院外家庭护理干预在门诊学龄前期哮喘患儿中的应用效果  

Application effect of out-of-hospital home nursing intervention preschool children with asthma in outpatient clinic

作　　者：唐利华[1] 韦琴[1] 覃美淑[1] 杨少丽[1] 黄玉琳 李君丽[1] 覃幼玲 TANG Lihua;WEI Qin;QIN Meishu;YANG Shaoli;HUANG Yulin;LI Junli;QIN Youling(Department of Pediatrics,the First Affiliated Hospital of Guangxi Medical University,Guangxi Zhuang Autonomous Region,Nanning530021,China)

机构地区：[1]广西医科大学第一附属医院儿科,广西南宁530021

出　　处：《中国医药导报》2020年第26期166-169,共4页China Medical Herald

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2015545)。

摘　　要：目的分析院外家庭护理干预在门诊学龄前期哮喘患儿中的应用效果。方法选取2015年11月—2019年5月在广西医科大学第一附属医院儿科门诊就诊的学龄前期中度持续哮喘患儿360例,按照随机数字表分为对照组和研究组,每组各180例。对照组接受院外常规护理指导,研究组在院外实施家庭护理干预措施。比较两组患儿6个月后呼吸峰流速占预计值百分比(PEF%)、第1秒用力呼气容积占预计值百分比(FEV1%)、儿童哮喘生命质量问卷评分(PAQLQ)、遵医依从性、急性发作频次、再次就诊次数、哮喘日夜间症状评分。结果家庭护理干预6个月后,两组患儿PEF%和FEV1%高于入组时,且研究组高于对照组,差异有高度统计学意义(P<0.01);两组患儿症状维度、活动维度及情感功能等评分均高于入组时,且研究组高于对照组,差异有统计学意义(P<0.05)。两组患儿不同时间遵医依从性比较,差异有统计学意义(P<0.05)。研究组干预3、6个月遵医依从性高于对照组,差异有统计学意义(P<0.05)。研究组干预6个月后,哮喘急性发作频次及再就诊次数少于对照组,差异有统计学意义(P<0.05);研究组哮喘日间症状评分及夜间症状评分均低于对照组,差异有统计学意义(P<0.05)。结论院外家庭护理干预可提高患儿遵医依从性,能减少患儿急性发作频次、再次就诊次数,提高其生命质量,对临床儿童慢性病的防治可提供参考。Objective To analyze the application effect of out-of-hospital home nursing intervention in outpatient preschool children with asthma.Methods A total of 360 preschool children with moderate persistent asthma who attended the Pediatric Clinic of the First Affiliated Hospital of Guangxi Medical University from November 2015 to May 2019 were divided into control group and study group according to random number table method,with 180 cases in each group.The control group was received out-of-hospital routine nursing guidance,while the research group was implemented home nursing interventions outside the hospital.The percentage of peak respiratory flow rate of the predicted value(PEF%),the percentage of forced expiratory volume in the first second(FEV1%),the children′s asthma quality of life questionnaire score(PAQLQ),and compliance sexuality,frequency of acute attacks,number of re-visits,asthma day and night symptom score were compared between two groups after six months.Results After six months of home care intervention,the PEF%and FEV1%of the two groups were higher than those when they were enrolled,while the study group were higher than those of the control group,and the differences were highly statistically significant(P<0.01);the scores of symptom dimension activity dimension and affective function were higher than those at the time of enrollment,while the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).The differences in compliance between the two groups at different times were statistically significant(P<0.05).The compliance of the study group for three and six months of intervention were higher than that of the control group,and the differences were statistically significant(P<0.05).After six months of intervention in the study group,the frequency of acute asthma attacks and the frequency of revisiting doctors were less than those of the control group,and the differences were statistically significant(P<0.05);the asthma daytime symptom score a

关 键 词：家庭护理干预 延续性护理 儿童哮喘 学龄前期 

分 类 号：R47[医药卫生—护理学]