新型社交媒体管理对儿童哮喘疗效及依从性的影响

目的 为了拓展医生和患儿之间的沟通渠道,实时便捷的传播与更新哮喘防治知识,采用新型社交媒体对儿童哮喘进行管理,并评估其对疗效及依从性的影响.方法 回顾性分析2015年2月至2016年2月期间来海南省人民医院儿童哮喘防治中心就诊并接受治疗的220例哮喘患儿,根据患儿家属意愿分组,其中观察组采用新型社交媒体管理模式(112例),如微信公众号《海南省医陈实团队的儿童哮喘管理群》来管理儿童哮喘患儿,对照组依照传统患儿管理模式(108例),评估两种管理模式对患儿哮喘防治知识的改善、依从性及疗效的影响.结果 在治疗12个月后,对照组患儿及家属的哮喘基本知识、过敏原知识、雾化吸入知识、应急处理知识得分分别为(6.29±0.14)分、(6.42±0.10)分、(5.89±0.13)分、(6.26±0.12)分均低于观察组的(8.11±0.07)分、(8.26±0.06)分、(7.47±0.11)分、(7.74±0.08)分,两组比较差异均有显著统计学意义(P<0.01);对照组患儿与观察组患儿的用药依从性分别为71.19％、91.53％,差异有统计学意义(P<0.05);对照组患儿PAQLQ各维度(症状、活动、情感)的得分分别为(5.63±0.09)分、(6.04±0.06)分、(5.83±0.05)分,观察组分别为(6.51±0.06)分、(6.37±0.08)分、(6.19±0.04)分,两组比较差异有显著统计学意义(P<0.01);对照组患儿的急性发作次数与急诊次数分别为(5.23±0.08)次、(3.87±0.06)次,观察组分别为(3.37±0.11)次、(2.12±0.05)次,两组比较差异有显著统计学意义(P<0.01).结论 新型社交媒体管理模式有助于普及哮喘的防治知识,显著提高了哮喘患儿的疗效与依从性.

Effect of new social media management on compliance and efficacy of children with asthma

Objective To effectively expand the communication channels between doctors and patients, to spread and update the knowledge of asthma prevention and treatment timely and easily, and to evaluate the effects of new social media on the compliance and efficacy of the treatment of asthma children and their families. Methods The clinical data and outcomes of 220 cases of asthmatic children who admitted to our hospital from February 2015 to Febru-ary 2016 were retrospectively reviewed. The observation group (n=112) adopted a new social media management model, such as WeChat Official Accounts"Hainan province children's asthma management group of Chen Shi team"and We-Chat group chat, to manage the children with asthma, and the control group (108 cases) adopted the traditional manage-ment model. The effects of two management models on the improvement of the children asthma prevention knowledge, compliance and efficacy of the children asthma were evaluated. Results After 12 months'treatment, the basic knowl-edge scores of asthma, allergen, inhalation, emergency treatment of asthma children and their families in the control group were (6.29 ± 0.14), (6.42 ± 0.10), (5.89 ± 0.13), (6.26 ± 0.12), respectively; while these scores in the observation group) were (8.11 ± 0.07), (8.26 ± 0.06), (7.47 ± 0.11), (7.74 ± 0.08), respectively (P<0.01). The medication compliance of the control group was 71.19％, which was significantly lower than 91.53％in the observation group (P<0.05). The scores of the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) dimensions (symptoms, activities, emotions) in the con-trol group were respectively (5.63 ± 0.09), (6.04 ± 0.06), (5.83 ± 0.05), which were significantly lower than corresponding (6.51±0.06), (6.37±0.08), (6.19±0.04) in the observation group (P<0.01). The numbers of acute attacks and emergency in the control group were (5.23 ± 0.08) and (3.87 ± 0.06), respectively, which were significantly higher than corrreponding (3.37±0.11) and (2.12±0.05) in the observation group (P<0.01). Conclusion The use of new social media management is helpful for the popularization of asthma and disease prevention and control, which can significantly improve the com-pliance and efficacy of children with asthma.