基于微信的健康信念教育在哮喘儿童家庭教育中的应用效果

目的 探讨微信平台下的健康信念教育在哮喘儿童家庭教育中的应用效果。方法 选择2019年1月—2020年4月在本院就诊的哮喘患儿92例,按随机数表法分为两组,每组46例。予以对照组常规门诊治疗和护理,在此基础上予以观察组微信平台下的健康信念教育。对比两组干预前、干预6个月后的患儿哮喘控制、肺功能与父母疾病管理能力,并记录急性发作与再住院情况。结果 观察组患儿哮喘控制情况优于对照组,(Z=2.641,P=0.008)。两组干预前FVC(用力肺活量,forced vital capacity)、PEF(呼气峰值流速,peak expiratory flow)、FEV1(第1 s用力呼气容积,Forced expiratory volume in one second)及父母疾病管理能力比较,差异无统计学意义(P＞0.05);观察组患儿干预后FVC为(3.90±1.13)L、PEF为(162.16±29.10)L/min、FEV1(2.94±0.97)L,父母疾病管理能力为(41.52±5.19)分,分别高于对照组的(2.77±0.98)L、(144.62±26.05)L/min、(1.52±0.74)L、(34.56±4.27)分,(t=5.124、3.046、7.894、7.024,P值均＜0.001)。观察组患儿急性发作(1.20±0.39)次、再住院(0.87±0.21)次,少于对照组的(2.35±0.70)次、(1.14±0.53)次,(t=9.374、3.212,P值均＜0.001)。结论 微信平台下的健康信念教育在哮喘儿童家庭教育中应用价值确切,能提高哮喘控制效果,减少急性发作与再住院,改善患儿肺功能,利于提高父母疾病管理能力。

Application effect of health belief education based on WeChat platform in family education of asthmatic children

Objective To explore the application effect of health belief education based on WeChat platform in family education for children with asthma. Methods From January 2019 to April 2020, 92 children with asthma were randomly divided into a control group and an observation group, with 46 cases in each group. The control group was given the routine outpatient treatment and nursing, and on this basis, the observation group was given health belief education based on WeChat platform. The asthma control, lung function and parents' disease management ability were compared between the two groups before and after intervention for 6 months, and the acute attack and readmission were recorded. Results Asthma control in the observation group was superior to that in the control group, and the difference was statistically significant (Z=2.641, P=0.008). There were no significant differences in forced vital capacity (FVC), peak expiratory flow (PEF), forced expiratory volume in one second ((FEV1) and parents' disease management ability between the two groups before the intervention (P>0.05). After the intervention, in the observation, FVC was (3.90±1.13) L, PEF was (162.16±29.10) L/min, FEV1 was (2.94±0.97) L, and parents' disease management ability was (41.52±5.19), which were higher than those in the control group: (2.77±0.98) L, (144.62±26.05) L/min, (1.52±0.74) L, and (34.56±4.27), respectively, and the differences were statistically significant (t=5.124, 3.046, 7.894, 7.024, all P<0.001). In addition, the average number of acute attacks and readmission in the observation group were (1.20±0.39) and (0.87±0.21), which were less than those in the control group: (2.35±0.70) and (1.14±0.53) respectively, and the differences were statistically significant (t=9.374, 3.212, both P<0.001). Conclusion The application value of health belief education based on WeChat platform in family education for children with asthma is accurate, which can improve asthma control effect, reduce acute attack and readmission, improve lung function of children, and improve their parents' disease management ability.