基于Kano模式护理在肺炎患儿中的应用效果  

Application effects of Kano model-based nursing in children with pneumonia

作　　者：刘晓祎 刘钰洁 LIU Xiaoyi;LIU Yujie(Department of Respiratory Medicine,Children’s Hospital Affiliated to Zhengzhou University,South Campus of Henan Children’s Hospital,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州大学附属儿童医院,河南省儿童医院南院区呼吸科,河南郑州450000

出　　处：《中国民康医学》2025年第9期187-189,193,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于Kano模式护理在肺炎患儿中的应用效果。方法:回顾性分析2023年1—12月该院收治的100例肺炎患儿的临床资料,按照护理方式不同将其分为对照组与观察组各50例。对照组采用常规护理,观察组在对照组基础上联合基于Kano模式护理。比较两组临床症状(发热、咳嗽、咳痰、肺部湿啰音)消失时间与住院时间、护理依从率,护理前后医疗恐惧心理[儿童医疗恐惧调查表(CMFS)]、生命质量[儿童生活质量测定量表(PedsQL4.0)]、家长满意度[纽卡斯尔护理满意度量表(NSNS)]评分。结果:观察组发热、咳嗽、咳痰、肺部啰音等临床症状消失时间和住院时间均短于对照组,差异有统计学意义(P<0.05);观察组护理依从率为98.00%(49/50),高于对照组的84.00%(42/50),差异有统计学意义(P<0.05);护理后,两组CMFS评分均低于护理前,且观察组低于对照组,两组PedsQL4.0评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组家长满意度为96.00%(48/50),高于对照组的82.00%(41/50),差异有统计学意义(P<0.05)。结论:在常规护理基础上基于Kano模式护理可提高肺炎患儿护理依从率、生命质量评分和家长满意度,缩短临床症状消失时间和住院时间,以及降低医疗恐惧心理评分,效果优于单纯常规护理。Objective:To observe application effects of Kano model-based nursing in children with pneumonia.Methods:The clinical data of 100 children with pneumonia admitted to this hospital from January 2023 to December 2023 were retrospectively analyzed.According to different nursing methods,they were divided into control group and observation group,50 cases in each group.The control group was given routine nursing,while the observation group was given the Kano model nursing on the basis of that of the control group.The disappearance time of clinical symptoms(fever,cough,expectoration,lung moist rales),the hospitalization time,the nursing compliance rates,and the scores of medical fear[children’s medical fear scale(CMFS)],quality of life[pediatric quality of life inventory(PedsQL4.0)]before and after the nursing,and parental satisfaction[Newcastle satisfaction with nursing scales(NSNS)]were compared between the two groups.Results:The disappearance time of clinical symptoms such as fever,cough,expectoration and lung moist rales and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The nursing compliance rate of the observation group was 98.00%(49/50),which was higher than 84.00%(42/50)of the control group,and the difference was statistically significant(P<0.05).After the nursing,the CMFS scores of the two groups were lower than those before the nursing,and that in the observation group was lower than that in the control group;the PedsQL4.0 scores of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group;and the differences were statistically significant(P<0.05).Further,the parental satisfaction in the observation group was 96.00%(48/50),which was higher than 82.00%(41/50)in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the Kano modelbased nursing can improve the nursi

关 键 词：Kano模式护理 肺炎 儿童 护理依从率 生命质量 医疗恐惧心理 家长满意度 

分 类 号：R473.72[医药卫生—护理学]