哮喘儿童父母知识知晓率、用药依从性及影响因素分析

目的:了解哮喘儿童父母的对疾病知识的掌握情况以及儿童的服药依从情况和影响因素,为提高哮喘儿童的控制率提供参考依据。方法:选择2015年1月-2015年12月于上海市第十人民医院儿科门诊诊治的支气管哮喘儿童93例,调查其哮喘控制情况、哮喘服药依从性和父母基本情况与相关知识。依从性与知识知晓率的比较采用双向有序的检验,影响因素采用有序结果的累积优势Logistic回归分析。结果:本次调查93例哮喘儿童中,哮喘完全控制率为23.7%,儿童服药依从性好的比率为25.8%,哮喘儿童父母相关知识知晓率高的比率为25.8%,儿童哮喘控制率与服药依从性之间存在相关性(P=0.029),哮喘儿童服药依从性与哮喘儿童父母相关知识知晓率之间存在相关性(P=0.035)。哮喘儿童的服药依从性受到儿童性别(OR=1.153,95%CI:1.04-1.96)、家族史(OR=1.402,95%CI:1.20-2.33)、知识知晓率(OR=1.828,95%CI:1.05-3.17)和病程(OR=0.758,95%CI:0.35-0.97)等因素的影响(P0.05)。结论:哮喘儿童的服药依从性受到儿童性别、家族史、知识知晓率和病程等因素的影响,要充分发挥儿童父母的作用,从医院内干预逐渐进入家庭干预,通过对父母或者监护人的认知或用药知识的提高,切实提高哮喘儿童的用药依从性和哮喘的控制率。

Analysis of the Knowledge Awareness rate of Parents, Drug Compliance and Influencing Factors of Asthmatic Children

ABSTRACT Objective: To investigate the asthma knowledge of asthma children''s parents, the compliance of children with drugs and the influencing factors, and provide references for improving the control rate of children with asthma. Methods: 93 children with bronchial asthma adopted by pediatric outpatient department of affiliated Department of Pediatrics, Shanghai Tenth People''s Hospital from January 2015 to December 2015 were selected. The control of asthma, compliance of children with asthma, the basic condition of parents and the related knowledge were investigated. The comparison of compliance and knowledge awareness rate was conducted by using bidirectional ordered picture] test, and the influencing factors were analyzed by Logistic regression analysis of cumulative advantage of ordered results. The control of asthma, the compliance of children with asthma, the basic condition of parents and the related knowledge were investigated. The comparison of compliance and knowledge awareness rate was conducted by using bidirectional ordered test, and the influencing factors were analyzed by Logistic regression analysis of cumulative advantage of ordered results. Results: Among the 93 children with asthma, the asthma complete control rate was 23.7%, and the rate of good compliance was 25.8%. There was a correlation between the asthma control rate and drug compliance (P=0.029). The awareness rate of parents'' related knowledge in asthmatic children was 25.8%. there was a correlation between the drug compliance of asthmatic children and the awareness rate of parents'' related knowledge of asthmatic children (P=0.035). The drug compliance of asthmatic children was affected by the gender (OR=1.153, 95%CI:1.04-1.96), the family history (OR=1.402, 95% CI: 1.20-2.33), the knowledge awareness rate (OR=1.828, 95% CI: 1.05-3.17) and the course of the disease (OR=0.758, 95% CI: 0.35-0.97)(P<0.05). Conclusion: The drug compliance of asthmatic children is affected by their gender, the family history, the knowledge awareness rate and the course of disease. It is necessary to give full play to the role of children''s parents and gradually turn nursing from hospital intervention to family intervention. By improving the knowledge of parents or guardians, we can improve the compliance of asthma children and improve the control rate of asthma children.