全人照护管理在重症肺炎患儿临床护理中的应用  

Application of holistic care management in clinical nursing of children with severe pneumonia

作　　者：张琰敏[1] 韩金芬[1] 姜洪波[1] 焦卫华[1] 周燕[1] 王川云[1] 李天超[1] Zhang Yanmin;Han Jinfen;Jiang Hongbo;Jiao Weihua;Zhou Yan;Wang Chuanyun;Li Tianchao(The Third Affiliated Hospital of Xinxiang Medical College,Xinxiang 453000,Henan,China)

机构地区：[1]新乡医学院第三附属医院,河南新乡453000

出　　处：《临床心身疾病杂志》2023年第1期144-149,共6页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨全人照护管理在重症肺炎患儿临床护理中的应用效果。方法将96例重症肺炎患儿按随机数字表法分为观察组和对照组,各48例。对照组实施常规护理干预,观察组在对照组基础上实施全人照护管理,观察住院全程,出院后随访1个月。于干预前及干预后(出院当天),采用儿童医疗恐惧调查表调查患儿的医疗恐惧情况,采用Frankl依从量表、Houpt行为量表评估患儿的治疗配合度,采用儿童生活质量测定量表评估患儿的生活质量,统计患儿住院时间以及发热、喘息、咳嗽、肺啰音等临床症状持续时间。结果干预后两组儿童医疗恐惧调查表的医疗环境恐惧、医疗操作恐惧、人际关系恐惧和自我恐惧维度评分均较干预前显著降低(P<0.01),观察组显著低于对照组(P<0.01)。干预后两组Frankl依从量表、Houpt行为量表评分较干预前显著升高(P<0.05),观察组显著高于对照组(P<0.05或0.01)。观察组发热、喘息、咳嗽、肺啰音持续时间及住院时间均显著短于对照组(P<0.01)。干预后两组儿童生活质量测定量表的生理功能、情感功能、社会功能、角色功能维度评分均较干预前显著升高(P<0.05),观察组显著高于对照组(P<0.01)。结论全人照护管理能有效缓解重症肺炎患儿的医疗恐惧感,提高其治疗配合度,有利于缩短康复进程,提高患儿生活质量。Objective To explore the application effects of holistic care management in clinical nursing of children with severe pneumonia.Methods A total of 96 children with severe pneumonia were divided into observation group and control group according to random number table method,with 48 cases in each group.The control group received routine nursing intervention,and the observation group received holistic care management based on the control group.The whole course of hospitalization was observed,and the follow-up was conducted for 1 month after discharge.Before and after the intervention(on the day of discharge),the child medical fear scale(CMFS)was used to investigate their medical fear,Frankl compliance scale(FCS)and Houpt behavior scale(HBS)were used to evaluate their treatment cooperation,and the pediatric quality of life inventory measurement models(PedsQL 4.0)was used to evaluate their quality of life.The length of hospitalization and the duration time of fever,wheezing,cough,pulmonary rales and other clinical symptoms were counted.Results After intervention,the scores of fear of medical environment,fear of medical operation,fear of interpersonal relationship and self-fear of CMFS were significantly decreased in both groups compared with those before intervention(P<0.01),and the observation group was significantly lower than the control group(P<0.01).After intervention,the scores of FCS and HBS in the two groups were significantly higher than those before intervention(P<0.05),and the observation group was significantly higher than the control group(P<0.05 or 0.01).The time of fever,wheezing,cough,pulmonary rales duration and hospital stay in the observation group were significantly shorter than those in the control group(P<0.01).After intervention,the scores of physiological function,emotional function,social function and role function of PedsQL 4.0 in the two groups were significantly higher than those before intervention(P<0.05),and the observation group was significantly higher than the control group(P<0.01).Co

关 键 词：重症肺炎 全人照护管理 患儿 医疗恐惧感 康复效果 生活质量 

分 类 号：R563.1[医药卫生—呼吸系统] R473.72[医药卫生—内科学]