首页> 中文期刊> 《广西医学》 >个体化干预对舌下含服脱敏治疗儿童依从性的影响

个体化干预对舌下含服脱敏治疗儿童依从性的影响

         

摘要

Objective To invostigato the effect of personat intorvontion on the comptiance vvith subtinguat dust mitc drops specific immunotherapy in chitdren vvith attergic diseases. Methods Three hundred patients were divided into tvvo groups according to vvhether they birth on odd-numbered day( controt group, 150 cases ) or even-numbered day ( treatment group, 150 cases). Patients in tho tvvo groups were treated vvith immunotherapy , and were awareness of knowtedge about desensitization after treatment. Their desensitization documents were atso estabtished. Mo intorvontion was performed in tho controts, white poi'sonat intorvontion on tho patients' cognition, psychotogy and behavior was performed in tho treatment group. The comptiance of att tho chitdren was observed. Resutts The treatment group was superior to tho controt group in tho indices such as frequency of stopping inhating corticosteroid,acute asthma attacks, and tho improvement of patients' symptoms( P <0. 01 ). The average duration of patients undergoing immunotherapy was tonger in tho treatment group than that in tho controt group( P <0. 01 ). 60. 1% of tho patients in tho treatment group had taken tho subtinguat immunotherapy for more than 2 years, white no one received tho immunotherapy treatment for 2 years in the controt group. Conctusion Poi'sonat intorvontion can significantty improve the comptiance vvith subtinguat immunotherapy in pationts,vvhioh hotps to improve the efficacy of the treatment.%目的 观察个体化干预对变态反应病儿童持续舌下含服粉尘螨滴剂特异性免疫治疗依从性的影响.方法 变态反应疾病患儿300例按出生单双日期分成无干预对照组(单日出生)及干预组(双日出生)各150例.两组患者在接受脱敏治疗后均建立脱敏档案及告知脱敏常识.对照组未予任何干预,干预组给予知识认知、心理、行为等干预措施.观察两组患者治疗的依从性.结果 哮喘患者停止吸入激素和喘息急性发作例次、患者自我症状的改善评价等指标,干预组优于对照组(P<0.01);平均持续脱敏时间干预组明显长于对照组(P<0.01);干预组中60.7%的患者坚持脱敏治疗2年以上,对照组中无1例患者坚持脱敏治疗至2年.结论 个体化的干预能显著提高患者舌下脱敏治疗的依从性,进而提高治疗效果.

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