The Present Situation And Curative Effect Of Family Atomization Therapy For Bronchial Asthma In Pre-school Children In A Community

Objective:Under the trend of increasing prevalence of bronchial asthma in children,atomization treatment as a safe and effective way to prevent and control pediatric bronchial asthma in clinical application(BA).However,the effect of BA atomization treatment in preschool children is affected by many factors,and the family atomization treatment in preschool children has attracted more extensive attention in recent years.Based on this,long-term use of leuktriene receptor antagonist(LTRA)for good control of mild chronic duration in a community undergoing management follow-up in the hospital Austerization therapy can relieve BA children as the research subjects,analyze the current situation and efficacy of family atomization treatment,and provide a basis for optimizing the implementation of bronchial asthma prevention program in children.Method:According to the guidelines for the diagnosis and treatment of bronchial asthma in children(2016 edition),Select 92 cases of chronic continuous intermittent atomization therapy in a community with long-term use of LTRA treatment from January to December 2019 and management follow-up in our hospital to alleviate preschool BA children,According to the child’s cooperation and parents’ wishes,Different atomization modes,It was included in the family atomization group and the outpatient atomization group.The family atomization group adopts the family atomization treatment,To form a family atomizing therapy group,The establishment of archives under the guidance of specialized medical personnel,When the child has mild asthma symptoms,High doses ICS/SABA aerosolized drugs,Use air compression atomizer atomization inhalation.A total of 46 cases were included.In the outpatient atomization group,High dose ICS/SABA atomization therapy in the outpatient atomization chamber,A total of 46 children were included.Both groups were treated before and after 6 months,Using a modified Chinese version of the Child Respiratory and Asthma Control Test(test for respiratory and asthma control in kids-Chinese version,TRACK-C)Test,as well as lung function indicators,inflammatory indicators,after 6 months through the field questionnaire to assess the children’s parents asthma knowledge and atomization inhalation method master score and children’s parents satisfaction,and the treatment compliance rate and quality of life atomization treatment status and efficacy were analyzed.Results : 1、General data analysis of two groups of children: there was no significant difference in gender,age,condition,whether to accept standard treatment between the two groups(P > 0.05).2.Comparative analysis of TRACK-C score and control rate in the two groups:according to the TRACK-C data collected on the spot,There was no statistical difference in the TRACK-C score in the first two groups of treatment(P> 0.05).Both groups scored higher than before treatment and were higher compared to outpatient atomization(P <0.05).there was no statistical difference in the control rate between the two groups before intervention(P>0.05).After intervention,the control rate of household atomization group was higher than that before intervention(P<0.05).However,there was no statistical difference before and after intervention in the outpatient group(P>0.05).After intervention,the control rate of home atomization group was 93.48,that of outpatient atomization group was 71.74,and that of family atomization group was higher than that of outpatient atomization group(P<0.05).It is suggested that the effect of family atomization treatment group after standardized health education and guidance is better than that of outpatient atomization group.3.Changes in pulmonary function indicators in the two groups: a comparison in the first two groups with no statistical difference(P> 0.05).Before and after treatment,the improvement of pulmonary function index in outpatient atomization group was not significant(P>0.05).It is suggested that family atomization therapy with standardized health education and guidance can better improve lung function.4.Analysis of various inflammatory indicators in the two groups: the comparison of the first two groups had no statistical significance(P> 0.05).The inflammatory indicators in the family atomization group were lower than before treatment and were statistically significant(P< 0.05).The inflammatory indicators before and after the outpatient atomization group had no statistical significance(P> 0.05).Compared with the family atomization group after standardized health education and guidance,the inflammation indicators of the family atomization group have decreased more significantly,and the difference has statistical significance(P< 0.05).5.Analysis of parents’ knowledge of asthma and treatment compliance between the two groups: there was no statistical difference between parents’ knowledge of asthma and aerosol inhalation before treatment(P>0.05).However,the score of family atomization group was higher than that before treatment(P<0.05).Before and after treatment,there was no significant difference in the score of outpatient atomization group(P>0.05).For treatment compliance,the compliance rate of family atomization group was 89.13,that of outpatient atomization group was 65.22,and that of family atomization group was higher than that of outpatient atomization group(P<0.05).The total number of intermittent atomization and the continuous days of the family atomization group were significantly lower than those in the outpatient atomization group(P <0.05).It is suggested that family atomization treatment through standardized health education and guidance can improve the children’s dependence on asthma related knowledge and treatment,and shorten the number and time of atomization treatment.6.Quality of life and parental satisfaction analysis of the two groups: according to the quality of life scale(Pediatric Bronchial asthma quality of life questionnaire,PAQLQ)of bronchial asthma,the quality of life of the two groups after treatment was investigated.The scores and total scores of family atomization group were higher than those before treatment(P<0.05).However,there was no significant difference in the score of outpatient atomization group before and after treatment(P>0.05).By collecting the corresponding questionnaire,the present situation of parents’ satisfaction after treatment was analyzed.The total satisfaction of family atomization group was 95.65 and that of outpatient atomization group was 78.26,the difference was statistically significant(P<0.05).It is suggested that family atomization therapy with standardized health education and guidance can improve the quality of life and parents’ satisfaction.Conclusion: 1.After standardized health education and guidance,the curative effect of family atomization treatment group is better than that of outpatient atomization group,which can better improve lung function and reduce inflammatory indexes.2.Family atomization treatment through standardized health education and guidance can improve the family members on asthma-related knowledge and treatment compliance,but also can shorten the total number of atomization treatment and the number of days lasting each time..3.Family atomization therapy with standardized health education and guidance can improve children’s quality of life and parents’ satisfaction4.Family atomization therapy is effective and worthy of application and promotion.In practical clinical work,medical workers should strengthen their cognition of disease and educate and guide parents’ health.