家庭教育-环境改良-功能干预在哮喘患儿延续性护理中应用观察  

Application of Family Education and Environment Improvement Combined with Functional Intervention in Continuing Nursing Care of Children with Asthma

作　　者：方梅英[1] 黎连华 

机构地区：[1]湖北省黄梅县人民医院护理部,黄梅县435500 [2]湖北省黄梅县人民医院儿科,黄梅县435500

出　　处：《中国病案》2017年第2期102-106,共5页Chinese Medical Record

基　　金：湖北省科技厅自然科学基金项目(2010CDB088042011-2012)

摘　　要：目的观察家庭教育-环境改良-功能干预在哮喘患儿延续性护理中的应用疗效。方法选取2011年9月-2014年9月某院儿科收治的148例哮喘患儿为研究对象,按照随机法分为对照组和观察组,每组74例。两组患儿住院期间给予相同治疗护理方案,出院后对照组患儿给予常规护理,定期进行常规门诊随访及复查,观察组在对照组基础上给予家庭教育-环境改良-功能干预等综合护理措施。比较两组患儿护理期间的依从性,哮喘控制评分、不同时间点SAS评分和生活质量评分。对两组患儿进行为期半年随访调查,比较两组患儿半年内哮喘复发率和再次住院率。结果观察组患儿在护理期间依从性总人数、疾病认知、遵医嘱服药、正确掌握雾化治疗和门诊复诊方面均显著高于对照组,差异具有统计学意义(P<0.05)。经随访结束后,观察组患儿的哮喘控制评分明显高于对照组,差异具有统计学意义(P<0.05);两组患儿出院后3个月和出院后6个月的SAS评分、疾病症状、疾病影响及活动受限评分较出院前明显增加,且观察组患儿在出院后3个月和6个月的SAS评分、疾病症状、疾病影响及活动受限评分显著优于同一时间点的对照组患儿,差异具有统计学意义(P<0.05)。观察组患儿半年复发率和半年内再次住院率明显低于对照组患儿,差异具有统计学意义(χ~2=5..322和4.035,P<0.05)。结论家庭教育、环境改良及功能干预应用哮喘患儿延续性护理效果显著,能够增强患儿药物服用依从性,提高患儿自我护理能力,降低患儿哮喘复发率及再次住院率,改善患儿出院后生活质量,值得临床推广应用。Objective To observe the effects of family education and environmental improvement combined with functional intervention in continuing nursing care of children with asthma. Methods 148 children with asthma treated in the department of pediatrics in our hospital between September 2011 and September 2014 were selected as study subjects, and were randomized into the control group and the observation group, 74 cases in each group. All children were given the same treatment and nursing regimen during hospitalization. After discharge from hospital, the control group was given routine nursing and regular outpatient follow-up and review. On the basis of the control group, the observation group was given family education and environmental improvement combined with functional intervention and other comprehensive nursing measures. Compliance, asthma control score, SAS scores at different time points and quality of ]fie scores were compared between the two groups. Both groups were followed up for six months in behavior phase. The recurrence rate and readmission rate were compared between the two groups. Results During nursing, the proportions of patients who had compliance, bad awareness of disease, took medicine according to doctors＇ advice, correctly grasped atomization treatment and received outpatient review in observation group were significantly higher than those in control group （P〈0. 05）. After the end of follow-up, the asthma control score in observation group was significantly higher than that in the control group （P〈0. 05）; 3 months and 6 months after discharge from hospital, SAS scores, disease symptoms, disease influence and limitation of activity scores in both groups were significantly higher than those before treatment, and those in observation group were significantly better than those in control group at the same time point （P〈0. 05）. The recurrence rate and readmission rte within six months in observation group were significantly lower than those in control group （ X 2=5.. 322 and 4.

关 键 词：家庭教育 环境改良 功能干预 小儿哮喘 护理 

分 类 号：R473.72[医药卫生—护理学]