“AD教育课堂”模式应用对特应性皮炎病儿生活质量及近亲属认知程度的影响分析
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摘要
目的探讨"AD教育课堂"模式应用于特应性皮炎(AD)病儿治疗教育中对认知程度和生活质量的影响。方法选择2014年6月至2016年6月靖江市人民医院收治的AD病儿122例,按随机数字表法分为两组,各61例。两组均给予外用药物治疗,对照组实施常规健康教育,观察组实施"AD教育课堂"模式的治疗教育。对比分析两组教育前后瘙痒程度、生活质量变化,并统计两组教育后临床疗效和病儿近亲属认知度情况。结果观察组临床总有效率60例(98.36%)高于对照组48例(78.69%),差异有统计学意义(χ~2=9.763,P=0.002);观察组教育后瘙痒程度轻于对照组,差异有统计学意义(P<0.05);观察组教育后近亲属对疾病认知程度为100.00%(61/61),优于对照组的75.41%(46/61),差异有统计学意义(χ~2=17.103,P=0.000);观察组教育后体闲娱乐、症状感受、学业假期、人际关系、治疗的影响、睡眠及总影响评分分别为(1.22±0.68)分、(1.31±0.44)分、(0.59±0.11)分、(1.30±0.12)分、(0.35±0.10)分、(0.42±0.09)分及(6.01±1.05)分,均明显低于对照组,差异有统计学意义(t=3.240、6.018、10.387、18.214、25.876、24.204、14.120,均P=0.000)。结论 "AD教育课堂"模式应用于AD病儿治疗教育中可显著减轻其瘙痒程度,提高临床疗效和病儿近亲属疾病认知度,改善病儿生活质量,值得推广。
Objective To explore the effect of "AD education classroom" model on quality of life in children with atopic dermatitis(AD) and cognitive level of near relatives.Methods A total of 122 children with atopic dermatitis admitted to Jingjiang People's Hospital from June 2014 to June 2016 were assigned into two groups according to the random number table,with 61 in each group.In addition to topical treatment in both groups,the control group received routine health education,while the observation group received "AD education classroom" model of treatment education.The curative effect and the quality of life were analyzed before and after the education in two groups,and the clinical curative effect and the cognition level of near relatives were analyzed.Results The total effective rate of the observation group(60,98.36%) was higher than that of the control group(48,78.69%);the difference was statistically significant(χ~2=9.763,P=0.002).After treatment itch degree in the observation group was less than the control group;the difference was statistically significant(P<0.05).After education,the cognitive level of near relatives in the observation group was 100.00%(61/61),which was higher than 75.41%(46/61) in the control group;the difference was statistically significant(χ~2=17.103,P=0.000).After education,the scores of leisure entertainment,symptom feelings,academic holidays,interpersonal relationship,treatment impact,sleep and total impact in the observation group were(1.22±0.68),(1.31±0.44),(0.59±0.11),(1.30±0.12),(0.35±0.10),(0.42±0.09) and(6.01±1.05),all significantly lower than those in the control group;the differences were statistically significant(t=3.240,6.018,10.387,18.214,25.876,24.204,14.120,all P=0.000).Conclusion The "AD education classroom" model applied to the treatment education of children with atopic dermatitis can significantly reduce the degree of itching,improve the clinical curative effect and the cognition of children's near relatives,and improve the quality of life of children,which is worthy of promotion.
