摘要
目的探讨基于互联网的“医院-社区-家庭”三元联动服务模式在儿童哮喘管理中的应用效果。方法选取2020年1月—2021年6月于怀化市妇幼保健院就诊的118例哮喘患儿,随机分为两组,每组各59例。对照组给予常规管理模式,观察组采用基于互联网的“医院-社区-家庭”三元联动服务管理模式,时间均为1年。比较两组患儿肺功能、急性发作控制情况、依从性及满意度。结果管理1年后,两组患儿的最大呼气流速(peak expiratory flow,PEF)、用力肺活量(forced vital capacity,FVC)、第1秒用力呼气容积(forced expiratory volume,FEV1)和FEV1/FVC水平均明显增加(P<0.05),且观察组高于对照组(P<0.05)。观察组1年内急性发作≥3次例数少于对照组(P<0.05);观察组良好控制率为81.36%(48/59),高于对照组的62.71%(37/59),差异有统计学意义(P<0.05)。观察组依从性和满意度均显著高于对照组(P<0.05)。结论基于互联网的“医院-社区-家庭”三元联动服务模式突破了儿童哮喘管理中时间与空间的限制,在医院、社区和家庭之间架起了合作的桥梁,在提高患儿肺功能、依从性和满意度,以及控制患儿急性发作次数上具有显著应用效果。
Objective To explore the application effect of the internet-based"hospital-community-family"threeway linkage service model in the management of children’s asthma.Methods A total of 118 children with asthma who were treated in Huaihua City Maternal and Child Health Care Hospital from January 2020 to June 2021 were randomly divided into two groups,59 cases in each group.The control group was given a routine management mode,while the observation group was given an internet-based"hospitalcommunity-family"three-way linkage service management mode,which lasted for one year.The lung function,acute attack control,compliance and satisfaction of the two groups were compared.Results After one year of management,the peak expiratory flow(PEF),forced vital capacity(FVC),forced expiratory volume(FEV1)and FEV1/FVC levels of the two groups were significantly increased(P<0.05),and the observation group was higher than the control group(P<0.05).The number of acute attacks≥3 in the observation group within one year was less than that in the control group(P<0.05).The good control rate of the observation group was 81.36%(48/59),which was higher than that of the control group 62.71%(37/59),and the difference was statistically significant(P<0.05).The compliance and satisfaction of the observation group were significantly h i g h e r th a n t h o s e o f t h e c o n t r o l g r o u p(P<0.05).Conclusion The Internet-based"hospital-communityfamily"three-way linkage service model breaks through the time and space constraints in the management of children’s asthma,and builds a bridge of cooperation between hospitals,communit ies and fami l ies.I t has significant application effects in improving children’s lung function,compliance and satisfaction,and controlling the number of acute attacks of children.
作者
张艳
陈安玲
刘侠君
ZHANG Yan;CHEN Anling;LIU Xiajun(Internet Hospital Office,Huaihua City Maternal and Child Health Care Hospital,Huaihua Hu’nan 418000,China)
出处
《中国卫生标准管理》
2023年第11期21-25,共5页
China Health Standard Management
基金
湖南省卫生健康委科研立项课题(202114040688)。
关键词
互联网
三元联动
儿童哮喘
医院-社区-家庭
服务模式
自我管理
internet
three-dimensional linkage
asthma in children
hospital-community-family
service mode
self-management
