HEALS辅助健康教育在过敏性紫癜患儿照护者中的应用效果  

Eff ectiveness of HEALS-assisted health education in nursing of children with anaphylactic purpura

作　　者：魏立玲 杨红 许燕玲 黄纯 李燕燕 WEI Liling;YANG Hong;XU Yanling;HUANG Chun;LI Yanyan(The Fifth Affiliated Hospital of Nanchang University Fuzhou Branch(The First People's Hospital of Fuzhou),Fuzhou,344000,China)

机构地区：[1]南昌大学第五附属医院抚州分院(抚州市第一人民医院),江西省抚州市344000

出　　处：《护理实践与研究》2023年第23期3590-3595,共6页Nursing Practice and Research

基　　金：江西省卫生健康委科技计划(编号:20193444)。

摘　　要：目的 探讨健康教育精准连接系统(HEALS)辅助健康教育在过敏性紫癜患儿照护者中的应用效果。方法 选取2020年1月-2023年1月医院收治的80例过敏性紫癜患儿及其固定直系照顾者80例为观察对象,按照组间基线资料可比的原则分为观察组和对照组,各40例。对照组采用常规护理干预,观察组在此其基础上给予HEALS辅助健康教育干预。比较两组干预前、干预1个月后患儿家属健康知识水平、护理技能掌握情况以及心理状态[汉密尔顿抑郁量表(HAMD)]的变化。比较两组患儿临床体征(腹痛、关节痛、皮肤紫癜)消失时间;干预前、干预1个月后两组患儿生活质量[儿童生存质量核心表(PedsQL)]、睡眠质量[匹茨堡睡眠质量指数量表(PSQI)]的变化。结果 干预1个月后,两组患儿家属健康知识水平掌握评分及护理技能评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05);两组家属HAMD评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组患儿腹痛、关节痛、皮肤紫癜临床体征消退时间均短于对照组,差异有统计学意义(P<0.05);干预1个月后,两组患儿PedsQL评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05),PSQI各维度评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05)。结论 HEALS辅助健康教育可显著提高过敏性紫癜患儿家属相关知识水平,改善患儿生活质量和睡眠质量,有利于患儿的预后。Objective To explore the application effect of health education assisted by Health Education Accurate Linkage System(HEALS)in nursing of children with allergic purpura.Methods 80 cases of children with anaphylactic purpura admitted to the hospital and 80 cases of their regular immediate carers from January 2020 to January 2023 were selected as observation subjects,and were divided into an observation group and a control group,each with 40 cases,according to the principle of comparable baseline data between the groups.The control group used conventional nursing interventions,and the observation group was given HEALS-assisted health education interventions on this basis.Comparison of the two groups before the intervention,1 month after the intervention of the child's family health knowledge,nursing skills mastery,and psychological state[Hamilton Depression Scale(HAMD)]changes.We compared the time of disappearance of clinical signs(abdominal pain,arthralgia,skin purpura),the changes of quality of life[PedsQL]and quality of sleep[Pittsburgh Sleep Quality Index(PSQI)]between the two groups before and 1 month after the intervention.Results After 1 month of intervention,the health knowledge level mastery scores and nursing skills scores of the families of the children in both groups increased,and the observation group was higher than the control group,with statistically significant differences(P<0.05);the HAMD scores of the families in both groups decreased,and the observation group was lower than the control group,with statistically significant differences(P<0.05).The clinical signs of abdominal pain,arthralgia and skin purpura of the children in the observation group were shorter than those of the control group,and the difference was statistically significant(P<0.05);1 month after the intervention,the PedsQL scores of the children in the two groups were elevated and the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05),and the scores of the dimens

关 键 词：HEALS 健康教育 过敏性紫癜 HAMD 生活质量 心理状态 护理技能 

分 类 号：R47[医药卫生—护理学]