基于三维质量评价模式的延续护理在阻塞性睡眠呼吸暂停低通气综合征患儿中的应用  

Application of continuous care based on three-dimensional quality assessment model in children with obstructive sleep apnea-hypopnea syndrome

作　　者：厉斌璐 辛渊[1] 陈洁[1] Li Binlu;Xin Yuan;Chen Jie(Department of Otorhinolaryngology Oral and Maxillofacial Surgery,Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属上海儿童医学中心耳鼻喉口腔颌面外科,200127

出　　处：《中华现代护理杂志》2021年第30期4157-4161,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于结构-过程-结果三维质量评价模式的延续护理在阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患儿中的应用效果。方法采用便利抽样法,选取2019年7月—2020年6月上海交通大学医学院附属上海儿童医学中心收治的OSAHS患儿380例作为研究对象,按入院先后顺序分为对照组和干预组,每组190例。对照组患儿采用常规护理方法,干预组患儿在此基础上实施基于结构-过程-结果三维质量评价模式的延续护理。比较干预前后两组患儿焦虑情绪以及干预后两组不良事件发生率和家长满意度。结果干预后,干预组患儿分离焦虑、躯体伤害恐惧、社交恐惧、强迫冲动障碍、恐慌障碍、广泛性焦虑和焦虑总分均低于对照组,干预组患儿继发性出血、伤口感染、肺部感染发生率低于对照组,干预组患儿家长对服务态度、护理技能、健康宣教、应急措施的满意度得分高于对照组,差异均有统计学意义(P<0.05)。结论基于结构-过程-结果三维质量评价模式的延续护理能够降低OSAHS患儿焦虑情绪和术后不良事件发生率,提高患儿家长满意度,值得临床推广应用。Objective To explore the application effect of continuous care based on structure-processresult three-dimensional quality assessment model in children with obstructive sleep apnea hypopnea syndrome(OSAHS).Methods Using the convenient sampling method,a total of 380 children with OSAHS who were admitted to Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine were selected as the research objects from July 2019 to June 2020.According to the order of admission,they were divided into the control group and the intervention group,with 190 cases in each group.The children in the control group used conventional nursing methods,while children in the intervention group implemented continuous care based on the structure-process-result three-dimensional quality evaluation model on this basis.The anxiety of children of the two groups before and after the intervention and the incidence of adverse events and satisfaction of parents between the two groups after the intervention were compared.Results After the intervention,the total scores of separation anxiety,fear of physical injury,social phobia,obsessive-compulsive disorder,panic disorder,generalized anxiety,and anxiety in the intervention group were lower than those in the control group.The incidences of secondary bleeding,wound infection and lung infection in the intervention group were lower than that in the control group.The satisfaction scores of parents of children in the intervention group on service attitude,nursing skills,health education and emergency measures were higher than those in the control group.The differences were all statistically significant(P<0.05).Conclusions Continuing care based on structure-process-result three-dimensional quality assessment model can reduce the anxiety and the incidence of postoperative adverse events in children with ASAHS and improve satisfaction of parents of the children,which is worthy of clinical application.

关 键 词：儿童 结构-过程-结果三维质量评价模式 延续护理 阻塞性睡眠呼吸暂停低通气综合征 

分 类 号：R473.76[医药卫生—护理学]