Objective: To explore the effect of peer education combining with family nursing on management of children with asthma. Methods: 90 cases which were selected from a major hospital as the research objects, were randomly divided into family nursing intervention group (family group), peer education united family nursing intervention group (united group) and control group, and 30 cases for each group. Family group received general nursing and family nursing intervention, combination group received general nursing measures, peer education and family nursing interventions, the control group only accept general nursing. The data of disease control and self-management were collected to evaluate the intervention effect in the follow-up 1 month, 3 months, 6 months after intervention. Results: After the intervention, the scores of C-ACT, disease self-management, daily life management, social psychology, medical management of children with asthma in three groups were improved compared with before, the difference was statistically significant（P<0.001）. United group, the C-ACT score, the total score of self-management and the subscales scores were higher than the family group, and control group was the lowest. Conclusion: Peer education combine family nursing intervention can improve the control and self-management level of children with asthma, peer education united family care effect is remarkable.

Family nursing, Peer education, Pediatric asthma, Intervention

 目的：探讨同伴教育联合家庭护理干预在儿童哮喘病管理的应用效果。方法：选取天津市某三级甲等医院儿童哮喘门诊7~11岁的哮喘儿童90例，随机分为家庭护理干预组（家庭组）、同伴教育联合家庭护理干预组（联合组）和对照组，每组30例。家庭组接受一般护理干预和家庭干预措施，联合组接受一般护理措施、同伴教育和家庭干预措施，对照组仅接受一般干预措施。干预后1个月、3个月、6个月分别随访3组患儿哮喘控制及自我管理情况，对干预效果进行评价。结果：干预后3组哮喘患儿的儿童哮喘控制问卷（C-ACT）得分、疾病自我管理总得分、日常生活管理得分、疾病医学管理得分、社会心理管理得分较干预前有提高，差异有统计学意义（P<0.001）。联合组哮喘控制得分、自我管理总得分和各分量表得分均高于家庭组，对照组得分最低。结论：同伴教育联合家庭护理干预可改善患儿哮喘控制情况和自我管理水平，同伴教育联合家庭护理效果显著。