云平台视频管理在患儿重症哮喘中的应用及对应对方式的影响研究  

Application of cloud platform video nursing in children with severe asthma and its influence on

作　　者：扈姝琴 许红燕[1] 曹丹[1] 丁亚艳 Hu Shuqin;Xu Hongyan;Cao Dan;Ding Yayan(Department of Pediatrics,the Third Affiliated Hospital of Nanjing Medical University,Changzhou 213000,China)

机构地区：[1]南京医科大学第三附属医院(常州市第二人民医院)儿科,江苏常州213003

出　　处：《中华卫生应急电子杂志》2024年第4期218-223,共6页Chinese Journal of Hygiene Rescue(Electronic Edition)

基　　金：南京医科大学教育研究课题一般项目(2023LX099);常州大学资助课题(GJY2021067)。

摘　　要：目的观察云平台视频管理在患儿重症哮喘中的应用效果,并分析其对应对方式的影响。方法前瞻性选取2021年10月至2023年10月我院收治的146例重症哮喘患儿作为研究对象,采用简单数字随机表法分成73 例观察组(实施云平台视频管理)和73 例对照组(实施常规管理)。比较肺功能[末用力肺活量(FVC)、最大呼气流量(PEF)、第1s用力呼气容积(FEV1)]、哮喘控制效果[哮喘控制测试(C-ACT)]、应对方式[慢性病患儿应对方式量表(CODI)]、疾病感知与医疗恐惧[简易疾病感知问卷(BIPQ)、患儿医疗恐惧调查表(CMFS)]、生存质量。结果两组患儿干预后肺功能指标FVC、PEF、FEV1 与CODI 接受、幻想、自我安慰评分及生存质量评分哮喘症状、治疗相关问题、忧虑相关问题均高于干预前(P<0.05);干预后观察组患儿肺功能指标FVC、PEF、FEV1与CODI接受、幻想、自我安慰评分及生存质量评分哮喘症状、治疗相关问题、忧虑相关问题均高于对照组(P<0.05)。两组患儿C-ACT评分均呈干预6个月>干预3个月>干预前(P<0.05),观察组患儿干预3个月、干预6个月C-ACT评分均高于对照组患儿(P<0.05)。两组患儿干预后CODI远离、逃避、负性情绪反应及BIPQ、CMFS 评分均低于干预前(P<0.05);干预后观察组患儿CODI 远离、逃避、负性情绪反应及BIPQ、CMFS 评分均低于对照组(P<0.05)。结论云平台视频管理应用于重症哮喘中可提升患儿肺功能与哮喘控制效果,改善应对方式及疾病感知与医疗恐惧,并提高患儿生存质量。Objective To observe the application effect of cloud platform video nursing in children with severe asthma, and to analyze its influence on coping style.Methods A total of 146 children with severe asthma admitted to our hospital from October 2021 to October 2023 were prospectively selected as research objects,and were divided into 73 observation group (receiving cloud platform video nursing)and 73 control group (receiving routine nursing) by simple digital random table method. Pulmonary function (FVC),maximum expiratory flow (PEF), 1s forced expiratory volume (FEV1), asthma control test (C-ACT), coping style (CODI), disease perception and medical fear (BIPQ), medical fear questionnaire (CMFS) and quality of life were compared between the two groups.Results Pulmonary function indexes FVC,PEF,FEV1,CODI acceptance, fantasy, self-comfort scores, quality of life scores, asthma symptoms, treatment-related problems and worries-related problems were higher than those before intervention (P<0.05) in both groups after intervention.After intervention,the pulmonary function indexes FVC,PEF,FEV1,CODI acceptance,fantasy,self-comfort score and quality of life score of the observation group were higher than those of the control group(P<0.05). The C-ACT scores of the children in both groups were higher at 6 months, 3 months and before intervention sequentially(P<0.05),and the C-ACT scores of the children in the observation group were higher at 3 months and 6 months than those in the control group(P<0.05).After intervention,CODI distance,escape,negative emotional response and BIPQ and CMFS scores in both groups were lower than before intervention(P<0.05). After intervention, CODI, avoidance, negative emotional reaction, BIPQ and CMFS scores in observation group were lower than those in control group (P<0.05).Conclusions The application of cloud platform video nursing in severe asthma can improve the lung function and asthma control effect of children,improve coping style,disease perception and medical fear,and improve the quality

关 键 词：重症哮喘 护理 应对方式 云平台 临床效果 

分 类 号：R562.25[医药卫生—呼吸系统]