上海護理 2023 年 11月 第 23 卷 第 11 期
標準化兒童哮喘門診管理對患兒峰流速儀正確使用的效果觀察
高 艷，胡肖銀，鄧 力，秦 怡，陸嘉寧，林文春，趙斯靜，張彩鳳
（廣州市婦女兒童醫(yī)療中心，廣東 廣州 510000）
摘要：目的 探討標準化兒童哮喘門診在提高患兒峰流速儀（PEF 儀）使用率和規(guī)范率中的應(yīng)用效果。
方法 選取2021年6月至2022年6月我院標準化兒童哮喘門診收治的110例6歲以上哮喘患兒為研究
對象，通過標準化門診流程及要求對其進行評估指導(dǎo)及遠程隨訪管理。分別在兒童哮喘標準化門診就
診前及就診 6個月后比較患兒 PEF儀使用情況、復(fù)診情況、用藥正確情況及哮喘控制情況。結(jié)果 110
例哮喘患兒在標準化兒童哮喘門診就診 6個月后，其 PEF儀使用率由就診前的 18.18%提升至 91.82%，
且峰流速儀各個環(huán)節(jié)使用規(guī)范率明顯提升，差異具有統(tǒng)計學(xué)意義（P<0.05）；患兒按時復(fù)診率由 33.63%
上升為 80.91%，藥物使用規(guī)范率由 17.27% 上升為 74.55%，哮喘控制良好狀態(tài)的人數(shù)比例由 58.18% 上
升為80.00%，差異均具有統(tǒng)計學(xué)意義（P<0.05）。結(jié)論 標準化兒童哮喘門診可以有效提高患兒PEF儀
使用率及規(guī)范率，為患兒的自我監(jiān)測及疾病管理提供保障，同時提高患兒按時復(fù)診率及藥物使用正確
率，提高哮喘控制水平。
關(guān)鍵詞：標準化門診；兒童哮喘；峰流速儀；使用率；規(guī)范率
中圖分類號：R473.56 文獻標志碼：A DOI：10.3969/j.issn.1009-8399.2023.11.010
Effect of Standardized Pediatric Asthma Outpatient Services on Correct Use of Peak Expiratory Flow
Meters in Children with Asthma
GAO Yan, HU Xiaoyin, DENG Li, QIN Yi, LU Jianing, LIN Wenchun, ZHAO Sijing, ZHANG Cai?
feng (Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong 510000)
Abstract: Objective To explore the effect of standardized pediatric asthma outpatient services in improving
the use rate and correct use rate of peak expiratory flow (PEF) meters in children with asthma. Methods A
total of 110 children with asthma over 6 years old were selected who were admitted to our standardized
pediatric asthma outpatient from June 2021 to June 2022. Then, they were evaluated, guided and managed by
remote follow-up through standardized outpatient procedures and requirements. The use of PEF meters, the
completion of return visits, correct medication and asthma control in children with asthma were compared
before and 6 months after their standardized pediatric asthma outpatient visits. Results After 6-month
treatment in the standardized pediatric asthma outpatient, the use rate of PEF meters in 110 children with
asthma increased from 18.18% to 91.82% and the correct use rate of PEF meters in each link increased
significantly, with statistically significant differences (P<0.05); the return visit rate of children increased from
33.63% to 80.91%, the correct medication rate increased from 17.27% to 74.55%, and the proportion of
children with well-controlled asthma increased from 58.18% to 80.00%, with statistically significant
differences (P<0.05). Conclusion Standardized pediatric asthma outpatient services can improve the use rate
and correct use rate of PEF meters in children with asthma, thereby providing a guarantee for their selfmonitoring and disease management, and also
improve the timely return visit rate, correct
medication rate and the level of asthma control.
Key Words: Standardized pediatric asthma outpa?
tient service; Peak expiratory flow meter; Use rate;
Correct use rate
收稿日期：2023-02-22
作者簡介：高 艷（1989－），女，主管護師，本科，主要從事兒童呼吸道
慢性疾病管理工作。
通信作者：張彩鳳（1985－），女，主管護師，碩士，主要從事兒童呼吸道
慢性疾病管理及循證護理工作。E-mail：18925099446@
126.com
基金項目：廣 州 市 科 技 計 劃 項 目 市 校（院）企 聯(lián) 合 資 助 專 題
（2023A03J0690）。
·?？谱o理·
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