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目的调查应用哮喘管家APP在门诊哮喘儿童吸入用药依从性中的效果,提高哮喘儿童吸入用药依从率,提升自我管理能力。方法采用自身前后对照研究,运用支气管哮喘用药依从性调查问卷对门诊哮喘儿童进行调查,引入哮喘管家APP对哮喘儿童进行为期2个月的干预,再次使用支气管哮喘用药依从性调查问卷对哮喘儿童用药依从性进行监测与追踪,比较使用APP前后哮喘儿童用药依从性、疾病相关知识和使用方法的正确率、肺功能等方面的差异。结果使用APP后哮喘儿童吸入用药依从性由25.78%提高至68.75%;患者及家属相关知识知晓率由使用前的25%提升至使用后的65%;APP使用率达42.18%;差异均有统计学意义(P<0.05)。结论哮喘管家APP能有效提高哮喘儿童吸入性用药应从性,规范哮喘儿童的用药管理,保障治疗效果,提高哮喘儿童的生存质量;同时降低医疗成本,提升工作效率和医疗护理服务质量,值得推广。
Objective To investigate the effect of stewardship of asthma steward APP in the compliance of inhaled drugs for asthma in outpatients, to improve the compliance rate of inhaled drugs in asthmatic children and to improve self-management ability. Methods A self-control study was conducted. Children with outpatients with asthma were investigated by using questionnaire of bronchial asthma medication compliance. Asthma steward APP was introduced into children with asthma for a period of 2 months for intervention. Asthma children were re-treated with the medication compliance checklist for bronchial asthma Compliance was monitored and tracked to compare differences in medication adherence, disease-related knowledge and usage of asthma children before and after using APP, and lung function. Results The compliance rate of inhaled medication for asthma children increased from 25.78% to 68.75% after using APP. The awareness rate of patients and their relatives was increased from 25% before use to 65% after use; the usage rate of APP reached 42.18%; the differences were statistically significant Significance (P <0.05). Conclusion Asthma steward APP can effectively improve asthma inhalation medication should be from the sexual, norms of asthma medication management of children to protect the treatment and improve the quality of life of children with asthma; while reducing medical costs, improve work efficiency and quality of medical care services, it is worth promoting.