医院社区联动干预应用于川崎病患儿中的效果分析

Effect analysis of hospital and community combination intervention in children with Kawasaki disease

目的探讨医院社区联动干预应用于川崎病患儿中的效果。方法选择2016年2月-2018年2月徐州市儿童医院收治的川崎病患儿86例,按照随机数字表法分为2组,各43例。对照组行常规干预,观察组行医院社区联动干预。对比2组干预前后患儿家属对疾病知识掌握度、负性情绪变化,并记录2组并发症发生率和护理满意度情况。结果观察组干预后患儿家属对川崎病并发症预防知识、疾病治疗知识和康复知识评分均高于对照组,差异有统计学意义(P<0.05);观察组干预后HAMA、HAMD评分均低于对照组,差异有统计学意义(P<0.05);观察组肺部损伤、心血管损伤、关节损伤、消化道损伤、泌尿系统损伤、肝脏损伤发生率均低于对照组,差异有统计学意义(P<0.05);观察组患儿家属对业务熟悉、责任心、服务态度满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论医院社区联动干预应用于川崎病患儿中可提高家属对疾病知识的认知水平,减轻其负性情绪,降低并发症发生率,提高护理满意度,值得推广。

Objective To explore the effect of hospital and community combination intervention in children with Kawasaki disease. Methods Eighty-six children with Kawasaki disease admitted to Xuzhou Children′s Hospital from February 2016 to February 2018 were divided into two groups according to random number table method, with 43 cases for each group. The control group underwent routine treatment, and the observation group was intervened by the hospital and community combination. The knowledge of the disease and the negative emotions of the family members of the two groups before and after the intervention were compared, and the incidence of complications and satisfaction of the two groups were recorded. Results After the combination intervention, the family members′ knowledge of Kawasaki disease prevention, disease treatment knowledge and rehabilitation knowledge scores were higher than that in the control group, and the difference was statistically significant(P<0.05). The HAMA and HAMD scores after intervention in the observation group were lower than that in the control group, and the difference was statistically significant(P<0.05). The incidence of lung injury, cardiovascular injury, joint damage, digestive tract injury, urinary system injury and liver injury were lower in the observation group than in the control group with statistical significance(P<0.05);the family members of the observation group were more familiar with the business, responsibility, and service attitude satisfaction scores than that in the control group, and the difference was statistically significant(P<0.05). Conclusion Hospital and community combination intervention in children with Kawasaki disease can improve family members′ knowledge of disease, reduce their negative emotions, reduce the incidence of complications, and improve the satisfaction of nursing. It is worth promoting.