针对性延续护理干预对变应性鼻炎患儿鼻症状与依从性的影响

Effects of targeted extended care intervention on nasal symptoms and compliance in children with allergic rhinitis

目的研究针对性延续护理干预对变应性鼻炎患儿鼻症状与依从性的影响。方法选取2014年2月~2015年2月收治的60例变应性鼻炎患者,实施常规护理模式,作为对照组。选取2015年3月~2016年3月收治的60例变应性鼻炎患者,采用针对性延续护理干预模式护理,设为治疗组。两组均舌下含服粉尘螨滴剂治疗,若症状较重合用布地奈德及氯雷他定鼻喷剂。其中,对照组使用常规护理方法护理,治疗组使用针对性延续性护理方法护理。并对两组护理后的鼻炎评分、疗效、认知效果及依从性进行比较。结果护理前,两组鼻炎评分未见统计学差异(P>0.05);护理后,两组评分显著降低(P<0.05),但与对照组比较,治疗组鼻炎评分降低更显著,差异有统计学意义(P<0.05)。治疗组总有效率为96.67%,显著高于对照组的83.33%,差异有统计学意义(P<0.05)。治疗组认知效果为(3.83±0.82)分,对照组认知效果为(3.25±0.75)分,两组比较差异有统计学意义(P<0.05);治疗组中,59例依从性好,占98.33%;对照组中,40例依从性好,占66.67%。两组依从性比较,差异有统计学意义(P<0.05)。结论针对性延续护理可提高变应性鼻炎的疗效,降低鼻炎评分,提高患者依从性,值得临床推广应用。

Objective To study the effect of targeted extended care intervention on nasal symptoms and compliance in children with allergic rhinitis. Methods Sixty patients with allergic rhinitis from February 2014 to February 2015 were selected as control group and given routine nursing model. A total of 60 patients with allergic rhinitis from March 2015 to March 2016 were enrolled as treatment group and treated with targeted extended care. Both groups were given sub- lingual dust mite drops treatment, and the combination of budesonide and loratadine nasal spray were given when pa- tients＇ symptoms were severe. The control group was treated with conventional care methods, and the treatment group was given targeted extended care. The scores, curative effect, cognitive effect and compliance of the two groups were compared. Results There was no significant difference in rhinitis scores between the two groups before nursing （P〉0.05）. After treatment, the scores of the two groups were significantly lower （P〈0.05）. The rhinitis score of the treatment group decreased more significantly compared with the control group, and the difference was statistically significant （P〈0.05）. The total effective rate was 96.67% in the treatment group, which was significantly higher than that in the control group （83.33%）, and the difference was statistically significant（P〈0.05）. In the treatment group, the cognitive effect was （3.83_＋ 0.82） scores, and the cognitive effect was （3.25_＋0.75） scores in the control group, the difference was significant（P〈0.05）. There were 59 patients With good compliance in the treatment group, accounting for 98.33%; while in control group, there were 40 cases of good compliance, accounting for 66.67%, and there was significant difference between the two groups （P〈0.05）. Conclusion Targeted extended care can improve the efficacy of allergic rhinitis a^ad can reduce rhini- tis score, and improve patient compliance, which is worthy of clinical application.