认知干预联合医护家庭一体化管理在婴幼儿湿疹中的应用研究  

Application of cognitive intervention and integrated family management of medical care in infant eczema

作　　者：张培珠 姚梁 萧梅芳 王智琴 ZHANG Peizhu;YAO Liang;XIAO Meifang;WANG Zhiqin(Guangdong Maternal and Child Health Hospital,Guangzhou,Guangdong 511442,China;Guangdong First Rongjun Hospital,Guangzhou,Guangdong 510260,China)

机构地区：[1]广东省妇幼保健院,广东广州511442 [2]广东省第一荣军医院,广东广州510260

出　　处：《中国优生与遗传杂志》2023年第1期191-194,共4页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨认知干预联合医护家庭一体化管理在婴幼儿湿疹中的应用效果。方法以广东省妇幼保健院2018年5月至2021年12月116例婴幼儿湿疹患儿为研究对象,随机分为对照组(58例,采用常规护理管理)和观察组(58例,采用认知干预联合医护家庭一体化管理)。对比两组家属认知水平、患儿皮损情况、临床疗效、随访3个月后复发率。结果干预4周后,观察组湿疹发病原因、护理措施、注意事项、预防措施等认知评分均明显高于对照组(P<0.05)。干预2周后,观察组EASI评分明显低于对照组(P<0.05)。观察组治疗有效率明显高于对照组(P<0.05)。随访3个月,与对照组比较,观察组患儿复发率明显较低,差异具有统计学意义(P<0.05)。结论认知干预联合医护家庭一体化管理能够明显提高家属对婴幼儿湿疹的认知,促进患儿皮损更好的修复,提高治疗有效率并降低复发率。Objective To explore the application effect of cognitive intervention combined with integrated management of medical care and family in infants and young children eczema.Methods 116 children with infantile eczema in Guangdong Maternal and Child Health Hospital from May 2018 to December 2021 were taken as the research objects.They were randomly divided into the control group(58 cases),which adopted routine nursing management,and the observation group(58 cases),which adopted cognitive intervention combined with integrated management of medical care and family.The cognitive level,skin lesions,clinical efficacy,and recurrence rate after 3 months of follow-up were compared between the two groups.Results After 4 weeks of intervention,the cognitive scores of the observation group on the causes of eczema,nursing measures,precautions and preventive measures were significantly higher than those of the control group(P<0.05).After 2weeks of intervention,the EASI score of the observation group was significantly lower than that of the control group(P<0.05).The effective rate of the observation group was significantly higher than that of the control group(P<0.05).Follow up for 3months showed that the recurrence rate of children in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Cognitive intervention combined with the integrated management of medical care and family can significantly improve family members’awareness of infant eczema,promote better repair of skin lesions in children,improve treatment efficiency and reduce recurrence rate.

关 键 词：婴幼儿湿疹 认知干预 医护家庭一体化管理 

分 类 号：R473.75[医药卫生—护理学]