|
|
|
| Effects of WeChat health education on compliance and outcome of inhaled corticosteroid treatment in children with asthma |
| WU Zhonghua SHI Mingfang▲ |
| Department of Pediatrics, the First People's Hospital of Yibin, Sichuan Province, Yibin 644000, China |
|
|
|
Abstract Objective To explore the effect of WeChat health education on the compliance and outcome of inhaled corticosteroid treatment in children with asthma. Methods A total of 112 children with moderate bronchial asthma in Outpatient Department of Pediatrics of the First People's Hospital of Yibin from March 2015 to May 2017 were selected as research objects. All patients were divided into observation group and control group by random number table, with 56 cases in each group. The control group received routine education, the observation group was given WeChat health education on the basis of the control group. After intervention for 12 weeks, the inhaled corticosteroid compliance, asthma control level and lung function [including forced vital capacity (FVC), forced expiratory volume in one second (FEV1), peak expiratory flow (PEF), 25% forced expiratory flow (FEF25%), 50% forced expiratory flow (FEF50%), 75% forced expiratory flow (FEF75%)] were compared between the two groups. Results After 12 weeks intervention, the inhaled corticosteroid compliance in the observation group was higher than the control group, the asthma control level was better than the control group, the differences were statistically significant (all P ＜ 0.05). The indicators of lung function in the observation group were all higher than those before intervention (all P ＜ 0.05); there were no statistically significant differences on all indicators of lung function before and after intervention in the control group (P ＞ 0.05); after intervention, the indicators of lung function in the observation group were higher than those in the control group, there were statistically significant differences (all P ＜ 0.05). Conclusion The intervention of WeChat health education on children with asthma can promote the compliance of corticosteroid inhalation treatment, improve the level of asthma control and the lung function.
|
|
|
|
|
|
[1] Voshaar T，Kostev K，Rex J，et al. A retrospective database analysis on persistence with inhaled corticosteroid therapy：comparison of two dry powder inhalers during asthma treatment in Germany [J]. Int J Clin Pharmacol Ther，2012， 50（4）：257-264.
[2] 刘清，杨小猛，辛淑君，等.儿童哮喘与血清IL-17、18和37水平的关系研究[J].中国妇幼健康研究，2016，27（2）：171-173.
[3] Firszt R，Francisco D，Church TD，et al. Interleukin-13 induces collagen type-1 expression through matrix metalloproteinase-2 and transforming growth factor-β1 in airway fibroblasts in asthma [J]. Eur Respir J，2014，43（2）：464-473.
[4] Klok T，Kaptein AA，Brand PL. Non-adherence in children with asthma reviewed：the need for improvement of asthma care and medical education [J]. Pediatr Allergy Immunol，2015，26（3）：197-205.
[5] 中国哮喘儿童家长知信行调查项目组.中国大陆29个城市哮喘患儿病情控制状况及影响因素[J].中华儿科杂志，2013，51（2）：90-95.
[6] 罗新兵，朱晓萍，李波，等.健康教育对哮喘儿童家长认知水平及治疗依从性的影响[J].贵州医学院学报，2015， 40（4）：377-380.
[7] Bateman ED，Boushey HA，Bousquet J，et al . Can guideline-defened asthma control be achieved? The gaining optimal asthma control study [J]. Am J Respir Crit Care Med，2004，170（8）：836-844.
[8] 王伟，丁小萍.微信健康教育对人工全膝关节置换术后患者康复效果的影响[J].解放军护理杂志，2016，33（14）：67-70.
[9] 中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南（支气管哮喘的定义、诊断、治疗及教育和管理方案）[J].中华结核和呼吸杂志，2003，26（3）：132-138.
[10] Morisky DE，Green LW，Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence [J]. Med Care，1986，24（1）：67.
[11] 徐莉，任秀芹.微信健康教育对结直肠癌患者化疗依从性的影响[J].中国肿瘤临床与康复，2015，22（10）：1244-1246.
[12] 王紫娟，莫霖，邓莹，等.APP在门诊哮喘儿童吸入用药依从性中的应用效果[J].重庆医学，2017，46（8）：1073-1075.
[13] 马旭升，涂林修，梅依君，等.儿童哮喘规范化管理治疗效果评价[J].临床儿科杂志，2015，33（8）：706-709.
[14] 罗新兵，朱晓萍，李波，等.贵阳地区400例支气管哮喘患儿病情控制情况及家长对疾病认知水平的调查分析[J].山东医药，2015，55（19）：17-19.
[15] 全国儿科哮喘协助组，中国疾病预防控制中心环境与健康相关产品安全所.第三次中国城市儿童哮喘流行病学调查[J].中华儿科杂志，2013，51（10）：729-735.
[16] Lai CK，Ko FW，Bhome A，et al. Relationship between asthma control status，the Asthma Control Test and urgent health-care utilization in Asia [J]. Respirology，2011，16（4）：688-697.
[17] 易先丽，卢欣，王晓艳.以家庭为基础的多组分环境干预对儿童哮喘预防及管理的有效性研究[J].中国医药导报，2017，14（2）：49-53.
[18] 王倩，刘玉琳，张湛美，等.哮喘患儿家长疾病认知管理水平研究[J].成都医学院学报，2015，10（6）：657-660.
[19] 王德军.哮喘控制测试问卷在哮喘中的应用效果[J].中国现代医生，2016，54（14）：88-90.
[20] Borish L，Steinke JW. Interleukin-33 in asthma：how big of a role does it play? [J]. Curr Allergy Asthma Rep，2011， 11（1）：7-11.
[21] 李婷，王一赫，段熙明，等.支气管哮喘患者心理健康与应对方式[J].中国健康心理学杂志，2013，21（2）：189-191.
[22] 张楠，王爱敏，于桂玲，等.哮喘儿童综合管理模式的时间及效果评价[J].中国护理管理，2014，14（10）：1102-1105.
[23] 徐晓燕，邓小霞.健康教育在小儿哮喘临床护理中的应用效果[J].中国现代医生，2015，53（1）：99-101.
[24] 郑伟华，欧维琳.儿童哮喘病情监测和控制水平评估的相关检查方法[J].医学综述，2017，23（9）：1786-1790. |
|
|
|
