正向情感支持配合基于动画演示健康教育模式增强支气管哮喘患儿治疗配合度的效果观察  

Improvement effect of positive emotional support combined with education mode based on animation demonstration on treatment compliance in children with bronchial asthma

作　　者：阿丽古丽·阿不都热合木 岳雪艳 马锐[1] 茹凉[1] Aliguli Abudurehemu;Yue Xueyan;Ma Rui;Ru Liang(Second Department of Pediatrics,First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院儿内二科,乌鲁木齐830054

出　　处：《中国实用护理杂志》2024年第10期745-751,共7页Chinese Journal of Practical Nursing

基　　金：新疆维吾尔自治区自然科学基金 (2019D01C310)。

摘　　要：目的探究正向情感支持配合基于动画演示的健康教育模式增强支气管哮喘(BA)患儿治疗配合度的效果,为临床BA患儿护理工作提供指导。方法采用类实验研究方法,便利抽样法选取新疆医科大学第一附属医院收治的BA患儿为研究对象,按照入院时间进行分组,2020年1月至2021年6月收治BA患儿52例为对照组;2021年7月至2022年6月收治BA患儿52例为试验组。对照组给予常规护理,试验组在常规护理基础上给予正向情感支持配合基于动画演示的健康教育模式进行干预。通过6个月随访,观察2组患儿干预后的治疗配合度、哮喘控制情况、心理状态及生命质量变化情况。结果对照组患儿男31例,女21例,年龄(9.95±1.57)岁;试验组男35例,女17例,年龄(9.46±1.02)岁。干预后,试验组治疗配合度为96.15%(50/52),高于对照组的80.77%(42/52),差异有统计学意义(χ^(2)=6.03,P<0.05);试验组哮喘控制率为94.23%(49/52),高于对照组的75.00%(39/52),差异有统计学意义(χ^(2)=7.39,P<0.05);试验组评价心理状态的精神质、神经质、掩饰性或说谎分量表得分分别为(42.18±4.21)、(49.23±4.66)、(48.63±4.26)分,均高于对照组的(38.22±4.32)、(46.36±4.87)、(44.33±3.47)分,差异均有统计学意义(t=4.73、3.07、5.64,均P<0.05);观察组的内外向量表得分为(56.86±5.58)分,低于对照组的(59.66±5.17)分,差异有统计学意义(t=2.65,P<0.05);试验组生命质量量表的总分及症状、活动、情感维度得分分别为(114.71±18.33)、(51.36±7.88)、(24.66±4.36)、(38.69±5.29)分,高于对照组的(96.42±14.34)、(43.26±7.21)、(22.28±4.27)、(30.88±5.84)分,差异均有统计学意义(t值为2.81~7.15,均P<0.05)。结论将正向情感支持配合基于动画演示的健康教育模式应用于BA患儿的临床护理中,可以提高患儿治疗配合度和哮喘控制率,能有效提高患儿生命质量,改善心理状态。Objective To explore the improvement effect of positive emotional support combined with education mode based on animation demonstration on treatment compliance in children with bronchial asthma(BA)so as to provide guidance for clinical nursing of BA children.Methods The quasi-experiment research scheme was adopted.The children with BA admitted to the First Affiliated Hospital of Xinjiang Medical University were enrolled as the research objects by convenience sampling method.Grouped according to admission time,52 children with BA were treated as the control group from January 2020 to June 2021,and 52 children with BA were treated as the experimental group from July 2021 to June 2022.The control group received routine nursing care,while the experimental group received positive emotional support in addition to routine nursing care,combined with an animated demonstration health education model for intervention.According to 6 months of follow-up,changes of treatment compatibility,asthma control,psychological state and quality of life after intervention in the two groups were observed.Results In control group,there were 31 boys and 21 girls,with age of(9.95±1.57)years.In experimental group,there were 35 boys and 17 girls,with age of(9.46±1.02)years.After intervention,the treatment compatibility of the experimental group was 96.15%(50/52),which was higher than 80.77%(42/52)of the control group,and the difference was statistically significant(χ^(2)=6.03,P<0.05);the asthma control rate in the experimental group was 94.23%(49/52),which was higher than the control group′s 75.00%(39/52),and the difference was statistically significant(χ^(2)=7.39,P<0.05);the scores of psychological state(psychoticism,neuroticism,dissembling or lying)in experimental group were 42.18±4.21,49.23±4.66 and 48.63±4.26,higher than those in control group 38.22±4.32,46.36±4.87,44.33±3.47,the differences were statistically significant(t=4.73,3.07,5.64,all P<0.05),The score of introversion-extroversion of the observation group was 56.86±5.5

关 键 词：哮喘 支气管 儿童 情感支持 正向 基于动画演示的健康教育模式 配合度 

分 类 号：R473.72[医药卫生—护理学]