基于信息平台的个性化出院计划方案对支气管哮喘患儿的干预效果

Intervention effect of personalized discharge planning program based on information platform in children with bronchial asthma

  • 摘要:
    目的 探讨基于信息平台的个性化出院计划方案对支气管哮喘患儿出院后复发率、生活质量、急性发病的次数、家属的疾病知识掌握情况和治疗满意度的影响。
    方法 选取支气管哮喘患儿121例,随机分为对照组60例和观察组61例。对照组患儿出院后按照常规性出院方案行电话随访和门诊随诊,观察组制订个性化出院计划方案,通过微信群或钉钉等APP的信息平台进行病情追踪。比较2组患儿病情控制情况、生活质量情况、病情加重情况、患儿家属对疾病知识的了解和满意度等情况。
    结果 观察组日间症状评分和夜间症状评分低于对照组,观察组生活质量评分5项指标及总分均高于对照组,差异有统计学意义(P < 0.05); 观察组急性加重比率为3.28%, 住院比率为1.64%, 低于对照组的13.33%和10.00%, 差异具有统计学意义(P < 0.05); 观察组家属对疾病相关知识的掌握情况优于对照组,差异具有统计学意义(P < 0.05); 观察组家属满意度为80.32%, 高于对照组的53.33%, 差异具有统计学意义(P < 0.05)。
    结论 基于信息平台的个性化出院计划方案能够有效控制哮喘患儿的病情,提升患儿生活质量,减少急性发病的次数,提升患者家属的疾病知识掌握情况和治疗满意度。

     

    Abstract:
    Objective 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.
    Methods 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.
    Results 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).
    Conclusion 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.

     

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