基于三维质量结构模式理论为框架的院外延续性护理干预对过敏性紫癜患儿遵医行为及护理满意度的影响

Effect of outside hospital continuing nursing intervention based on three-dimensional quality structure on compliance behavior and nursing satisfaction of children with henoch-schonlein purpura

目的探讨基于三维质量结构模式理论为框架的院外延续性护理干预对过敏性紫癜(HSP)患儿遵医行为及护理满意度的影响。方法选取2014年2月至2016年10月新乡医学院第一附属医院住院的88例HSP患儿,按照入院顺序分为对照组和观察组,每组44例。对照组患儿给予常规护理,观察组患儿在此基础上实施基于三维质量结构模式理论为框架的院外延续性护理。对比2组患儿干预前及出院3个月后遵医行为(家属配合度、患儿用药依从性及饮食依从性)、家属负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分,并统计2组患儿护理满意度及出院3个月后疾病复发率。结果干预前,2组患儿家属配合度、患儿用药依从性、饮食依从性评分及家属HAMA、HAMD评分比较差异均无统计学意义(P>0.05);出院3个月后,观察组患儿家属配合度、患儿用药依从性、饮食依从性评分均高于对照组,家属HAMA、HAMD评分均低于对照组(P<0.05)。观察组患儿出院后3个月复发率为4.55%(2/44),低于对照组的18.18%(8/44)(χ~2=4.062,P<0.05);观察组患儿护理满意度为93.18%(41/44),高于对照组的75.00%(33/44)(χ~2=5.436,P<0.05)。结论给予HSP患儿基于三维质量结构模式理论为框架的院外延续性护理干预,可有效提高患儿遵医行为,改善家属负性情绪,进而有利于降低疾病复发率,提高护理满意度。

Objective To explore the effect of outside hospital continuing nursing intervention based on the three-di- mensional quality structure model theory on compliance behavior and nursing satisfaction of children with henoch-schonlein purpura （HSP）. Methods Eighty-eight children with HSP in the First Affiliated Hospital of Xinxiang Medical University from February 2014 to October 2016 were selected and divided into control group and observation group according to the order of ad- mission,with 44 cases in each group. The children in the control group was given routine care;on the basis of this,the children in the observation group was given outside hospital continuing nursing intervention based on the three-dimensional quality structure model theory. The compliance behavior （family members＇ compliance, medication compliance and diet compliance） and family negative emotions [ Hamilton anxiety scale （HAMA） , Hamilton depression scale （HAMD）] scores were compared between the two groups before intervention and 3 months after discharge. The nursing satisfaction and disease recurrence rate of children after 3 months of discharge were analyzed in the two groups. Results There was no significant difference in the family members＇ compliance, medication compliance and diet compliance of children, HAMA and HAMD scores between the two groups before intervention （P 〉0.05 ） ;after 3 months of discharge ,the scores of family members＇ compliance ,medication com- pliance and diet compliance of children in the observation group were significantly higher than those in the control group, but the HAMA, HAMD scores were significantly lower than those in the control group （ P 〈 0.05 ）. The relapse rate of children in the observation group （4.55% ,2/44） was significantly lower than that in the control group （ 18.18% ,8/44） at 3 months after discharge （χ2 = 4. 062, P 〈 0. 05 ）. The nursing satisfaction of children in the observation group （93.18 % ,41/44） was sig- nificantly higher than that in the control group （75.00%, 33/44） （χ2 = 5. 456, P 〈 0. 05 ）. Conclusion Outside hospital continuing nursing intervention based on the three-dimensional quality structure model theory can effectively improve children＇ s compliance behavior and family negative emotions ; so it help to reduce the recurrence rate of disease and improve nursing sat- isfaction.