健康教育对儿童支气管哮喘疗效影响的研究被引量：2

Effect of health education in the treatment of bronchial asthma in children

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摘要目的探讨健康教育对儿童支气管哮喘疗效影响。方法将支气管哮喘患儿408例,按就诊顺序分为对照组和观察组各204例,对照组采用支气管哮喘常规指导,观察组在对照组的基础上采用健康教育,比较两组患儿治疗前后FEV1%、QOL,并观察比较两组的健康教育达标情况、治疗效果及再次住院率、患者满意度。结果两组FEV1%比较,治疗前对照组和观察组分别为（68.34±7.23）、（68.45±7.14）,差异无统计学意义（P〉0.05）,治疗后对照组和观察组分别为（74.42±8.31）、（78.33±8.36）,两组比较差异有统计学意义（P〈0.01）;两组QOL比较,治疗前对照组和观察组分别为（70.26±8.17）、（69.61±8.52）,差异无统计学意义（P〉0.05）,治疗后对照组和观察组分别为（77.72±9.39）、（86.56±9.17）,两组比较差异有统计学意义（P〈0.01）;两组健康教育达标情况比较,差异有统计学意义（Z=-7.77,P〈0.01）;两组治疗效果比较,差异有统计学意义（Z=-6.83,P〈0.01）;两组再次住院率比较,差异有统计学意义（χ^2=10.20,P〈0.01）;两组满意度比较,差异有统计学意义（χ^2=5.71,P〈0.05）。结论健康教育在儿童支气管哮喘干预中极为重要。 Objective To investigate the effect of health education on the treatment of bronchial asthma in children. Methods A total of 408 children with bronchial asthma were divided into the observation group and the control group according to their consulting order, with 204 cases each, the observation group accepted health education based on the control group while the control group accepted routine instruction of bronchial asthma. Then FEVI% and QOL were compared,between them, as well as the health education standards, the effect of treatment, rehospitalization rate, pa- tient satisfaction were compared. Results FEVI% was compared between the two groups, the score before treatment was （68.45±7.14） in the observation group and （68.34±7.23） in the control group, there were no significantly differences be- tween the two groups（P〉0.05）; while the score after the treatment Was（78.33±8.36） in the observation group and （74.42± 8.31） in the control group, there was significantly difference between the two groups（P〈0.01）. The score of quality of life before treatment was compared between the two groups, which was（69.61±8.52） in the observation group and （70.26± 8.17） in the control group, there was no significantly difference between the two groups（P〉0.05）, while the score after treatment was（86.56±9.17） in the observation group and（77.72±9.39） in the control group, there was significantly differ- ence between the two groups （P〈0.01）; in terms of the health education standards, there were statistical significant differences between them （Z=-7.77, P〈0.01）, then the effect of the treatment, there was significantly difference between the two groups（Z=-6.83, P〈0.01）, and also the rehospitalization rate was compared, there were significantly differ- ences between the two groups（x^2=10.20, P〈0.01）, satisfaction rate was compared, there were significantly differences between two groups（x^2=5.71, P〈0.05）. Conclusion It is very important of heahh education in children with bronchial asthma.