哮喘患儿延续性护理模式临床践行效果评价

Evaluation of Clinical Practice Effect of Continuous Nursing Model for Children With Asthma

目的探讨哮喘患儿延续性护理模式的建立及对于哮喘患儿的干预作用。方法选取我院就诊的哮喘患儿共92例作为研究对象。按就诊先后顺序,将其随机均分为观察组和对照组,每组各46例。对照组予常规治疗和护理模式。观察组在对照组的基础上,实施延续性护理模式。比较两组护理干预前后患儿及家长对哮喘相关知识的了解评分、出院后6个月及12个月内的住院天数、再住院率和护理满意度。结果护理干预前,两组患儿及家长健康教育知识问卷及满意度调查得分对比,差异无统计学意义(P>0.05);干预后,随访6个月、12个月的观察组各项评分均高于对照组,差异具有统计学意义(P<0.05);观察组患儿的住院天数、复发率均低(短)于对照组,差异具有统计学意义(P<0.05)。结论延续护理模式能够实现哮喘患儿的治疗及护理从医院到家庭的平稳过渡;提高患儿及家长对健康教育相关知识的了解;缩短住院时间,降低住院费用;减少哮喘复发;为哮喘患儿的出院后延伸管理提供了一种有效的方法。

Abstract Objective To explore the establishment of continuous nursing mode for children with asthma and the intervention effect on children with asthma. Methods A total of 92 children with asthma in our hospital were selected as the research subjects. According to the order of treatment, they were randomly divided into the observation group and the control group, with 46 cases in each group. The control group was given the routine treatment and nursing mode. On the basis of the control group, the observation group carried out the continuous nursing mode. Comparison of two groups of nursing before and after the intervention, the children and parents＇ understanding of asthma related knowledge, the number of days of hospitalization in 6 months and 12 months after discharge, the rate of rehospitalization and the satisfaction of nursing. Results Before nursing intervention, the scores of two groups of children and parents＇ health education knowledge questionnaire and satisfaction survey were not statistically signifcant （P 〉 0.05）. After the intervention, all the scores in the observation group were higher than those in the control group at 6 months and 12 months follow-up （P 〈 0.05）. The days of hospitalization and the recurrence rate in the observation group were all lower or shorter than those in the control group, the difference was statistically signifcant （P 〈 0.05）. Conclusion The continuous nursing model can achieve a smooth transition from the hospital to the family for the treatment and nursing of children with asthma. To improve the knowledge of health education related to children and parents,to shorten the time of hospitalization and reduce the cost of hospitalization and to reduce the recurrence of asthma. It provides an effective method for the extended management of children with asthma after discharge. Keywords continuous nursing; bronchial asthma; recurrence rate;