Citation: | CHENG Jun, XU Xiaoling, CHEN Qiumin, CHEN Yaping. Intervention effect of personalized discharge planning program based on information platform in children with bronchial asthma[J]. Journal of Clinical Medicine in Practice, 2023, 27(11): 94-97, 102. DOI: 10.7619/jcmp.20230449 |
To explore the influence of personalized discharge planning program based on information platform on the recurrence rate, quality of life, frequency of acute onset, family members′ mastery of disease knowledge, and therapeutic satisfaction degree in children with bronchial asthma after discharge.
A total of 121 children with bronchial asthma were selected and randomly divided into control group with 60 cases and observation group with 61 cases. After discharge, the children in the control group were conducted with telephone follow-up and out-patient follow-up according to the routine discharge plan, while the observation group was conducted with the personalized discharge planning program, and their disease conditions were tracked through information platforms such as WeChat groups or DingTalk APPs. The condition of disease control, quality of life, worsening of disease, family members′ understanding of disease knowledge, and satisfaction degree were compared between the two groups.
The day-time symptom score and night-time symptom score of the observation group were significantly lower than those of the control group, while the scores of 5 items of quality of life and the total score in the observation group were significantlyhigher than those in the control group (P < 0.05); in the observation group, the ratio of children with acute exacerbation was 3.28%, the ratio of children with hospitalization was 1.64%, which were significantly lower than 13.33% and 10.00% in the control group (P < 0.05); the family members′ mastery of disease-related knowledge in the observation group was significantly better than that in the control group (P < 0.05); the satisfaction degree of family members in the observation group was 80.32%, which was significantly higher than 53.33% in the control group (P < 0.05).
The personalized discharge planning program based on information platform can effectively control the disease condition of asthma children, improve quality of life, reduce the frequency of acute onset, enhance family members′ mastery of disease knowledge and increase treatment satisfaction degree.
[1] |
ROSS K R, GUPTA R, DEBOER M D, et al. Severe asthma during childhood and adolescence: a longitudinal study[J]. J Allergy Clin Immunol, 2020, 145(1): 140-146, e9. doi: 10.1016/j.jaci.2019.09.030
|
[2] |
王小燕, 郏晓君, 项邵丹. 儿童支气管哮喘控制水平的相关影响因素调查[J]. 中国妇幼保健, 2020, 35(19): 3679-3681. doi: 10.19829/j.zgfybj.issn.1001-4411.2020.19.050
|
[3] |
STERN J, PIER J, LITONJUA A A. Asthma epidemiology and risk factors[J]. Semin Immunopathol, 2020, 42(1): 5-15. doi: 10.1007/s00281-020-00785-1
|
[4] |
唐燕萍. 家长及患儿全面健康教育对支气管哮喘急性发作患儿病情控制的作用[J]. 中国妇幼保健, 2020, 35(12): 2163-2165. doi: 10.19829/j.zgfybj.issn.1001-4411.2020.12.005
|
[5] |
宋晓燕. 124例支气管哮喘患儿哮喘控制家庭干预情况分析[J]. 预防医学情报杂志, 2019, 35(2): 153-156. https://www.cnki.com.cn/Article/CJFDTOTAL-YFYX201902009.htm
|
[6] |
许玲玲, 余春梅, 丁福, 等. 支气管哮喘患儿家长对"互联网+"儿童支气管哮喘居家管理的知信行调查[J]. 检验医学与临床, 2022, 19(16): 2267-2270. doi: 10.3969/j.issn.1672-9455.2022.16.027
|
[7] |
秦玉梅, 刘银芳, 李静. 基于微信的信息支持在支气管哮喘患者中的应用[J]. 中华现代护理杂志, 2019, 25(21): 2719-2723. doi: 10.3760/cma.j.issn.1674-2907.2019.21.017
|
[8] |
中华医学会儿科学会呼吸学组, 《中华儿科杂志》编辑委员会. 儿童支气管哮喘诊断与防治指南[J]. 中华儿科杂志, 2008, 46(10): 745-753. doi: 10.3321/j.issn:0578-1310.2008.10.006
|
[9] |
何惠敏, 陈芹, 王冠南. 优质护理项目"哮喘之家"对哮喘患儿院外随访干预效果的影响[J]. 广西医科大学学报, 2019, 36(6): 1030-1033. https://www.cnki.com.cn/Article/CJFDTOTAL-GXYD201906039.htm
|
[10] |
CLOUTIER M M, DIXON A E, KRISHNAN J A, et al. Managing asthma in adolescents and adults: 2020 asthma guideline update from the national asthma education and prevention program[J]. JAMA, 2020, 324(22): 2301-2317. doi: 10.1001/jama.2020.21974
|
[11] |
洪建国. 儿童支气管哮喘规范化诊治建议(2020年版)[J]. 中华儿科杂志, 2020, 58(9): 708-717.
