Zhang B, Jin R, Guan R Z, Lin R J, Chang D Y, Zhang L H, Ding J
Medical College of Qingdao University, QingDao 266021, China.
Department of General Pediatrics, The Affiliated Hospital of Qingdao University, Qingdao 266100, China.
Zhonghua Yi Xue Za Zhi. 2020 Dec 15;100(46):3702-3705. doi: 10.3760/cma.j.ch112137-20200408-01125.
During the COVID-19 pandemic, the electronic "questionnaire star" was employed to investigate the general situation, medication situation and pandemic impact of children diagnosed with asthma in our hospital and enrolled in the electronic platform of the Chinese Children's Asthma Action Plan (CCAAP). The internet technology and big data were used to grasp the trend and asthma control of children who had been at home for a long time due to the pandemic, so as to facilitate the management. By random cluster sampling survey method, according to the needs and medication adherence score, the electronic "questionnaire star" was designed to conduct a survey among children (0 to 14 years old) who diagnosed with asthma and joined the CCAAP on the basis of bronchial asthma medication adherence scale. Finally, the results of electronic questionnaire survey were analyzed. A total of 423 questionnaires were sent out, 422 of which were valid, with an effective response rate of 99.7%. The results of questionnaire survey showed that 296 cases were male, accounting for 70.1%, and 126 cases were female, accounting for 29.9%, with an average age of (5.4±2.6) years old. The average age of males and females was (5.3±2.6) and (5.4±2.6) years old, respectively. There were more children aged ≥5 years than children who were younger than 5 years. Additionally, 13.95% of the parents thought that the pandemic had more than moderate impact on children with asthma, and 76.12% of the children were in the green zone and had no asthma attack. The proportion of green zone inhaled drugs (79.8%) was higher than yellow zone and red zone (49.8%). After using the CCAAP platform, the dissatisfaction rate was only 1.42%. Moreover, 71.87% of the children's medical expenses decreased, and the proportion of frequent use and intermittent use of antibiotics reduced, however, the proportion of occasional use and never use of antibiotics increased significantly (all <0.05). The average score of drug compliance was 4.56, and the more frequently the platform was used, the higher the score of medication compliance was (<0.05). After using CCAAP management with the aid of internet technology, children with asthma who had been isolated at home for a long time were less affected by COVID-19, with high medication compliance, generally lower medical expenses, significantly reduced use of antibiotics, and high satisfaction. This management mode provides a new idea for internet medicine.
在新型冠状病毒肺炎疫情期间,采用电子“问卷星”对我院确诊为哮喘且纳入中国儿童哮喘行动计划(CCAAP)电子平台的患儿的一般情况、用药情况及疫情影响进行调查。利用互联网技术和大数据掌握因疫情长期居家患儿的病情变化趋势及哮喘控制情况,以利于管理。采用随机整群抽样调查方法,依据需求及用药依从性评分,基于支气管哮喘用药依从性量表设计电子“问卷星”,对确诊哮喘且加入CCAAP的0至14岁患儿进行调查。最后对电子问卷调查结果进行分析。共发放问卷423份,有效问卷422份,有效回收率为99.7%。问卷调查结果显示,男性296例,占70.1%,女性126例,占29.9%,平均年龄为(5.4±2.6)岁。男性和女性的平均年龄分别为(5.3±2.6)岁和(5.4±2.6)岁。年龄≥5岁的患儿多于5岁以下的患儿。此外,13.95%的家长认为疫情对哮喘患儿有中度以上影响,76.12%的患儿处于绿色区域且未发生哮喘发作。绿色区域吸入药物的比例(79.8%)高于黄色区域和红色区域(49.8%)。使用CCAAP平台后,不满意率仅为1.42%。此外,71.87%的患儿医疗费用降低,频繁使用和间歇使用抗生素的比例降低,然而,偶尔使用和从未使用抗生素的比例显著增加(均P<0.05)。用药依从性平均得分为4.56分,平台使用频率越高,用药依从性得分越高(P<0.05)。借助互联网技术采用CCAAP管理后,长期居家隔离的哮喘患儿受新型冠状病毒肺炎的影响较小,用药依从性高,医疗费用普遍较低,抗生素使用显著减少,满意度高。这种管理模式为互联网医疗提供了新思路。