重症肺炎患儿护理中开展出院健康教育计划模式临床效果观察  

The clinical effects of discharging from hospital health education scheme in the nursing of children patients with severe pneumonia

作　　者：梁红玉[1] 王永强 李会仙[1] 杨玉倩 李蕾 LIANG Hongyu;FANG Yongqiang;LI Huixian(Children＇ s Hospital of Baoding City,Hebei,Baoding 071000,China)

机构地区：[1]河北省保定市儿童医院,071000 [2]河北省安国市医院

出　　处：《河北医药》2018年第18期2862-2865,共4页Hebei Medical Journal

基　　金：保定市科学技术研究与发展计划项目(编号:17ZF051)

摘　　要：目的探讨重症肺炎患儿护理中开展出院健康教育计划模式临床效果。方法 98例重症肺炎患儿随机分为对照组和研究组,每组48例。对照组患儿和家属在出院前接受常规的健康教育,研究组接受出院健康教育计划干预,并对所有患儿及家属进行为其6个月的跟踪随访,统计并对比随访期间复发率、总医疗费用、随访结束时家属心理状态[汉密尔顿抑郁量表(HAMS)、汉密尔顿焦虑量表(HAMA)]及生活质量评分(健康SF-36量表),家长健康知识掌握率及护理满意率。结果观察组复发率明显低于对照组,总医疗费用也较低,差异有统计学意义(P<0.05);2组护理前HAMD、HAMA评分差异无统计学意义(P>0.05),观察组护理后HAMD、HAMA评分明显低于对照组,差异有统计学意义(P<0.05);观察组护理后生理功能、生理职能、社会功能、情感职能、躯体疼痛、活力、总体健康、精神健康等SF-36量表评分明显优于对照组,差异有统计学意义(P<0.05);观察组健康知识掌握率及护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论重症肺炎患儿护理中开展出院健康教育计划模式临床效果显著,能够获得延续性系统化健康教育知识,降低复发率,改善家长及患儿的心理状态,提高生活质量,提升护理满意度,具有积极的临床意义。Objective To investigate the clinical effects of discharging from hospital health education scheme in the nursing of children patients with severe pneumonia. Methods A total of 98 children patients with severe pneumonia who were treated in our hospital from March 2016 to March 2017 were randomly divided into control group（n = 48） and observation group（n = 48）. The patients and family members in control group received conventional health education,however,those in observation group received discharging from hospital health education scheme intervention,with 6-month follow up for both groups. The relapse rate,total medical cost,family psychological status（HAMS and HAMA rating scales） and life quality score（SF-36 rating scale） as well as health knowledge mastering rate of parents and nursing satisfaction degree were observed and compared between the two groups. Results The relapse rate and total medical cost in observation group were significantly lower than those in control group（P〈0. 05）. Before nursing there were no significant differences in HAMD scores and HAMA scores between the two groups（P〈0. 05）,however,after nursing the HAMD scores and HAMA scores in observation group were significantly lower than those in control group（P〈0. 05）. After nursing,the physiological function,physical function,social function,emotional function,body pain,vitality,general health,mental health and the other SF-36 scale scores in observation group were superior to those in control group（P〈0. 05）. Moreover the health knowledge mastering rate of parents and nursing satisfaction degree in observation group were significantly higher than those in control group（P〈0. 05）.Conclusion The clinical effects of discharging from hospital health education scheme in the nursing of children patients with severe pneumonia are quite obvious,which can achieve continuity systematic health education knowledge,reduce the recurrence rate,improve mental status of parents and patients,improve life quality and n

关 键 词：小儿重症肺炎 出院健康教育计划模式 临床护理 效果观察 

分 类 号：R473.72[医药卫生—护理学]