成立哮喘健康呼吸中心对哮喘患者健康行为影响的调查研究

摘要

Objective To assess the effect of the Asthma Healthy Breathing Center on healthy behaviour of asthma patients . Methods Asthma Healthy Breathing Center management mode including asthma specialist out-patient ,asthma health mission cen-ter and asthma patients club .Doctors ,nurses and patients participated jointly in standard treatment ,systematic education manage-ment on asthma patients .the change of treating patients and self management present situation ,the symptoms and lung ventilation function of 144 asthma patients from January 2010 to January 2011 before and after the management were studied .Results After standardization management treatment ,accept and use of inhaled steroid ,correct use of inhaled drugs method ,insisting on drug treatment ,abuse of antibiotics and composition of unknown traditional Chinese medicine(TCM)of 144 patients have been improved significantly from 41 .67% ,20 .14% ,26 .39% ,68 .75% to 93 .06% ,95 .14% ,94 .44% ,6 .25 respectively (P<0 .05) .Knowledge of asthma self-management ,adhere to the peak current meter monitoring used ,records of asthma diary ,health education activities have been improved significantly from 12 .50% ,5 .56% ,5 .56% ,13 .89% to 75 .00% ,88 .89% ,88 .89% ,95 .83% (P<0 .05) .ACT as-sessment ,FEV1 predicated value ,PEF predicated value have been improved from 15 .00 ± 3 .34 ,60 .2 ± 13 .50 ,63 .65 ± 11 .23 to 23 . 00 ± 2 .23 ,77 .6 ± 8 .30 ,80 .00 ± 6 .50(P<0 .05) .Conclusion Establishing Asthma Healthy Breathing Center can significantly im-prove the patient′s health behavior ,and it indicated that establish Prompt construction area slow disease control and prevention cen-ter is effective and necessary for the treatment of patients with asthma .%目的：探讨成立哮喘健康呼吸中心对哮喘患者健康行为的影响。方法对2010年1月至2011年1月144例支气管哮喘患者经过哮喘健康呼吸中心（即哮喘专科门诊、哮喘健康宣教中心、哮喘患者俱乐部三者结合），医护患共同参与进行规范化治疗、系统化教育管理模式，评价其前后患者用药、自我管理现状、症状及肺通气功能等变化。结果144例哮喘患者规范化治疗管理后，患者接受并使用吸入类激素、正确使用吸入药物方法、坚持给药疗程分别由41．67％、20．14％、26．39％提高至93．06％、95．14％、94．44％，滥用抗菌药物及成分不明的中药由68．75％降到6．25％（ P＜0．05）；掌握哮喘自我管理知识、坚持峰流速仪监测使用、记录哮喘日记、参加健康教育活动的比例分别由12．50％、5．56％、5．56％、13．89％提高至75．00％、88．89％、88．89％、95．83％（P＜0．05）；哮喘控制测试（ACT ）症状评分、FEV1占预计值％、峰流速值（PEF）占预计值％分别由15．00±3．34、60．2±13．50、63．65±11．23提升至23．00±2．23、77．6±8．30、80．00±6．50（ P＜0．05）。结论成立哮喘健康呼吸中心能显著改善患者的健康行为，提示建设区域慢性病防治中心对哮喘患者的治疗是积极有效和必要的。