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目的:观察教育督导对规范儿童用药和控制哮喘的效果。方法:选择支气管哮喘患儿82例,随机分为观察组42例和对照组40例。对照组就诊时给予哮喘常规指导及初诊后1个月、6个月、12个月各电话随访1次;观察组在对照组基础上,采用教育督导的方法规范用药。观察比较两组规范用药、复诊、病情控制等情况。结果:两组发作期、控制期、全身使用激素及抗生素等规范用药比较,差异显著或非常显著(P<0.05,P<0.01)。两组6个月、12个月复诊次数差异非常显著(P<0.01)。观察组12个月发作(0.5±0.67)次、急诊(0.45±0.59)次,对照组分别为(1.45±1.25)次和(1.32±1.02)次;两组比较,差异非常显著(P<0.01)。结论:教育督导能够规范儿童用药,减少哮喘发作及急诊次数,提高治疗依从性。
Objective: To observe the effect of education supervision on regulating children’s medication and controlling asthma. Methods: 82 children with bronchial asthma were randomly divided into observation group (n = 42) and control group (n = 40). Patients in the control group were given routine guidance on asthma and were followed up 1 month, 6 months and 12 months after the first visit. The observation group was standardized on the basis of the control group with the method of education supervision. Observed and compared two groups of standardized medication, referral, disease control and so on. Results: There was significant or very significant difference between the two groups in the period of seizure, control, systemic administration of hormones and antibiotics (P <0.05, P <0.01). There was a significant difference in the number of referrals between 6 months and 12 months (P <0.01). The observation group was (0.5 ± 0.67) times and emergency (0.45 ± 0.59) times at 12 months. The control group were (1.45 ± 1.25) times and (1.32 ± 1.02) times respectively. The differences between the two groups were significant (P <0.01) ). Conclusion: Educational supervision can regulate children’s medication, reduce the number of asthma attacks and emergency visits, and improve treatment compliance.