To investigate the effect of family intervention on acute attack of bronchial asthma induced by gastroesophageal reflux which caused by long-term nasal feeding.

Patients hospitalized in the People’s Hospital of Rongcheng city From January 2010 to January 2014 with acute asthma attacks and indwelling gastric tube 1 month above, and who need to continue intervention in community were chosen. Forty-nine patients were divided into two groups, the observation groups (n=21) and control groups (n=24).The family intervention group was established by community health care workers, they gave the observation group gather-training, telephone follow-up, family visit and so on. The control group received routine telephone follow-up of once a month and family visit once 6 months. After 12 months of intervention, the scores of symptom of gastroesophageal reflux, methods for application of asthma, controlling situation of asthma and caregiver burden were compared between the two groups. T test was used to compare the scores between symptom of gastroesophageal reflux and caregiver burden, chi-square test was used to compare the methods for application of asthma, rank sum test was used to compare controlling situation of asthma between two groups.

After 1 years of intervention, the scores of symptoms of gastroesophageal reflux in the observation group was significantly lower than the control group (2.7±0.4, 3.5±0.8. t=4.15,P<0.01). Methods for application of asthma in observation group were powder inhalation and atomization inhalation, and the control group was mainly oral. It turns out that the observation group was significantly better than the control group (χ²=16.93,P<0.01). In the observation group, the individual burden, the role burden and the total burden of family caregivers were significantly better than those in the control group (27.9±6.4, 10.2±3.4, 38.9±5.1, 32.6±5.1, 12.7±4.1, 43.2±7.4. t=2.74, 2.22, 2.24,P<0.05 or 0.01).

Family intervention can improve the care and management capabilities of family caregivers, alleviate the symptoms of gastroesophageal reflux, reduce the times of patients with acute attacks of asthma, and significantly reduce the burden of family caregivers.