参与式护理模式在水痘患儿主要照顾者中的应用探讨  

Application of participatory care in the main caregivers of varicella children

作　　者：黄慧懿[1] 钱湘云[1] 韩建平[1] 季永香 季媛 HUANG Huiyi;QIAN Xiangyun;HAN Jianping;JI Yongxiang;JI Yuan(Department of Infectious Diseases,the Third People's Hospital Affiliated to Nantong University, Nantong 226006,China)

机构地区：[1]南通大学附属南通第三医院传染科,江苏南通226006

出　　处：《医药高职教育与现代护理》2021年第2期135-139,共5页Medical Higher Vocational Education and Modern Nursing

基　　金：江苏省南通市市级科技计划(指导性)项目(MSZ18052);南通市市级科技计划项目(HS2016002)。

摘　　要：目的探讨参与式护理模式在水痘患儿主要照顾者中的应用效果。方法选取南通大学附属南通第三医院2018年6月至2019年6月住院的120例水痘患儿主要照顾者作为研究对象,其中2018年6月至12月间住院的患儿主要照顾者设为对照组(60人),2019年1月至6月住院的设为干预组(60人)。对照组患儿主要照顾者按常规模式,只负责患儿生活护理及陪伴;干预组采用家长参与式护理模式对患儿进行护理。分别对两组患儿主要照顾者干预前、干预后的正性负性情绪及水痘相关知识掌握情况、护理满意度进行比较。结果干预后干预组正性情绪得分高于对照组,负性情绪得分低于对照组(均P<0.05);水痘相关知识中的体温测看、发热配合处理、并发症观察、皮肤完整性保护、饮食、出院后注意事项的掌握均优于对照组(均P<0.05);第三方满意度调查干预组高于对照组(P<0.05)。结论参与式护理模式可以缓解水痘患儿主要照顾者负性情绪,提高水痘相关知识的掌握程度及护理满意度。Objective To explore the application effect of participatory nursing mode in the primary caregivers of children with varicella.Methods One hundred and twenty main caregivers of children with varicella in the Third Hospital Affiliated to Nantong University from June 2018 to June 2019 were selected and divided into two groups according to the order of admission.In the control group,the main caregivers were only responsible for the life care and companionship of the children according to the conventional mode.In the intervention group,the children were nursed by parental participation nursing mode.The positive and negative emotions,chickenpox related knowledge and nursing satisfaction of main caregivers were compared before and after intervention,respectively.Results After the intervention,the positive mood score of the intervention group was higher than that of the control group,while the negative mood score of the intervention group was lower than that of the control group(all P<0.05).The knowledge of chickenpox which was consisted of temperature measurement,fever treatment,complication observation,skin integrity protection,diet and matters requiring attention was better in intervention group compared to the control group(all P<0.05).The satisfaction rates in intervention group was higher than that of the control group(P<0.05).Conclusions The participatory nursing mode can relieve the negative emotions of the main caregivers of children with chickenpox and improve the mastery of chickenpox related knowledge and nursing satisfaction.

关 键 词：家长参与式 水痘 主要照顾者 

分 类 号：R47[医药卫生—护理学]