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互助平台在哮喘管理中的价值探讨 被引量:4

Assessment for the effect of mutual help platform on the managing of asthma
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摘要 目的观察建立互助平台对哮喘患者的生理和心理的治疗价值。方法选择2012年11月至2013年5月,武汉市第一医院收治的支气管哮喘患者180例,随机分成2组,每组90例患者。观察组为建立互助平台组,由呼吸科医生、心理科医生、专科护士和社区医疗工作者共同组织医疗帮助服务团体,通过通信技术和上门服务义务为哮喘患者提供医疗和心理指导,形成一个团队互相联系。对照组为非互助平台组,不定期进行健康教育并由护士进行电话随访。观察期12个月。观察指标:症状自测量表(SCL-90)评分和急诊就诊人次数和住院人次数。计量资料用t检验,计数资料用χ2检验,P<0.05为差异有统计学意义。结果观察组患者较对照组患者SCL-90的总评分和部分因子分改善程度差异有统计学意义(P<0.05),急诊就诊人次数低于对照组,差异有统计学意义(χ2=14.93,P<0.05),住院人次数低于对照组,差异有统计学意义(χ2=6.55,P<0.05)。结论建立互助平台对哮喘患者的生理和心理状态都有显著性改善。 Objective To assess the effect of mutual help platform on the managing of asthma. Methods A total of 180 patients with asthma were enrolled into the study and divided randomly in to 2groups.Subjects in test group were managed through mutual help platform,by which a specific medical service group consisting of respiratory doctors,psychological doctors,nurses,and community health workers could offer medical and psychological help to patients with asthma by communication technology and door-to-door service for 12 months.Patients in control group were only given irregular health education and telephone follow-up by nurses.SCL-90,numbers and times of emergency visits and hospitalization were recorded and analyzed by t test and chi-square test. Results There were significant differences of the total scores as well as some itemized scores of SCL-90 between the two groups(P〈0.05).The number of patients for emergency visits and being hospitalized as well as the times of emergency visits and hospitalization were all lower among patients in test group(χ2=14.93,P〈0.05;χ2=6.55,P〈0.05). Conclusions This platform is able to improve patients with asthma physically and psychologically.
出处 《中国预防医学杂志》 CAS 2015年第8期617-619,共3页 Chinese Preventive Medicine
基金 武汉市卫计委临床医学科研项目(WX13C01)
关键词 哮喘 互助平台 管理 Asthma Mutual help platform Manage
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