LEARNS模式的健康教育对儿童哮喘用药依从性、哮喘控制及自我管理能力的影响OA
Effects of LEARNS model-based health education on medication adherence,asthma control,and self-management ability in children with asthma
目的 探讨基于 LEARNS 模式的健康教育在儿童哮喘管理中的应用效果.方法 采用便利抽样法,选取2023 年 6 月至 2024 年 6 月在右江民族医学院附属医院住院治疗的 74 例哮喘患儿及其主要照护者为研究对象.为避免干预污染,采用非同期对照设计,以入院时间为分组依据,将 2023 年 6-12 月入院的 37 例患儿纳入对照组,2024 年 1-6月入院的 37 例患儿纳入观察组.对照组实施常规儿童哮喘健康教育,观察组在此基础上实施 LEARNS模式的健康教育(聆听、建立、应用、提高、反馈教学、强化六个环节).干预 6 个月后,比较两组患儿哮喘用药依从性(MARS-A 量表)、儿童哮喘控制水平(C-ACT 量表)、肺功能(FEV1％)及自我管理能力(哮喘儿童自我管理量表)的差异.结果 干预 6 个月后,观察组患儿用药依从性评分高于对照组(P<0.01);儿童哮喘控制测试评分优于对照组(P<0.01);肺功能指标 FEV1％明显高于对照组(P<0.001);自我管理量表各维度评分(日常生活管理、疾病医学管理、社会心理管理)及总分均高于对照组,差异均有统计学意义(P<0.01).结论 基于 LEARNS 模式的健康教育干预有助于提升哮喘患儿的用药依从性、哮喘控制水平、肺功能指标及自我管理能力,在儿童哮喘临床护理中具有一定的推广应用价值.
Objective To evaluate the effect of the LEARNS model-based health education on medication adherence,asthma control,lung function,and self-management in children with asthma.Methods A total of 74 asthmatic children hospitalized in Affiliated Hospital of Youjiang Medical University for Nationalities from June 2023 to June 2024 and their primary caregivers were selected as study subjects by convenience sampling.A nonconcurrent,controlled design was adopted to avoid intervention contamination.Based on the time of admission,37 children admitted from June to December 2023 were assigned to control group,and 37 children admitted from January to June 2024 were assigned to observation group.The con-trol group were given conventional health education for childhood asthma,while the observation group were given the LEARNS model-based health education(listen,establish,adopt,reinforce,name,strengthen).After 6 months of interven-tion,differences in asthma medication adherence(MARS-A scale),childhood asthma control level(C-ACT scale),pulmo-nary function(FEV1％),as well as self-management ability(asthma self-management scale for children)between the two groups were compared.Results After 6 months of intervention,the medication adherence score of the observation group was higher than that of the control group(P<0.01);the childhood asthma control test score was better than that of the control group(P<0.01);the pulmonary function index FEV1％was significantly higher than that of the control group(P<0.001);and the scores of all dimensions of the self-management scale(daily life management,disease medical management,and social-psychological management)and the total score were higher than those of the control group,and differences were statis-tically significant(P<0.01).Conclusion LEARNS model-based health education intervention can improve medication adherence,asthma control level,lung function indicators,and self-management ability in children with asthma.It has cer-tain value for clinical promotion and application in the nursing care of childhood asthma.
黄小玉;黄芝蓉;陆妍;黄丽玲;黄瑞洁;黄婷;陈俊妃
右江民族医学院附属医院儿内科二病区,广西 百色 533000右江民族医学院附属医院儿内科二病区,广西 百色 533000右江民族医学院附属医院儿内科二病区,广西 百色 533000右江民族医学院附属医院儿内科二病区,广西 百色 533000右江民族医学院附属医院儿内科二病区,广西 百色 533000右江民族医学院附属医院儿内科二病区,广西 百色 533000右江民族医学院附属医院儿内科二病区,广西 百色 533000
医药卫生
LEARNS模式健康教育儿童哮喘用药依从性哮喘控制肺功能自我管理
LEARNS modelhealth educationchildhood asthmamedication adherenceasthma controllung functionself-management
《右江医学》 2026 (7)
665-672,8
广西医疗卫生适宜技术开发与推广应用项目(S2025078)百色市科学研究与技术开发计划课题(百科20221406)
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