基于个案管理的延伸护理在川崎病患儿中的应用效果  

Effect of case management-based extended nursing in children with Kawasaki disease

作　　者：刘丁香[1] 何雪[1] 邱洲群 林晏[1] 贺蓉[1] Liu Dingxiang;He Xue;Qiu Zhouqun;Lin Yan;He Rong(Department of Pediatrics,Suining Central Hospital/Affiliated Hospital of Chongqing Medical University/North Sichuan Medical College,Suining Sichuan 629000,China)

机构地区：[1]四川省遂宁市中心医院/重庆医科大学附属遂宁市中心医院/川北医学院附属遂宁医院儿科,四川遂宁629000

出　　处：《保健医学研究与实践》2023年第11期121-126,共6页Health Medicine Research and Practice

基　　金：四川省基层卫生事业发展研究中心立项项目(SWFZ17-Y-24)。

摘　　要：目的探讨基于个案管理的延伸护理对川崎病(KD)患儿康复效果及家长疾病知识掌握程度的影响。方法选取2020年1月—2022年9月四川省遂宁市中心医院收治的90例KD患儿为研究对象,采用随机数字表法分为观察组和对照组,每组45例。对照组患儿采用常规护理干预,观察组患儿采用基于个案管理的延伸护理干预。比较2组患儿干预前后家长疾病知识掌握程度、家庭负担情况,以及并发症发生情况、家长护理满意度。结果干预前,2组患儿家长基础知识、用药方法、生活方式、并发症防治4项评分比较,差异均无统计学意义(P>0.05);干预后,2组患儿家长基础知识、用药方法、生活方式、并发症防治4项评分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患儿家庭负担会谈量表(FBS)各维度评分比较,差异均无统计学意义(P>0.05);干预后,2组患儿FBS量表的躯体功能、家庭娱乐活动、家庭经济负担、家庭关系、心理健康及家庭日常活动6个维度评分均低于干预前,且观察组均低于对照组,差异均有统计学意义(P<0.05)。观察组患儿并发症发生率为2.22%(1/45),低于对照组的17.78%(8/45),差异有统计学意义(χ^(2)=4.444,P=0.035)。观察组患儿家长对专业技能、语言沟通、服务态度及人文关怀4方面的护理满意度评分均高于对照组,差异均有统计学意义(P<0.05)。结论基于个案管理的延伸护理干预能有效提升KD患儿家长疾病知识掌握程度,减轻家庭负担,降低并发症发生风险,且家长护理满意度较高,值得推广。Objective To investigate the effect of case management-based extended nursing on the rehabilitation impact of children with Kawasaki disease(KD)and their parents'knowledge of the disease.Methods Ninety children with KD admitted to Suining Central Hospital from January 2020 to September 2022 were selected as the study subjects and allocated to the observation group and the control group by a random number table,with 45 cases in each group.Routine nursing intervention was adopted in the control group,and case management-based extended nursing intervention was employed in the observation group.The degree of parental disease knowledge,family burden,complications,and degree of parental satisfaction with nursing were compared between the two groups before and after intervention.Results Before intervention,no significant difference was found in the scores of parents'basic knowledge,medication methods,lifestyle,and prevention and treatment of complications between the two groups(P>0.05).The scores of parents'basic knowledge,medication methods,lifestyle,and prevention and treatment of complications in the two groups were significantly increased after intervention,with the observation group significantly higher than the control group(P<0.05).Before intervention,no significant difference was observed in the subscale scores of the Family Burden Scale(FBS)between the two groups(P>0.05).After intervention,the scores of the six subscale scores(physical function,family recreational activities,family economic burden,family relationship,mental health,and family daily activities)in the FBS scale in the two groups were lower than those before the intervention,and the observation group was lower than the control group,with statistical significance(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group[2.22%(1/45)vs.17.78%(8/45);χ^(2)=4.444,P=0.035].The degree of parental satisfaction with nursing in the observation group was significantly higher than that in the control

关 键 词：川崎病 基于个案管理的延伸护理服务 康复效果 疾病知晓程度 家庭负担 

分 类 号：R473.72[医药卫生—护理学]