医院-社区-家庭一体化管理对咳嗽变异性哮喘儿童生命质量的影响

Influence of hospital-community-family integrated management on life quality of children with cough variant asthma

目的探讨医院-社区-家庭一体化管理对咳嗽变异性哮喘(CVA)儿童生命质量的影响。方法将符合标准的82例CVA患儿根据患儿及家属意愿分成观察组(42例)和对照组(40例),对照组患者仅进行正常的住院规范诊治及健康教育,观察组给予医院-社区-家庭一体化管理。结果观察组治疗总有效率83%,对照组65%,2组比较有显著性差异(P<0.05)。观察组发病次数、住院次数、住院时间及医疗费用均显著性小于对照组(P均<0.05)。观察组管理后症状维度、情感维度及活动维度均显著性高于对照组(P均<0.05)。观察组管理后症状维度、情感维度及活动维度显著性高于管理前(P均<0.05)。结论医院-社区-家庭护理干预模式不仅提高CVA患儿治愈率,同时增加患儿自我管理能力。这种护理模式不仅整合了医院与社区的医疗资源,同时发挥了患儿家属的作用,实现了护理干预的个体化、网络化与多元化。

Objective It is to integrative the influence of hospital-community-family integrated management on life quality of children with cough variant asthma （CVA）. Methods 82 children with CVA were divided into observation group （42 cases） and control group （40 cases）. Patients in control group were received the treatment of normal specification in hospital and health education, while others received the treatment of hospital-community-family integrated management. Results The total effective rate was 83.3% in observation group and was 65% in control group, there was significant deference between both groups （ P 〈 0.05 ）. The onset time, be in hospital time, hospitalization days and medical costs of observation group were significantly lower than that of control group （ all P 〈 0.05 ）. The symptoms dimension, emotional dimension and action di- mension of observation group were significantly higher than that of control group （ all P 〈 0.05 ）. Conclusion Hospital-commu- nity-family integrated management not only improves the patients＇ cure rate, but also increases the patients＇ self management ability. This mode not only integrates hospital and community medical resources, but also takes the family of patients into con- sideration at the same time.