摘要
目的:探讨基于知信行理论的随访式护理对危重型先天性心脏病患儿的应用效果。方法:选取2018年1月—2022年12月山东大学齐鲁医院收治的70例危重型先天性心脏病患儿作为研究对象,根据随机数字表法分为对照组与观察组,各35例。对照组实施常规护理,观察组实施基于知信行理论的随访式护理。比较两组并发症发生情况、再入院情况、照护质量、照护者自我效能。结果:观察组并发症发生率低于对照组,差异有统计学意义(P=0.012)。观察组再入院率低于对照组,差异有统计学意义(P=0.046)。出院后,观察组喂养、手术切口护理、危急病情识别评分均高于对照组,差异有统计学意义(P=0.001)。出院后,观察组照护者的自我效能评分高于对照组,差异有统计学意义(P=0.001)。结论:基于知信行理论的随访式护理对危重型先天性心脏病患儿的应用效果显著,能够降低患儿并发症发生率及再住院率,提高照护者的自我效能。
Objective:To explore the application effect of follow-up nursing based on the knowledge-attitude-practice theory in children with critical congenital heart disease.Methods:A total of 70 children with critical congenital heart disease admitted to Qilu Hospital of Shandong University from January 2018 to December 2022 were selected as the subjects of this study.They were divided into control group and observation group according to random number table method,with 35 cases in each group.The control group was given conventional nursing and the observation group was given follow-up nursing based on the knowledgeattitude-practice theory.The occurrence of complications,hospital readmission,quality of care,and self-efficacy of caregivers in two groups were compared.Results:The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.012).The hospital readmission rate in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.046).After discharge,the feeding,surgical incision nursing,and critical condition recognition scores in observation group were higher than those in control group,and the differences were statistically significant(P=0.001).After discharge,the self-efficacy scores of caregivers in the observation group were higher than those in the control group,and the differences were statistically significant(P=0.001).Conclusion:The follow-up nursing mode based on the knowledge-attitude-practice theory has significant application effects in children with critical congenital heart disease,which can reduce the incidence of complications and hospital readmission rate,and enhance the selfefficacy of caregivers.
作者
吴晓烜
Wu Xiao-xuan(Qilu Hospital of Shandong University,Jinan 250000,Shandong Province,China)
出处
《中国社区医师》
2023年第11期116-118,共3页
Chinese Community Doctors
关键词
知信行理论
随访式护理
先天性心脏病
Theory of Knowledge,Attitude and Practice
Follow-up nursing
Congenital heart disease
