细节护理联合家庭延续护理在哮喘患儿中的应用效果观察  

Observation on effect of detail care combined with family continuing care in children with asthma

作　　者：罗颖 党威 徐瑞华 Luo Ying;Dang Wei;Xu Ruihua(Department of Respiratory,Henan Children's Hospital,Zhengzhou,Henan 450000,China)

机构地区：[1]河南省儿童医院呼吸科,河南郑州450000

出　　处：《齐齐哈尔医学院学报》2025年第8期796-800,F0003,共6页Journal of Qiqihar Medical University

基　　金：河南省2022年科技发展计划(222300420043)。

摘　　要：目的探讨细节护理联合家庭延续护理在哮喘患儿中的应用效果。方法选择2022年4月-2023年4月本院收治的100例哮喘患儿作为研究对象,按随机数表法分为对照组和观察组两组,每组各50例。对照组给予常规护理,观察组给予细节护理联合家庭延续护理,两组均连续护理3个月。观察患儿临床疗效、家属满意度,对比护理前后患儿遵医行为、负面情绪[儿童抑郁障碍自评量表(DSRSC)、儿童焦虑性情绪障碍筛查(SCARED)]、生活质量[儿童哮喘生活质量问卷(PAQLQ)]。结果护理前两组各项遵医行为评分比较,差异无统计学意义(P>0.05),与对照组比较,护理后观察组各项遵医行为评分更高,差异具有统计学意义(P<0.05)。观察组总有效率高于对照组,差异具有统计学意义(P<0.05)。护理前两组负面情绪比较,差异无统计学意义(P>0.05),与对照组相比,护理后观察组DSRSC、SCARED评分更低,差异具有统计学意义(P<0.05)。护理前两组PAQLQ各维度评分比较,差异无统计学意义(P>0.05),与对照组相比,护理后观察组PAQLQ各维度评分更高,差异具有统计学意义(P<0.05)。观察组家属满意度为96.00%,相比对照组的78.00%更高,差异具有统计学意义(P<0.05)。结论细节护理联合家庭延续护理在哮喘患儿中的应用效果显著,不仅能提高患儿遵医行为、治疗效果,还能减轻患儿负面情绪,提高生活质量与家属满意度。Objective Exploring the effect of detail care combined with family continuity of care in children with asthma.Methods One hundred cases of asthmatic children who were admitted to our hospital from April 2022 to April 2023 were selected as the study subjects,and they were randomly divided into two groups,the control group and the observation group,with 50 cases in each group,according to the numerical table method.Patients in the control group were given routine nursing care,and the patients in observation group were given detailed nursing care combined with home continuing nursing care,and both groups were continuously cared for for 3 months.We observed the children's clinical outcomes,family satisfaction,and compared the children's compliance behavior,negative emotions[Depressive Disorders Self-Rating Scale for Children(DSRSC),Screening for Anxious Emotional Disorders in Children(SCARED)],and quality of life[Pediatric Asthma Quality of Life Questionnaire(PAQLQ)]before and after care.Results Comparison of the scores of various compliance behaviors between the two groups before care,there is no significant difference(P>0.05).Compared with the control group,the scores of various compliance behaviors were higher in the observation group after care,and the difference was statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Comparison of negative emotions between the two groups before care,there was no significant difference(P>0.05).Compared with the control group,the DSRSC and SCARED scores of the observation group were lower after care,and the difference was statistically significant(P<0.05).There was no significant difference in the scores of PAQLQ dimensions between the two groups before nursing care(P>0.05),and the scores of PAQLQ dimensions were higher in the observation group after nursing care compared with the control group,and the difference was statistically significant(P<0.05).F

关 键 词：哮喘 细节护理 家庭延续护理 遵医行为 临床疗效 生活质量 满意度 

分 类 号：R473.72[医药卫生—护理学]