基于ASQ-3评估的医院-家庭联合照护模式干预对颅内肿瘤患儿术后恢复情况及遵医行为的影响  

Effect of Hospital-Family Combined Nursing Model Intervention Based on ASQ-3 Assessment on Postoperative Recovery and Compliance Behavior of Children with Intracranial Tumors

作　　者：王春丽[1] 宋艳红 侯学慧 王亚会 WANG Chunli;SONG Yanhong;HOU Xuehui;WANG Yahui(Department of Neurosurgery,Children’s Hospital Affiliated of Zhengzhou University/Henan Children’s Hospital/Zhengzhou Children’s Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院神经外科,河南郑州450000

出　　处：《河南医学研究》2025年第4期741-745,共5页Henan Medical Research

摘　　要：目的分析基于年龄与发育进程问卷(ASQ-3)评估的医院-家庭联合照护模式干预对颅内肿瘤患儿术后恢复情况及遵医行为的影响。方法收集郑州大学附属儿童医院2020年7月至2023年7月收治的70例颅内肿瘤患儿临床资料,依照干预模式不同分为两组,对照组(34例)接受常规护理干预,观察组(36例)在对照组基础上接受基于ASQ-3评估的医院-家庭联合照护模式干预,比较两组遵医行为、术后恢复情况、干预前后儿童功能独立性评定量表、Fugl-Meyer运动功能测评法(FMA)、心理状态[儿童抑郁障碍自评量表(DSRSC)、儿童焦虑性情绪障碍筛查表(SCARED)]、生活质量[儿童生活质量普适性核心量表(PedsQLTM4.0)]。结果与对照组比较,观察组遵医行为总依从率较高,术后并发症发生率较低(P<0.05);干预后,两组功能独立性评定量表、FMA、PedsQLTM4.0评分均升高,DSRSC、SCARED评分均降低,且观察组更低(P<0.05)。结论基于ASQ-3评估的医院-家庭联合照护模式干预能提高颅内肿瘤患儿遵医行为,改善心理状态,促进术后恢复,提升生活质量。Objective To analyze the effect of hospital-family combined nursing model intervention based on age and stages questionnaires(ASQ-3)assessment on postoperative recovery and compliance behavior of children with intracranial tumors.Methods The clinical data of 70 children with intracranial tumors in Children’s Hospital Affiliated of Zhengzhou University from July 2020 to July 2023 were collected and divided into two groups according to different intervention modes.The control group(34 cases)received routine nursing intervention,and the observation group(36 cases)received hospital-family combined nursing model intervention based on ASQ-3 evaluation on the basis of the control group.The compliance behavior and postoperative recovery were compared between the two groups,and children’s functional independence measure scale,Fugl-Meyer motor function assessment(FMA),psychological status[depression self-rating scale for children(DSRSC),the screen for child anxiety related emotional disorders(SCARED)],quality of life[the pediatric quality of life inventory measurement models(PedsQLTM4.0)]before and after intervention were compared between the two groups.Results Compared with the control group,the total compliance rate of the observation group was higher,and the incidence of postoperative complications was lower(P<0.05).After the intervention,the scores of children’s functional independence measure scale,FMA and PedsQLTM4.0 in the two groups were increased,while the scores of DSRSC and SCARED were decreased,especially in the observation group(P<0.05).Conclusion The intervention of hospital-family combined nursing model based on ASQ-3 assessment can improve the compliance behavior of children with intracranial tumors,improve their psychological state,promote postoperative recovery,and improve their quality of life.

关 键 词：颅内肿瘤 年龄与发育进程问卷 医院-家庭联合照护 遵医行为 术后恢复 心理状态 

分 类 号：R739.41[医药卫生—肿瘤]