照护信息系统联合个案管理模式在恶性血液病患儿中的应用效果  

Effects of care information system combined with case management in children with hematological malignancies

作　　者：谢珺 张玉侠 范菊红 吴菲菲[3] 姜叶 Xie Jun;Zhang Yuxia;Fan Juhong;Wu Feifei;Jiang Ye(Nursing Department,Wuxi Children's Hospital,Wuxi 214023,China;Nursing Department,Zhongshan Hospital,Fudan University,Shanghai 200000,China;Department of Hematology,Wuxi Children's Hospital,Wuxi 214023,China)

机构地区：[1]无锡市儿童医院护理部,无锡214023 [2]复旦大学附属中山医院护理部,上海200000 [3]无锡市儿童医院血液科,无锡214023

出　　处：《中华现代护理杂志》2022年第30期4208-4214,共7页Chinese Journal of Modern Nursing

基　　金：无锡市卫生健康委科研项目(MS201953);无锡市卫生健康委中青年拔尖人才资助计划(BJ2020090)。

摘　　要：目的探讨照护信息系统联合个案管理模式对恶性血液病患儿生活质量、对药物的依从性以及患儿和家长焦虑情绪的影响。方法采用便利抽样法,选取2020年1月—2021年4月就诊于无锡市儿童医院血液科并确诊为恶性血液病的70例患儿及其家长为研究对象,按入院时间采用随机数字表法将患儿及其家长分为对照组和研究组,各35例患儿及其家长。对照组采取血液病护理常规,研究组在对照组基础上实施照护信息系统联合个案管理模式。于干预前及干预后第1、3个月患儿采用PedsQLTM儿童生活质量普适核心量表(PedsQLTM4.0)、中文版Morisky用药依从性量表(MMAS-8)评价患儿情况,并采用焦虑自评量表(SAS)评价患儿及其家长情况。结果干预后第1个月,研究组患儿PedsQLTM4.0总分及情感功能评分均高于对照组,患儿及其家长SAS评分均低于对照组,差异有统计学意义(P<0.05)。干预后第3个月,研究组患儿PedsQLTM4.0总分及生理功能、情感功能、社会功能和学校功能评分以及MMAS-8评分均高于对照组,患儿及其家长SAS评分均低于对照组,差异均有统计学意义(P<0.05)。结论照护信息系统联合个案管理模式能有效改善恶性血液病患儿生活质量,提高其用药依从性,缓解患儿及其家长焦虑情绪。Objective To explore the effect of care information system combined with case management on the quality of life of children with hematological malignancies,drug compliance,and anxiety of children and their parents.Methods From January 2020 to April 2021,convenience sampling was used to select 70 children who were diagnosed with hematological malignancies and their parents in the Department of Hematology of Wuxi Children's Hospital as the research object.According to the time of admission,the children and their parents were divided into the control group and the study group by random number table method,35 children and their parents in each group.The control group adopted routine hematological nursing,and the study group implemented the care information system combined with case management on the basis of the control group.Before the intervention and at the first and third month after the intervention,the children were evaluated by the Pediatric Quality of Life Inventory Measurement Model Version 4.0(PedsQLTM 4.0)and the Chinese version of the 8-item Morisky Medication Adherence Scale(MMAS-8),and the Self-rating Anxiety Scale(SAS)was used to evaluate the children and their parents.Results At the first month after the intervention,the PedsQLTM 4.0 total score and emotional function score of the children in the study group were higher than those in the control group,and the SAS scores of the children and their parents were lower than those in the control group,with statistically significant differences(P<0.05).At the third month after the intervention,the total score of PedsQLTM 4.0,physical function,emotional function,social function and school function scores and MMAS-8 score of the children in the study group were higher than those in the control group,and the SAS scores of the children and their parents were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions The care information system combined with the case management can effectively improve the quality

关 键 词：儿童 恶性血液病 信息系统 个案管理 

分 类 号：R473.73[医药卫生—护理学]