Objective To explore the effect of "AD education classroom" model on quality of life in children with atopic dermatitis(AD) and cognitive level of near relatives.Methods A total of 122 children with atopic dermatitis admitted to Jingjiang People's Hospital from June 2014 to June 2016 were assigned into two groups according to the random number table,with 61 in each group.In addition to topical treatment in both groups,the control group received routine health education,while the observation group received "AD education classroom" model of treatment education.The curative effect and the quality of life were analyzed before and after the education in two groups,and the clinical curative effect and the cognition level of near relatives were analyzed.Results The total effective rate of the observation group(60,98.36%) was higher than that of the control group(48,78.69%);the difference was statistically significant(χ~2=9.763,P=0.002).After treatment itch degree in the observation group was less than the control group;the difference was statistically significant(P<0.05).After education,the cognitive level of near relatives in the observation group was 100.00%(61/61),which was higher than 75.41%(46/61) in the control group;the difference was statistically significant(χ~2=17.103,P=0.000).After education,the scores of leisure entertainment,symptom feelings,academic holidays,interpersonal relationship,treatment impact,sleep and total impact in the observation group were(1.22±0.68),(1.31±0.44),(0.59±0.11),(1.30±0.12),(0.35±0.10),(0.42±0.09) and(6.01±1.05),all significantly lower than those in the control group;the differences were statistically significant(t=3.240,6.018,10.387,18.214,25.876,24.204,14.120,all P=0.000).Conclusion The "AD education classroom" model applied to the treatment education of children with atopic dermatitis can significantly reduce the degree of itching,improve the clinical curative effect and the cognition of children's near relatives,and improve the quality of life of children,which is worthy of promotion.
引文
[1] 温晓文,黄楚君,莫秀梅,等.健康教育对特应性皮炎疗效影响的Meta分析[J].中国民族民间医药,2016,25(6):61-65.
[2] 张珍,刘晓依,程颖,等.患者治疗教育对特应性皮炎患儿生活质量的改善作用[J].临床儿科杂志,2016,34(5):338-341.
[3] 马晓蕾,高那,刘政邑,等.苯烯莫德对特应性皮炎患者外周血单个核细胞白细胞介素4和10、γ干扰素、T细胞转化因子β水平的影响[J].中华皮肤科杂志,2017,50(1):26-28.
[4] FERREIRA D,ABAD ED,CAVALCANTE FS,et al.Peanut allergy as a trigger for the deterioration of atopic dermatitis and precursor of staphylococcal and herpetic associated infections-case report[J].Annals of Agricultural and Environmental Medicine:AAEM,2015,22(3):470-472.
[5] 吴志洪,苏传丽,钟江,等.不同证型特应性皮炎患者皮损 microRNAs 表达谱的研究[J].南京中医药大学学报,2017,33(1):14-18.
[6] 张俊红,毕淑英,王文革,等.特应性皮炎婴幼儿免疫球蛋白E介导特异性免疫功能与体液免疫状态的特点及临床意义[J].中国医药,2016,11(9):1378-1382.
[7] 梁意敏,曾德辉,马远平.深度水解蛋白配方奶粉与妈咪爱联合干预对牛奶蛋白过敏致特应性皮炎的疗效观察[J].中国中西医结合儿科学,2016,8(4):408-410.
[8] MITCHELL AE,FRASER JA,RAMSBOTHAM J,et al.Childhood atopic dermatitis:a cross-sectional study of relationships between child and parent factors,atopic dermatitis management,and disease severity[J].Int J Nurs Stud,2015,52(1):216-228.
[9] 官正进,林敏.布拉氏酵母菌联合左西替利嗪治疗小儿特应性皮炎的临床疗效及安全性评价[J].中国微生态学杂志,2016,28(5):561-563.
[10] 黄红.夫西地酸乳膏联合澳能治疗儿童特应性皮炎疗效观察[J].中国麻风皮肤病杂志,2016,32(3):158,185.
[11] 黄文晖,王崇敏.中药药浴联合他克莫司治疗儿童中、重度特应性皮炎的疗效及对血清LTB4、LTC4的影响[J].中华全科医学,2016,14(4):604-606,685.
[12] SON HK,LIM J.The effect of a Web-based education programme (WBEP) on disease severity,quality of life and mothers' self-efficacy in children with atopic dermatitis[J].J Adv Nurs,2014,70(10):2326-2338.
[13] 崔江萍,朱晓雪,史凤凤.品管圈活动在 ICU 患者失禁性皮炎护理中的效果[J].安徽医药,2016,20(1):197-198.
