慢性疾病儿童延续护理需求影响因素研究  

Influencing factors research of transitional care needs among children with chronic diseases

作　　者：李双子[1] 张萍[2] 罗业涛 刘玉琳[4] 胡丽君[5] Li Shuangzi;Zhang Ping;Luo Yetao;Liu Yulin;Hu Lijun(Department of Neurology, Children′s Hospital of Chongqing Medical University, Chongqing 400014, China;Department of Price, Children′s Hospital of Chongqing Medical University, Chongqing 400014, China;Department of Health Statistics and Information Management, School of Public Health and Management, Chongqing Medical University, Chongqing 400014, China;Department of Respiratory, Children′s Hospital of Chongqing Medical University, Chongqing 400014, China;Department of Gastrointestinal Surgery, Children′s Hospital of Chongqing Medical University, Chongqing 400014, China)

机构地区：[1]重庆医科大学附属儿童医院神经内科,400014 [2]重庆医科大学附属儿童医院物价科,400014 [3]重庆医科大学公共卫生与管理学院卫生统计与信息管理教研室,400014 [4]重庆医科大学附属儿童医院呼吸科,400014 [5]重庆医科大学附属儿童医院胃肠外科,400014

出　　处：《中国实用护理杂志》2019年第16期1242-1248,共7页Chinese Journal of Practical Nursing

基　　金：2018年重庆市渝中区科学技术委员会科研项目(20180166).

摘　　要：目的分析慢性疾病儿童及家庭延续护理需求的影响因素及作用,为制订适宜的延续护理模式提供参考。方法采用完全随机抽样,自设问卷,调查2017年5-10月在重庆医科大学附属儿童医院住院且符合纳入标准的500例慢性疾病儿童对延续护理的需求情况,根据需求结果进行分类,利用χ2检验、Fisher确切概率法、Cochran-Armitage趋势检验、Bonferroni法、Logistic回归分析需求的影响因素及作用。结果影响患儿及家庭对延续护理需求选择的主要因素:患儿的家庭经济状况,有无医疗保险,患儿年龄、性别、是否入园/入学,照顾者的文化程度、年龄、性别、是否为患儿父母等;这些因素对延续护理服务需求产生多方面、多层次的不同影响。结论慢性疾病儿童延续护理需求受诸多因素影响,这些因素影响着延续护理服务的诸多方面,延续服务中应综合考虑这些影响因素,因地制宜,开展满足患者需求的个性化延续护理服务。Objective To analyze the main influencing factors of transitional care needs for children with chronic disease, so as to provide evidence for formulating the appropriate transitional care mode for children with chronic disease. Methods Adopting complete random sampling and using self-designed questionnaire, investigate the need for 500 children with chronic disease who were hospitalized in the Children′s Hospital of Chongqing Medical University from May to October in 2017. Classification based on demand results. Using Chi square test, Fisher exact probability, Cochran-Armitage trend test, Bonferroni method and Logistic regression analysis the influencing factors of demand outcomes. Results That affect the patient′s needs included family economy, medical insurance, children′s age, residence and Primary caregiver′s education, age, sex, relationship with children and so on. These factors had different effects on the need of transitional care. Conclusions The transitional care needs of children with chronic diseases are affected by many factors, which affect many aspects of continuous care. These influencing factors should be taken into account in continuous care service, and personalized continuous care services should be provided to meet children′ needs according to local conditions.

关 键 词：儿童 需求 影响 慢性疾病 延续护理 

分 类 号：R473.72[医药卫生—护理学]