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Application effect of mission passport manual in outpatient management of asthmatic children |
LIAO Yaoji1 GAO Guozhen2▲ PENG Yaqing1 ZHOU Mo1 |
1.Nursing School of Guangzhou Medical University, Guangdong Province, Guangzhou 510120, China;
2.Department of Nursing, the First Affiliated Hospital of Guangzhou Medical University, Guangdong Province, Guangzhou 510120, China |
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Abstract Objective To explore the effect of mission passport manual on self-management and asthma control in children. Methods A total of 32 asthmatic children admitted to the pediatric clinic of the First Affiliated Hospital of Guangzhou Medical University from June to September 2018 were included in the study. Guide the children to complete the self-management task according to the task passport during each outpatient visit, after 3 outpatient visits, the task completion of the children was counted and the results were measured using the self-made inhaling technique score scale and the questionnaire for asthma control in children. Results On average, each child could complete 10.25 tasks. The inhalation technique score, asthma control score and the proportion of patients with asthma control after intervention were higher than before intervention, with highly statistically significant differences (all P < 0.01). Spearman correlation analysis showed task completion number was positively correlated with asthma control score (r = 0.657, P < 0.01). The linear regression equation of asthma control as the dependent variable obtained two independent variables, task completion quantity and inhalation technique score, which explained 54.8% of asthma control variation, and task completion quantity had a greater effect. Conclusion The application of task passport manual in asthma outpatient management can effectively promote the self-management of children, and has a significant role in improving drug absorption technology and enhancing asthma control.
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[1] 沙莉,邵明军,刘传合,等.2010年与2000年中国城市儿童支气管哮喘患病率比较[J].中华结核和呼吸杂志,2015,38(9):664-668.
[2] Asher I,Pearce N. Global burden of asthma among children [J]. Int J Tuberc Lung Dis,2014,18(11):1269-1278.
[3] Bui DS,Lodge CJ,Burgess JA,et al. Childhood predictors of lung function trajectories and future COPD risk:a prospective cohort study from the first to the sixth decade of life [J]. Lancet Respir Med,2018,6(7):535-544.
[4] (NEW) 2017 GINA Report:Global Strategy for Asthma Management and Prevention Global Initiative for Asthma – GINA[EB/OL].[2017/11/15]. http://ginasthma.org/2017-gina-report-global-strategy-for-asthma-management-and-prevention/.
[5] 张芬,殷勇,沈南平,等.儿童哮喘门诊规范化管理的实践[J].中华护理杂志,2018,53(11):1347-1352.
[6] Sleath B,Carpenter DM,Slota C,et al. Communication during pediatric asthma visits and self-reported asthma medication adherence [J]. Pediatrics,2012,130(4):627-633.
[7] 中华医学会儿科学分会呼吸学组.儿童支气管哮喘诊断与防治指南(2016年版)[J].中华儿科杂志,2016,54(3):167-181.
[8] Sansoni JE,Grootemaat P,Duncan C. Question Prompt Lists in health consultations:A review [J]. Patient Educ Couns,2015.
[9] 张冉,田庆秀,姚丽娜,等.支气管哮喘患者糖皮质激素吸入技术的评价[J].中华护理杂志,2015,50(8):975-980.
[10] 吴谨准,杨运刚,张健民,等.儿童哮喘控制测试的应用研究[J].中国实用儿科杂志,2011,26(4):256-259.
[11] 杨一民,曾谷兰,李雅心.儿童支气管哮喘控制测试的临床应用[J].中华实用儿科临床杂志,2017,32(16):1248-1252.
[12] 哈海霞,罗永丽,杨关山.任务表格式健康管理策略在持续使用糖皮质激素雾化吸入哮喘患儿中的应用[J].中国医药导报,2017,14(29):72-75.
[13] Greenberg J,Prushinskaya O,Harris JD,et al. Utilization of a patient-centered asthma passport tool in a subspecialty clinic [J]. J Asthma,2018,55(2):180-187.
[14] Sleath B,Carpenter DM,Davis SA,et al. Improving youth question-asking and provider education during pediatric asthma visits [J]. Patient Educ Couns,2018,101(6):1051-1057.
[15] 顾希茜,段红梅,向莉.儿童哮喘控制测试在门诊定期随访管理中的应用价值[J].中华护理杂志,2014,49(5):625-628.
[16] 申昆玲,赵京.中国儿童哮喘行动计划的探索[J].中华实用儿科临床杂志,2017,32(4):241-244.
[17] Kamps AW,Brand PL,Roorda RJ. Determinants of correct inhalation technique in children attending a hospital-based asthma clinic [J]. Acta Paediatr,2002,91(2):159-163.
[18] Reznik M,Jaramillo Y,Wylie-Rosett J. Demonstrating and assessing metered-dose inhaler-spacer technique:pediatric care providers' self-reported practices and perceived barriers [J]. Clin Pediatr (Phila),2014,53(3):270-276.
[19] Chogtu B,Holla S,Magazine R,et al. Evaluation of relationship of inhaler technique with asthma control and quality of life [J]. Indian J Pharmacol,2017,49(1):110-115.
[20] Ducharme FM,Zemek RL,Chalut D,et al. Written action plan in pediatric emergency room improves asthma prescribing,adherence,and contro l [J]. Am J Respir Crit Care Med,2011,183(2):195-203. |
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