|
[12] |
KOEFOED H J L, ZWITSERLOOT A M, VONK J M, et al. Asthma, bronchial hyperresponsiveness, allergy and lung function development until early adulthood: a systematic literature review[J]. Pediatr Allergy Immunol, 2021, 32(6): 1238-1254. doi: 10.1111/pai.13516
|
[13] |
李姗姗, 郝英双. 基于微信平台的延续护理对支气管哮喘患儿出院后病情控制及生活质量的影响[J]. 齐鲁护理杂志, 2017, 23(11): 59-61. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL201711026.htm
|
[14] |
赵玉兰. 基于微信的出院后延续护理对支气管哮喘患儿的干预效果分析[J]. 中国数字医学, 2019, 14(10): 118-120. https://www.cnki.com.cn/Article/CJFDTOTAL-YISZ201910041.htm
|
[15] |
隋英, 乔在霞, 郭静, 等. 互联网医疗对支气管哮喘儿童防治效果研究[J]. 华南预防医学, 2019, 45(6): 556-558. https://www.cnki.com.cn/Article/CJFDTOTAL-GDWF201906016.htm
|
[16] |
许红燕, 李倩. 基于医联体及互联网+的儿童支气管哮喘慢病管理探索[J]. 上海护理, 2020, 20(4): 15-18. https://www.cnki.com.cn/Article/CJFDTOTAL-SHHL202004006.htm
|
[17] |
阚瑞雪, 周芳, 王佳婷, 等. "全链式" 信息化健康管理模式在儿童支气管哮喘居家护理中的效果研究[J]. 中国实用护理杂志, 2021, 37(25): 1974-1978. https://xuewen.cnki.net/CCND-NTRB20230508A031.html
|
[18] |
TOMAZ BARBOSA R R, MONTEIRO K S, CAVALCANTI MACIEL Á C, et al. Relationship between anxiety symptoms, clinical control and quality of life of children with asthma: a cross-sectional study[J]. Pediatr Pulmonol, 2021, 56(7): 1906-1914.
|
[19] |
罗平, 白永旗, 刘海燕, 等. 3~6岁支气管哮喘儿童自我感受负担情况调查及影响因素分析[J]. 华南预防医学, 2020, 46(1): 22-25. https://www.cnki.com.cn/Article/CJFDTOTAL-GDWF202001008.htm
|
[20] |
张晓静, 李林, 位利纳, 等. 基于自我效能理论的自我管理对哮喘患儿心理状况及自我管理行为的影响[J]. 国际精神病学杂志, 2021, 48(4): 757-760. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ202104051.htm
|
[21] |
AARESTRUP L K, HERMANSEN M N, PRAHL J, et al. Objective confirmation of asthma diagnosis, treatment adherence and patient outcomes in children and adolescents[J]. Acta Paediatr, 2022, 111(6): 1220-1229.
|
[22] |
孙璘, 汤葳. 哮喘治疗依从性评估和改善[J]. 中华临床免疫和变态反应杂志, 2020, 14(6): 526-528. https://www.cnki.com.cn/Article/CJFDTOTAL-OZHL202006003.htm
|