知信行基础上跟踪延伸护理对川崎病患儿康复效果及疾病知识程度的影响  

Effect of follow-up extended nursing on rehabilitation effect and disease knowledge of children with Kawasaki disease based on knowledge,belief and action

作　　者：段素娴 冯东灵[1] 苏梅艳 张英谦[1] DUAN Suxian;FENG Dongling;SU Meiyan;ZHANG Yingqian(Department of Cardiology,Children’s Hospital of Hebei Province,Hebei Province,Shijiazhuang 050000,China)

机构地区：[1]河北省儿童医院心内科,河北石家庄050000

出　　处：《中国医药导报》2022年第3期150-153,共4页China Medical Herald

基　　金：河北省重点研发计划项目(18277708D)。

摘　　要：目的探讨知信行基础上跟踪延伸护理对川崎病患儿康复效果、患儿疾病知识程度的影响。方法采用回顾性研究,将河北省儿童医院2019年2月至2021年1月就诊并出院的92例川崎病患儿及92名患儿家属作为研究对象,根据随机数字表法分为对照组和研究组,每组各46例患儿及46名家属。对照组采用基础护理,研究组采用知信行基础上跟踪延伸护理,对两组护理结局比较并分析。结果护理后,两组患儿家属疾病知识掌握程度评分均高于护理前,且研究组高于对照组(P<0.05);研究组患儿的并发症总发生率低于对照组(P<0.05);研究组患儿的症状消失时间明显短于对照组(P<0.05);研究组患儿家属护理满意度高于对照组(P<0.05)。结论对川崎病患儿采取知信行基础上的跟踪延伸护理,可以缩短患儿症状消失时间,并有效降低并发症发生率,提高患儿家属的疾病知识掌握程度、以及护理满意度,在临床上有一定的参考价值。Objective To explore the effect of follow-up extended nursing based on knowledge,belief and action on the rehabilitation effect and disease knowledge of children with Kawasaki disease.Methods A retrospective study was conducted to study 92 children with Kawasaki disease and 92 children’s family members who were admitted and discharged from Children’Hospital of Hebei Province from February 2019 to January 2021,according to random number table method,the patients were divided into control group and study group,with 46 children and 46 family members in each group,basic nursing was used in the control group,and follow-up extended nursing was used in the research group on the basis of knowledge,belief and action.The outcomes of the two groups were compared and analyzed.Results The score of family members’knowledge of disease in study group was higher than that in control group(P<0.05).The total incidence of complications in study group was lower than that in control group(P<0.05).The symptom disappeared time in the study group was significantly shorter than that in the control group(P<0.05).The nursing satisfaction of family members in the study group was higher than that in the control group(P<0.05).Conclusion Children with Kawasaki disease can shorten the time for symptoms to disappear by taking follow-up extened care based on knowledge,belief and action,it can effectively reduce the incidence of complications,improve the family members’knowledge of the disease and nursing satisfaction,which has certain reference value in clinical practice.

关 键 词：川崎病 知信行模式 跟踪延伸护理 疾病知识程度 康复效果 

分 类 号：R473[医药卫生—护理学]