标题：家庭教育-环境改良-功能干预模式下延续性护理对儿童哮喘控制水平、肺功能及生活质量的影响

      作者：王樱儒 1，王丽 2，王迷 1，董明翠 3    1.陕西中医药大学第二附属医院儿童综合科，陕西 咸阳 712000；2.陕西中医药大学神经内分泌科，陕西 咸阳 712046；3.陕西中医药大学第二附属医院产科门诊，陕西 咸阳 712000

      卷次： 2021年32卷23期

      【摘要】 目的 探讨家庭教育-环境改良-功能干预模式下延续性护理对哮喘患儿哮喘控制水平、肺功能及生活质量的影响。方法 选择陕西中医药大学第二附属医院儿童综合科于2020年1~12月期间收治的98例支气管哮喘患儿，根据随机数表法分为观察组与对照组，每组49例，对照组患儿出院后接受常规护理干预，观察组患儿则给予家庭教育-环境改良-功能干预模式下延续性护理干预，干预时间为6个月。比较两组患儿干预前后的肺功能指标[第1秒时间肺活量(FEV1)、呼气峰流速(PEF)水平]、哮喘控制水平[儿童哮喘控制测试(C-ACT)评分量表]及生活质量[儿童哮喘生活质量问卷(PAQLQ)]的变化。结果 干预后，观察组患儿的 FEV1、PEF分别为(1.56±0.27) L、(3.40±0.61) L/s，明显高于对照组的(1.40±0.21) L、(2.82±0.52) L/s，差异均有统计学意义(P<0.05)；干预后，观察组患儿的C-ACT为(23.32±4.12)分，明显高于对照组的(20.18±3.66)分，差异有统计学意义(P<0.05)；干预后，观察组患儿的PAQLQ评分中的症状、活动及情感功能等维度评分明显高于对照组，差异均有统计学意义(P<0.05)。结论 家庭教育-环境改良-功能干预模式下的延续性护理干预应用于支气管哮喘患儿，可以提高患儿的肺功能，改善哮喘控制水平及生活质量。
      【关键词】 支气管哮喘；家庭教育；环境改良；功能干预；延续性护理；肺功能；生活质量
      【中图分类号】 R473.72 【文献标识码】 A 【文章编号】 1003—6350（2021）23—3126—03

Effect of continuous nursing based on the family education-environment improvement-function interventionmodel on control level, lung function, and quality of life in asthmatic children.
WANG Ying-ru 1, WANG Li 2, WANGMi 1, DONG Ming-cui 3. 1. Children's General Department, the Second Affiliated Hospital of Shaanxi University ofTraditional Chinese Medicine, Xianyang 712000, Shaanxi, CHINA; 2. Department of Nuroendocrinology, Shaanxi Universityof Traditional Chinese Medicine, Xianyang 712046, Shaanxi, CHINA; 3. Obstetric Clinic, the Second Affiliated Hospital ofShaanxi University of Traditional Chinese Medicine, Xianyang 712000, Shaanxi, CHINA
【Abstract】 Objective To explore the effect of continuous nursing based on the family education-environ-ment improvement-function intervention model on control level, lung function and quality of life in asthmatic children.Methods Ninety-eight children with bronchial asthma in Children's General Department, the Second Affiliated Hospi-tal of Shaanxi University of Traditional Chinese Medicine from January 2020 to December 2020 were randomly dividedinto observation group and control group according to random number table method, with 49 children in each group. Thecontrol group received routine nursing intervention after discharge, while the observation group received continuousnursing intervention based on the family education-environment improvement-function mode. The intervention lasted 6months. The changes of pulmonary function indexes [forced expiratory volume in one second (FEVl), peak expiratoryflow (PEF)], Childhood asthma control test (C-ACT), and Pediatric Asthma Quality of Life Questionnaire (PAQLQ)were compared between the two groups before and after intervention. Results After the intervention, FEV1 and PEF ofthe observation group were (1.56±0.27) L, (3.40±0.61) L/s, significantly higher than (1.40±0.21) L,(2.82±0.52) L/s ofthe control group (P<0.05). The C-ACT of the observation group was (23.32±4.12) points, which was significantly higherthan (20.18±3.66) points of the control group (P<0.05). The PAQLQ scores of the observation group, including symptoms,activities and emotional function, were significantly higher than those of the control group (P<0.05). Conclusion The ap-plication of continuing nursing based on family education-environment improvement-function intervention mode in chil-dren with bronchial asthma can improve their lung function, asthma control level, and quality of life.
      【Key words】 Bronchial asthma; Family education; Environmental improvement; Functional intervention; Contin-uous nursing; Lung function; Quality of life·护理·doi:10.3969/j.issn.1003-6350.2021.23.037基金项目：陕西省教育厅陕西中医药大学项目(编号：18Jk0207)