Family-centered Health Education On The Control Of Symptomatic Symptoms In Outpatients With Asthma

Objective To explore the impact of family-centered health education on symptom control in outpatients with asthma,and to provide a reference for the development of outpatient asthma intervention programs.Methods A total of 92 children with asthma who visited the special asthma clinic of Xuzhou Children’s Hospital from January to March,2019 were divided into control group and intervention group according to the stratified random grouping method.The control group adopted the routine health education mode in outpatient clinic,while the observation group adopted the family-centered health education mode to intervene.The cycle is 3 months.Comparing the pulmonary function index,medication compliance,symptom control,self-management and acute attack between the two groups,the application value of family-centered health education model in symptom control of asthmatic children in outpatient clinic was evaluated comprehensively.Results(1)There was no significant difference in the general data between the two groups(P>0.05),which was comparable;(2)Parents of two groups of children have poor cognitive knowledge of asthma,master the nature of asthma,control and treatment,treatment methods,asthma performance,causes of acute asthma attack,medication time,follow-up,disease monitoring,asthma control standards,peak speed The proportion of parents in the monitoring method was low,but they all recognized that children’s asthma had many adverse effects on the children and the family.There was no significant difference between the groups(P>0.05);(3)Before the intervention,the two groups of children with forced vital capacity(FVC),1 second forced vital capacity(FEV1),1 second forced vital capacity as a percentage of predicted value(FEV1pred%),1 second rate(FEV1/FVC),exhalation There was no significant difference in peak flow(PEF)between the two groups(P>0.05).After 1,2,and 3 months,the FVC,FEV1,FEV1pred%,FEV1/FVC,and PEF in the observation group were significantly higher than those in the control group.Statistically significant(P<0.05);(4)Before intervention,there was no significant difference in Morisky medication compliance(MMAS-8)score and medication adherence rate between the two groups(P>0.05).MMAS in the observation group at 1,2,and 3 months after intervention The-8 scores were significantly higher than the control group,and the medication adherence rate was significantly higher than the control group,and the difference was statistically significant(P<0.05);(5)Before intervention,there was no significant difference in the scores of asthma control(C-ACT)and symptom control between the two groups(P>0.05).C-ACT in the observation group at 1,2,and 3 months after intervention.The scores were significantly higher than the control group,and the symptom control rate was significantly higher than the control group,and the difference was statistically significant(P<0.05);(6)Before the intervention,there was no significant difference in the self-administration scores between the two groups(P>0.05).The family self-management scores of the observation group were significantly higher than those of the control group at 1,2,and 3 months after the intervention.The difference was statistically significant(P<0.05);(7)During 3months of intervention,the number of acute attacks in the observation group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Parents of children with asthma in outpatients have low cognitive level of asthma and cannot manage the condition of children scientifically and effectively.Applying family-centered health education to outpatient management of asthma patients can improve lung function,improve medication compliance,symptom control and family self-management,and reduce the number of acute attacks.Save hospitalization costs,comprehensively improve the control level of asthmatic children’s symptoms,and promote the use value.