[14] 黄晶,杨玉峰,陈宝清,等.复方榴莲皮软膏对120例特应性皮炎皮肤屏障功能修复的临床研究[J].黑龙江中医药,2016,45(2):24-25.
[15] 杨玉峰,陈宝清,郭樱,等.复方榴莲皮软膏对特应性皮炎患者皮肤屏障功能修复的临床研究[J].河北中医药学报,2016,31(3):16-19.
[16] 高来强,王海英,聂艳,等.红蓝光治疗特应性皮炎疗效评价及对IL-2、IL-10和IFN-γ表达的影响[J].中国麻风皮肤病杂志,2015,31(2):99-100.
[2] 张珍,刘晓依,程颖,等.患者治疗教育对特应性皮炎患儿生活质量的改善作用[J].临床儿科杂志,2016,34(5):338-341.
[3] 马晓蕾,高那,刘政邑,等.苯烯莫德对特应性皮炎患者外周血单个核细胞白细胞介素4和10、γ干扰素、T细胞转化因子β水平的影响[J].中华皮肤科杂志,2017,50(1):26-28.
[4] FERREIRA D,ABAD ED,CAVALCANTE FS,et al.Peanut allergy as a trigger for the deterioration of atopic dermatitis and precursor of staphylococcal and herpetic associated infections-case report[J].Annals of Agricultural and Environmental Medicine:AAEM,2015,22(3):470-472.
[5] 吴志洪,苏传丽,钟江,等.不同证型特应性皮炎患者皮损 microRNAs 表达谱的研究[J].南京中医药大学学报,2017,33(1):14-18.
[6] 张俊红,毕淑英,王文革,等.特应性皮炎婴幼儿免疫球蛋白E介导特异性免疫功能与体液免疫状态的特点及临床意义[J].中国医药,2016,11(9):1378-1382.
[7] 梁意敏,曾德辉,马远平.深度水解蛋白配方奶粉与妈咪爱联合干预对牛奶蛋白过敏致特应性皮炎的疗效观察[J].中国中西医结合儿科学,2016,8(4):408-410.
[8] MITCHELL AE,FRASER JA,RAMSBOTHAM J,et al.Childhood atopic dermatitis:a cross-sectional study of relationships between child and parent factors,atopic dermatitis management,and disease severity[J].Int J Nurs Stud,2015,52(1):216-228.
[9] 官正进,林敏.布拉氏酵母菌联合左西替利嗪治疗小儿特应性皮炎的临床疗效及安全性评价[J].中国微生态学杂志,2016,28(5):561-563.
[10] 黄红.夫西地酸乳膏联合澳能治疗儿童特应性皮炎疗效观察[J].中国麻风皮肤病杂志,2016,32(3):158,185.
[11] 黄文晖,王崇敏.中药药浴联合他克莫司治疗儿童中、重度特应性皮炎的疗效及对血清LTB4、LTC4的影响[J].中华全科医学,2016,14(4):604-606,685.
[12] SON HK,LIM J.The effect of a Web-based education programme (WBEP) on disease severity,quality of life and mothers' self-efficacy in children with atopic dermatitis[J].J Adv Nurs,2014,70(10):2326-2338.
[13] 崔江萍,朱晓雪,史凤凤.品管圈活动在 ICU 患者失禁性皮炎护理中的效果[J].安徽医药,2016,20(1):197-198.
[14] 黄晶,杨玉峰,陈宝清,等.复方榴莲皮软膏对120例特应性皮炎皮肤屏障功能修复的临床研究[J].黑龙江中医药,2016,45(2):24-25.
[15] 杨玉峰,陈宝清,郭樱,等.复方榴莲皮软膏对特应性皮炎患者皮肤屏障功能修复的临床研究[J].河北中医药学报,2016,31(3):16-19.
[16] 高来强,王海英,聂艳,等.红蓝光治疗特应性皮炎疗效评价及对IL-2、IL-10和IFN-γ表达的影响[J].中国麻风皮肤病杂志,2015,31(2):99-100.