上海护理 2023 年 11月 第 23 卷 第 11 期
标准化儿童哮喘门诊管理对患儿峰流速仪正确使用的效果观察
高 艳，胡肖银，邓 力，秦 怡，陆嘉宁，林文春，赵斯静，张彩凤
（广州市妇女儿童医疗中心，广东 广州 510000）
摘要：目的 探讨标准化儿童哮喘门诊在提高患儿峰流速仪（PEF 仪）使用率和规范率中的应用效果。
方法 选取2021年6月至2022年6月我院标准化儿童哮喘门诊收治的110例6岁以上哮喘患儿为研究
对象，通过标准化门诊流程及要求对其进行评估指导及远程随访管理。分别在儿童哮喘标准化门诊就
诊前及就诊 6个月后比较患儿 PEF仪使用情况、复诊情况、用药正确情况及哮喘控制情况。结果 110
例哮喘患儿在标准化儿童哮喘门诊就诊 6个月后，其 PEF仪使用率由就诊前的 18.18%提升至 91.82%，
且峰流速仪各个环节使用规范率明显提升，差异具有统计学意义（P<0.05）；患儿按时复诊率由 33.63%
上升为 80.91%，药物使用规范率由 17.27% 上升为 74.55%，哮喘控制良好状态的人数比例由 58.18% 上
升为80.00%，差异均具有统计学意义（P<0.05）。结论 标准化儿童哮喘门诊可以有效提高患儿PEF仪
使用率及规范率，为患儿的自我监测及疾病管理提供保障，同时提高患儿按时复诊率及药物使用正确
率，提高哮喘控制水平。
关键词：标准化门诊；儿童哮喘；峰流速仪；使用率；规范率
中图分类号：R473.56 文献标志码：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
作者简介：高 艳（1989－），女，主管护师，本科，主要从事儿童呼吸道
慢性疾病管理工作。
通信作者：张彩凤（1985－），女，主管护师，硕士，主要从事儿童呼吸道
慢性疾病管理及循证护理工作。E-mail：18925099446@
126.com
基金项目：广 州 市 科 技 计 划 项 目 市 校（院）企 联 合 资 助 专 题
（2023A03J0690）。
·专科护理·
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