭照顾类型的综合赋能计划在学龄期哮喘患儿管理中的运用

摘要

目的:探讨基于家庭照顾类型的综合赋能计划在学龄期哮喘患儿管理中的运用效果.方法:随机将2017年2至5月在我院住院治疗的131例哮喘患儿分为两组,其中观察组66例,采用基于家庭照顾类型的综合赋能计划对患儿及其照顾者进行干预,对照组65例,采用常规健康管理方案;运用家庭管理量表(Family Managemant Measure,FaMM)、中文版儿科生存质量测评问卷(The Pediatric Quality of Life Inventory Measurement Models,PedsQL?)及随访期间儿童哮喘控制测试情况(ChiIdhood Asthma ControI Test,C-ACT)比较两组患儿干预前后的变化情况.结果:干预前两组患儿FaMM和PedsQL?各维度评分和C-ACT评分均无明显差异,干预后观察组FaMM和PedsQL?各维度评分和C-ACT评分均较干预前明显改善,且优于同期对照组.结论:实施基于家庭照顾类型的综合赋能计划可有效提升对患儿哮喘的控制水平,改善患儿的生存质量,值得进一步临床推广.%Objective: To explore the effect of comprehensive empowerment program based on family care type in the management of school-age children with asthma. Methods: A total of 131 children with asthma were randomly divided into two groups in our hospital form February to May in 2017, 66 cases in the observation group received comprehensive empowerment program based on family care type, 65 cases in the control group received conventional health management programs; Family Managemant Measure (FaMM), the Pediatric Quality version of Life Inventory Measurement Models (PedsQL?) and the ChiIdhood Asthma ControI Test (C-ACT) were used to test the changes before and after the intervention were compared between the two groups. Results: Before the intervention, there were no significant differences in FaMM and PedsQL? scores and C-ACT scores between the two groups. After the intervention, the FaMM and PedsQL? scores of each dimension and C-ACT scores of the observation group were significantly improved than those before the intervention, and were better than those of the control group. Conclusion: The implementation of comprehensive empowerment plan based on family care type can effectively improve the control level of asthma in children, improve the quality of life of children, and is worthy of further promotion in clinical practice.