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目的:研究目标管理在学龄期儿童哮喘管理中的应用价值。方法:选取我院门诊7-14岁哮喘患儿90例,随机分为干预组和对照组,对照组采取门诊常规哮喘儿童治疗和护理方法,干预组在对照组的基础上采用两次一对一的教育、发放哮喘儿童自我管理行为手册等措施;干预时间为三个月,在干预后一周内、干预后3个月后,分别对患儿及其家属进行问卷调查,了解患儿的服药依从性以及检测哮喘控制情况,包括哮喘控制得分、FEV百分比、PEF百分比等。结果:1干预组43名患儿中,30(69.8%)名患儿完全依从,10(22.22%)名患儿部分依从,3(6.9%)名患儿未进行记录或将行动计划手册丢失;2对照组和干预组在干预后日间症状得分、哮喘控制得分差异均有统计学意义(P<0.05),在FEV百分比、PEF百分比等方面的差异无统计学意义(P>0.05)。结论:目标管理有助于改善学龄期哮喘儿童的自理行为水平和自我概念水平、减轻哮喘对患儿自我概念的消极影响、促进其身心健康发展。
Objective: To study the value of target management in asthma management of school-age children. Methods: Ninety children aged 7-14 years with asthma in our hospital were randomly divided into intervention group and control group. In the control group, the treatment and nursing methods of outpatients with conventional asthma were adopted. In the intervention group, One education, distributing self-management behavioral manual for children with asthma, etc. The intervention time was three months. Within one week after the intervention and three months after the intervention, the children and their families were surveyed to find out about the children’s medication Compliance and monitoring of asthma control, including asthma control score, percentage of FEV, percentage of PEF, and others. Results: (1) Of the 43 infants in the intervention group, 30 (69.8%) were completely obeyed, 10 (22.22%) were partially obeyed and 3 (6.9%) did not record or lost the plan of action manual (P <0.05) .2 There was no significant difference between the control group and the intervention group in daytime symptom scores and asthma control scores after intervention (P <0.05). There was no significant difference in the percentages of FEV and PEF (P> 0.05). Conclusion: Objective management can help to improve the level of self-care behaviors and self-concept of children with asthma in school and reduce the negative impact of asthma on children’s self-concept and promote their physical and mental health development.