[1]林小飞,王军,王玉美,等.集束化策略对支气管哮喘儿童临床康复效果的影响[J].徐州医科大学学报,2019,39(07):526-529.
 Study on Effect of Bundles Strategy on clinical rehabilitation of bronchial asthma children[J].Journal of Xuzhou Medical University,2019,39(07):526-529.
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集束化策略对支气管哮喘儿童临床康复效果的影响()
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《徐州医科大学学报》[ISSN:2096-3882/CN:32-1875/R]

卷:
39
期数:
2019年07期
页码:
526-529
栏目:
出版日期:
2019-06-25

文章信息/Info

Title:
Study on Effect of Bundles Strategy on clinical rehabilitation of bronchial asthma children
作者:
林小飞王军王玉美于春琳张军孙海平吴云朵刘成全范广来吕艳关
文献标志码:
A
摘要:
目的 探讨集束化策略对哮喘患儿治疗依从性及哮喘临床康复的影响。 方法 按随机数字表法将128例哮喘患儿分为对照组及观察组各64例,二组均给予哮喘规范化治疗,对照组采用传统管理模式,在门诊进行诊疗并给予疾病相关知识宣教和用药指导;观察组在治疗全程中执行集束化策略,包括由专科医师、护士、营养专家组建哮喘患儿管理团队及随访管理中心,建立良好的伙伴式关系,对患儿及家长进行安慰、鼓励等心理护理,消除其对规范化管理模式的抵触情绪,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,营养专家进行营养评估及饮食指导。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。
Abstract:
Objective To explore the effect of bundles strategy on patient’s compliance and clinical rehabilitation with asthma children.Methods 128 asthma children were divided into control group (n=64) and observation group (n=64) according to the random number table.The two groups were given standard therapy of asthma, the control group adopted traditional management mode,conducted the diagnosis and treatment in the outpatient department, and gave the knowledge education and medication instruction with asthma.The observation group carried out bundles strategy during the whole course of treatment, including specialist physicians, nurses, nutrition experts to form a management team and follow-up management center of children with asthma,established a good partnership to comfort children and their parents, encourage psychological care, and eliminate their resistance to the standard management model,formulated daily life protection measures,follow-up and exercise program as well as interactive inhalation therapy together by nurse,children and their parents,nutrition experts rendered nutrition assessment and dietary guidance.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-CAT 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.
更新日期/Last Update: 2019-07-11