以护士为主导的哮喘患儿延续护理实践  

Transitional care service dominated by nurses for children with asthma

作　　者：郭蓉[1] 刘玉琳[1] 袁小平[1] 赵智华[1] 张萍[2] 郑显兰[3] GUO Rong LIU Yulin YUANXiaoping ZHAO Zhihua ZHANG Ping ZHENG Xianlan(Children＇s hospital of Chongqing Medical University, 400014 China)

机构地区：[1]重庆医科大学附属儿童医院呼吸中心,重庆市400014 [2]重庆医科大学附属儿童医院财务处,重庆市400014 [3]重庆医科大学附属儿童医院护理部,重庆市400014

出　　处：《中国护理管理》2016年第12期1595-1599,共5页Chinese Nursing Management

基　　金：重庆市渝中区软科学研究项目(20140136);重庆市卫生局医学科研项目(2013-2-055)

摘　　要：目的 :总结哮喘患儿延续护理方法并评价实施效果。方法 :成立哮喘患儿管理团队,建立哮喘患儿档案,实施哮喘延续护理。便利抽取2016年1月在我院哮喘门诊就诊的51例患儿,评估实施哮喘延续护理6个月后的效果。结果 :51例哮喘患儿的哮喘控制水平由(19.54±3.87)分提高至(22.40±3.42)分(P<0.01),用药依从性由(3.90±1.02)分提高至(4.66±0.47)分(P<0.01),焦虑水平由(29.47±8.40)分降至(25.61±5.83)分(P<0.01),肺功能FEV1%由(69.35±9.97)上升至(90.47±9.68)(P<0.01),PEF%由(63.74±12.40)上升至(89.44±7.55)(P<0.01)。结论 :以护士为主导的延续护理有利于哮喘患儿管理,但存在着护理人力短缺、家庭访视缺失等问题,建议更多护士参与哮喘患儿延续护理工作。建议加强推广微信群、QQ群、哮喘管理软件等新兴延续护理模式。Objective： To summarize the method of transitional care service dominated by nurses for children with asthma and evaluate its effect. Methods： In order to control and manage asthma, we launched transitional care service for children with asthma which asthma management capability assessment, implementation of asthma transitional care （asthma related education, improvement of the asthma self-management ability, and the psychological support for asthmatic children and their parents）, and evaluation the asthma management were included. Results： Before and after continuing care service, children＇s C-ACT score were （19.54±3.87） vs. （22.40±3.42） （P〈0.01）, MARS-A score 0.90±1.02） vs. （4.66±0.47） （P〈0.01）, SAS score （29.47±8.40） vs. （25.61±5.83） （P〈0.01）, FEV1% （69.35±9.97） vs. （90.47±9.68） （P〈0.01）, PEF% （63.74±12.40） vs. （89.44±7.55） （P〈0.01）. Conclusion： The effect of transitional care for children with asthma is remarkable. However there were some problems such as shortages of nursing manpower, lack of family visit, and patients demand increase. Therefore, in order to improve efficiency and optimized nursing outcomes, more specialized nurses, part-time nurses, and community nurses should be involved in the asthma transitional care, and the application of emerging extended care model such as WeChat group, QQ group, asthma management ,et al., should be promoted at the same time.

关 键 词：延续护理 哮喘管理 实践 

分 类 号：R47[医药卫生—护理学]