摘要
目的探讨整体护理联合以家庭为中心的护理模式对儿童支气管哮喘急性发作及患儿生活质量的影响。方法选择我院2013年3月至2015年6月收治的200例支气管哮喘急性发作患儿,按入院时间分为对照组与联合组,各100例,对照组仅在住院期间实施整体护理,联合组在对照组的基础上加以为期12周的以家庭为中心的护理。观察记录两组患儿24 h症状缓解情况及出院后4、12周复发情况;采用自制问卷调查两组患儿家长哮喘知识掌握度、雾化吸入方法掌握度及护理满意度;比较两组患儿护理前、后的生活质量。结果两组患儿24 h症状缓解率无显著差异(P>0.05);联合组出院后4、12周复发率均显著低于对照组(P<0.05);联合组患儿家长的哮喘知识掌握度、雾化吸入正确方法掌握度及护理满意度均显著高于对照组(P<0.05);护理后,两组患儿症状、活动、情感功能评分均显著升高,且联合组高于对照组(P<0.05)。结论对支气管哮喘急性发作患儿实施整体护理联合以家庭为中心的护理模式,可有效促进患儿康复,降低复发风险,提高患儿生活质量,并能提高家长对护理的认可度与满意度。
Objective To explore the effect of holistic nursing combined with family-centered nursing model on acuteattack of children with bronchial asthma and quality of life of children. Methods From March 2013 to June 2015, 200children with acute asthma attack were selected and divided into control group and joint group according to the order ofadmission, with 100 cases in each group, the control group was only given holistic nursing during hospitalization, the jointgroup received 12-week family-centered nursing based on the control group. The 24 h symptom remission, recurrence at4and 12 weeks after discharge in both groups were observed; self-made questionnaires were used to investigate the masteryof asthma knowledge, the mastery of aerosol inhalation method and nursing satisfaction of parents in the two groups; thequality of life of children of the two groups before and after nursing were compared. Results There was no significantdifference in the 24 h symptom remission rates between the two groups（P〉0.05）. The recurrence rates of the joint group at4 and 12 weeks after discharge were significantly lower than those of the control group （P〈0.05）. The mastery of asthmaknowledge, the mastery of aerosol inhalation method and nursing satisfaction in the parents of the joint group weresignificantly higher than those in the control group（P〈0.05）. After nursing, the scores of symptoms, activities and emotional function of the two groups significantly increased, and those in the joint group were higher than the control group（P〈0.05）.Conclusion The implementation of holistic nursing combined with family-centered nursing mode for children with acutebronchial asthma can effectively promote the rehabilitation of children, decrease the risk of recurrence, improve the qualityof life of children, and improve the recognition and satisfaction of parents.
作者
刘宁
戚晓秦
嵇志娟
王净非
雷娟
LIU Ning, QI Xiao-qin , JI Zhi-juan, WANG Jing-fei, LEI Juan(Pediatrics Department, Shaanxi Second Provincial People＇s Hospital, Xi＇an 710005, China)
出处
《临床医学研究与实践》
2018年第28期182-184,共3页
Clinical Research and Practice
