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目的探讨护理干预措施对哮喘患儿治疗依从性的临床应用价值。方法 144例哮喘患儿,按随机对照原则分为对照组和干预组,每组72例。全部患儿均予以注射糖皮质激素及茶碱类药物,并予以沙丁胺醇气雾剂进行吸入性等治疗措施,在以上治疗的基础上,对照组患儿采取哮喘患儿常规护理措施,干预组在对照组基础上采取一对一心理护理、生活方式干预护理、健康指导教育及家庭护理干预等措施。6个月后进行随访,比较两组哮喘患儿治疗的依从性。结果干预组患儿在遵医服药、掌握药物吸入、疾病认知达标比率显著高于对照组(χ~2=17.38、16.46、16.07,P<0.01),且在复诊率上显著低于对照组(χ~2=18.77,P<0.01)。结论哮喘患儿在常规治疗和护理的基础上,采取护理干预措施,能够显著改善患儿治疗的依从性,并降低复诊率,值得临床推广。
Objective To investigate the clinical value of nursing interventions in the treatment compliance of children with asthma. Methods A total of 144 asthmatic children were divided into control group and intervention group according to the randomized control principle, with 72 cases in each group. All children were given glucocorticoid and theophylline drugs, and to inhalation of salbutamol aerosol and other treatment measures, based on the above treatment, the control group of children taking routine care of children with asthma, the intervention group at On the basis of the control group, one-on-one psychological nursing, lifestyle intervention nursing, health guidance education and family nursing intervention were taken. Follow-up was performed 6 months later to compare the compliance of the treatment of children with asthma in both groups. Results In the intervention group, the compliance rate was significantly higher in the compliance group than in the control group (χ ~ 2 = 17.38,16.46,16.07, P <0.01), and significantly lower than the control group (χ ~ 2 = 18.77, P <0.01). Conclusion Based on routine treatment and nursing, asthmatic children taking nursing interventions can significantly improve the compliance of treatment in children and reduce the referral rate, which deserves clinical promotion.