摘要
目的:分析哮喘症状控制水平分级管理系统对哮喘患者的影响。方法:选取2018年9月-2020年9月本院收治的116例支气管哮喘患者为研究对象。按照入院单双号顺序分为对照组(n=58)和观察组(n=58)。对照组给予常规护理干预,观察组给予哮喘症状控制水平分级管理系统干预。比较两组肺功能[用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))、FEV_(1)占FVC的百分比(FEV_(1)/FVC)]、自我管理效能评分、日间和夜间哮喘发作频率、哮喘控制情况及圣乔治呼吸问卷(SGRQ)评分。结果:干预后观察组FVC、FEV_(1)、FEV_(1)/FVC水平高于对照组(P<0.05), 干预后观察组避免诱发因素、病情监测、发作症状的识别与管理、遵医嘱用药、按时复诊及总分均高于对照组(P<0.05), 干预后观察组日间、夜间哮喘发作频率低于对照组(P<0.05), 干预后观察组完全控制率和部分控制率高于对照组,未控制率低于对照组(P<0.05), 干预后观察组呼吸症状、活动受限及疾病影响评分均低于对照组(P<0.05)。结论:哮喘症状控制水平分级管理系统可改善哮喘患者肺功能,减少哮喘发作频次,提高自我管理效能和生活质量。
Objective:To analyze the influence of asthma symptom control level grading management system in patients with bronchial asthma.Method:A total of 116 patients with bronchial asthma admitted to the hospital from September 2018 to September 2020 were selected as study subjects.They were divided into the control group(n=58)and the observation group(n=58)according to the order of single and double admission.The control group was given routine nursing intervention,the observation group was given asthma symptom control level grading management system intervention.The lung function[forced vital capacity(FVC),forced expiratory volume in one second(FEV_(1)),the percentage of FEV_(1) in FVC(FEV_(1)/FVC)],self-management efficiency score,daytime and nighttime asthma attack frequency,asthma control and St.George’s respiratory questionnaire(SGRQ)score of the two groups were compared.Result:After intervention,the FVC,FEV_(1) and FEV_(1)/FVC in the observation group were higher than those in the control group(P<0.05);the scores of avoiding predisposing factors,condition monitoring,identification and management of onset symptoms,medication according to the doctor’s advice and regular follow-up visits,and total score of the observation group were higher than those of the control group(P<0.05);the daytime and nighttime attack frequencies of asthma in the observation group were lower than those in the control group(P<0.05);the complete control rate and partial control rate in the observation group were higher than those in the control group,and the uncontrolled rate was lower than that in the control group(P<0.05);the scores of respiratory symptoms,limitation of motion and disease impact of the observation group were lower than those of the control group(P<0.05).Conclusion:Asthma symptom control level grading management system can improve the lung function,reduce the attack frequency of asthma,and improve self-management efficiency and quality of life of patients with asthma.
作者
高蓉
GAO Rong(Zhongxiang People’s Hospital,Zhongxiang 431900,China)
出处
《中外医学研究》
2021年第19期173-176,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
支气管哮喘
哮喘症状控制水平分级管理系统
自我管理效能
哮喘发作频次
Bronchial asthma
Asthma symptom control level grading management system
Self-management efficiency
Attack frequency of asthma
