健康教育对提高儿科门诊雾化患儿依从性的效果分析

CHINA MEDICINE AND PHARMACY Vol.9 No.13 July 2019

69

2019年7月第9卷第13期

·护理研究·

健康教育对提高儿科门诊雾化患儿依从性的效果分析

陈玉娥 李启英

中国科学院大学深圳医院 （光明）门诊，广东深圳 518106

[摘要] 目的 探讨健康教育对提高儿科门诊科雾化患儿依从性的效果评估。 方法 选取2018年8～12月我院门诊收治的行雾化吸入治疗的74例患儿作为研究对象，采用随机数字表法将其分为研究组和参照组，各37例。参照组患儿在雾化吸入治疗时给予常规护理，研究组患儿则在常规护理干预的基础上给予健康教育。采用吸入药物治疗依从性问卷调查表调查比较两组患儿的雾化治疗的依从性，并观察两组患儿雾化吸入的临床效果。 结果 研究组患儿在雾化吸入时的依从性达到了91.89%，高于参照组患儿的72.97%，差异有统计学意义（P ＜0.05）。研究组患儿雾化吸入治疗的有效率为94.59%，高于参照组患儿的75.68%，差异有统计学意义（P ＜0.05）。 结论 在患儿行门诊雾化吸入治疗时加强健康教育，能提高患儿雾化治疗时依从性，改善雾化治疗的效果。

[关键词] 门诊；雾化吸入；健康教育；儿科

[中图分类号] R725 [文献标识码] A [文章编号] 2095-0616（2019）13-69-03

Analysis on the effect of health education on improving the compliance

of children with atomization in pediatric outpatient department

CHEN Yu'e LI Qiying

Outpatient Department,University of Chinese Academy of Sciences Shenzhen Hospital(Guangming),Guangdong,Shenzhen 518106,China

[Abstract] Objective To explore and evaluate the effect of health education on improving the compliance of children with atomization in pediatric outpatient department. Methods 74 children who were admitted to outpatient department and treated with aerosol inhalation in our hospital from August to December 2018 were selected as research objects.According to the random number table method,they were divided into the research group and the reference group,with 37 cases in each group.Children in the reference group were given routine nursing during the treatment of aerosol inhalation.Children in the research group were given health education on basis of routine nursing intervention.The questionnaire of inhalation drug treatment compliance was used to compare the compliance of aerosol treatment of children in the two groups,and the clinical curative effects of aerosol inhalation were observed. Results The compliance of the research group in aerosol inhalation reached 91.89%,which was higher than 72.97% in the reference group.The difference was statistically significant(P ＜0.05).The effective rate of aerosol inhalation in the research was 94.59%,which was higher than that in the control group(75.68%),and the difference was statistically significant(P ＜0.05). Conclusion Strengthening health education during aerosol inhalation for children in outpatient department can improve the compliance of aerosol inhalation and improve the effect of aerosol treatment.[Key words] Outpatient;Aerosol inhalation;Health education;Pediatric

支气管哮喘又简称为哮喘，是儿童时期常见的慢性呼吸系统疾病之一[1]。支气管哮喘是由于炎症细胞的介导引发的慢性气道变应性疾病。近年来，随着环境污染的的加重，支气管哮喘的发病率也呈逐渐增长的趋势[2]。哮喘患儿的临床症状主要表现为广泛可逆性的气流阻塞气道，一年四季均可发作，其中在秋冬季节更常见[3]。糖皮质激素等药物的雾化吸入治疗是目前治疗哮喘患儿的主要方法，其治疗的有效性已被临床实践证实[4-5]。雾化吸入能将药物直接作用于靶部位，提高局部药物浓度，迅速解除患儿气道平滑肌的痉挛症状，改善通气状

态，具有起效快、用量少、不良反应少的特点[6]。不过由于哮喘患儿的年龄相对比较少，认知能力较弱，对雾化治疗存在恐惧情绪，因此容易发生哭闹，烦躁等现象，不能很好的配合治疗，不仅影响治疗的顺利进行，对治疗效果也会产生不利影响[7]。因此如何提高患儿雾化吸入的依从性成为护理人员关注的重点。研究发现健康教育对治疗的依从性具有积极的影响，鉴于患儿的年龄小，本次研究选取2018年8～12月我院门诊收治的行雾化吸入治疗的74例患儿作为研究对象，对其给予健康教育，取得了良好的效果，现报道如下。