【摘要】 目的探讨综合干预对支气管哮喘患者院外遵医行为的影响。方法选取该院呼吸内科2008年3月至2009年10月出院的支气管哮喘患者102例,随机分为干预组和对照组各51例,对照组在出院时给予常规出院宣教和指导,干预组在对照组基础上行双向随访给予规范的健康教育、哮喘控制(ACT)测试的应用、心理干预等综合干预治疗,对比两组间疾病知识掌握情况、院外遵医情况及哮喘控制效果。结果干预组掌握疾病知识44例(86.3%)高于对照组19例(37.3%),二者比较差异有统计学意义(P<0.05);院外遵医行为干预组坚持治疗45例(88.2%)高于对照组20例(39.2%),经常使用峰流速仪43例(84.3%)高于对照组13例(25.5%),定期门诊复查42例(82.4%)高于对照组12例(23.5%),干预组遵医情况好于对照组(P<0.05);干预组哮喘完全控制39例(76.5%)高于对照组16例(31.4%),干预组哮喘控制效果好于对照组(P<0.05)。结论综合干预可以提高支气管哮喘患者的院外遵医行为,提升自我管理能力,有利于哮喘控制。更多还原

【Abstract】 Objective To explore the effect of comprehensive intervention on treatment compliance of asthma patients outside hospital.Methods 102 asthma patients discharged from department of respiratory medicine in our hospital were selected from March 2008 to October 2009,which were randomly divided into intervention group and control group,with 51 cases of patients in each group.Patients in the control group received routine discharge mission and guidance,while those in the intervention group were follow-up to give two-way set of basic norms of upstream health education,asthma control(ACT) test application,psychological intervention,comprehensive intervention.Then knowledge levels about disease,conditions of hospital compliance and effects of asthma control were compared between these two groups.Results Knowledge levels about disease in intervention group(44 cases,accounting for 86.3%) were higher than those in the control group(19 cases,37.3%),and there was statistically significant difference between these two groups(P<0.05).Treatment compliance outside the hospital including adherence to the treatment in intervention group(45 cases,accounting for 88.2%) were also higher than those in the control group(20 cases,39.2%),patients measuring PEF often(43 cases,accounting for 84.3%) were more than those in the control group(13 cases,accounting for 25.5%),and the rate of regular out-patient review in intervention group(42 cases,82.4%) was higher than that in the control group(12 cases,23.5%).So the compliance conditions in the intervention group were better than those in the control group(P<0.05).Complete control rate of asthma in the intervention group(39 cases,accounting for 76.5%) was higher than that in the control group(16 cases,31.4%),and control effect of asthma in intervention group was better than that in the control group(P<0.05).Conclusion Comprehensive intervention can improve the treatment compliance of asthma patients outside hospital,and it also can improve self-management capacity of patients,which will benefit asthma control.更多还原