家庭治疗和护理行为干预模式在A型血友病患儿中的临床应用  

Clinical application of family therapy and nursing behavior intervention model in children with type A hemophilia

作　　者：李颖 高华 LI Ying;GAO Hua(Department of Rehabilitation Medicine,the Third People's Hospital of Chengdu,Affiliated Hospital of Southwest Jiaotong University,Chengdu 610000,Sichuan,China;Department of Hematology,the Third People's Hospital of Chengdu,Affiliated Hospital of Southwest Jiaotong University,Chengdu 610000,Sichuan,China)

机构地区：[1]西南交通大学附属医院·成都市第三人民医院康复医学科,四川成都610000 [2]西南交通大学附属医院·成都市第三人民医院血液科,四川成都610000

出　　处：《川北医学院学报》2022年第4期532-535,共4页Journal of North Sichuan Medical College

基　　金：四川省医学科研课题(S18068)。

摘　　要：目的:探讨家庭治疗和护理行为干预模式在血友病中的临床价值。方法:将60例A型血友病患儿按护理方式不同分为观察组和对照组,每组各30例。对照组采用常规护理干预,观察组在对照组的基础上采用家庭治疗和护理行为干预模式。比较干预前后两组的功能独立性评分(FISH)、关节健康评估表(HJHS)评分、负性情绪(HAMD)评分及出血并发症情况。结果:干预前,两组FISH、HJHS评分、HAMD评分比较,差异均无统计学意义(P>0.05);干预后,两组FISH均上升,HJHS评分、HAMD评分均下降,且观察组优于对照组,差异均有统计学意义(P<0.05)。观察组出血并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:家庭治疗和护理行为干预模式护理可提高A型血友病患儿的生活自理能力和关节肌肉功能,缓解负性情绪,减少出血并发症发生,临床应用价值较高。Objective:To investigate the clinical value of family therapy and nursing intervention mode in hemophilia.Methods:60 children with hemophilia were divided into observation group and control group according to different nursing methods,30 cases in each group.The control group was treated with routine nursing intervention,and the observation group was treated with family therapy and nursing behavior intervention on the basis of the control group.The scores of FISH,HJHS,HAMD and bleeding complications were compared before and after the intervention.Results:Before intervention,there was no significant difference in FISH,HJHS score and HAMD score between the two groups(P>0.05).After the intervention,FISH increased significantly,HJHS score and HAMD score decreased significantly in the two groups,and the observation group was better than the control group(P<0.05).The incidence of bleeding complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:For children with type A hemophilia,family therapy and nursing behavior intervention can improve self-care ability and joint muscle function,alleviate negative emotions and reduce bleeding complications.It has high clinical value and is worthy of clinical application.

关 键 词：A型血友病 家庭治疗 护理行为 干预模式 

分 类 号：R554.1[医药卫生—血液循环系统疾病] R473.72[医药卫生—内科学]