家属参与护理对血小板减少性紫癜患儿恢复效果的影响

Effect of family involvement in nursing on recovery effect of children with thrombocytopenic purpura

目的:分析家属参与护理对血小板减少性紫癜(ITP)患儿恢复效果的影响。方法:将我院2017年1—12月未实施家属参与护理的55例ITP患儿作为对照组,2018年1—12月实施家属参与护理的63例ITP患儿作为观察组。比较2组患儿住院时间、血小板计数(PLT)恢复时间、依从性(情绪控制、饮食、服药)及家属健康知识掌握程度,以及近期预后差异。结果:观察组PLT计数(30~50)×10 9/L、(51~100)×10 9/L恢复时间(1.97 ± 0.56)、(3.41 ± 0.45) d,短于对照组的(2.79 ± 0.59)、(4.02 ± 1.22) d,差异有统计学意义( t值为7.739、3.693, P<0.05);出院日,观察组患儿情绪控制、饮食依从性、服药依从性及依从性总分分别为(7.25 ± 1.17)、(8.18 ± 1.19)、(7.47 ± 1.35)、(21.26 ± 4.92)分,皆较对照组的(5.11 ± 1.34)、(5.79 ± 1.25)、(4.86 ± 1.75)、(15.76 ± 4.34)分高,差异有统计学意义( t值为-10.630^-6.397,均 P<0.05);出院日,观察组患儿家属病情监测、并发症预防、饮食指导、用药指导、保健知识掌握程度评分及总分均高于对照组( t值为-7.705~5.949,均 P<0.05)。 结论:家属参与护理可提高家属对ITP健康知识掌握程度,提升患儿依从性,有利于促进ITP患儿PLT计数恢复,可能存在改善近期预后的作用。

Objective To analyze the effect of family involvement in nursing on the recovery effect of children with thrombocytopenic purpura(ITP).Methods A total of 55 children with ITP in our hospital who were not given family involvement in nursing between January and December 2017 were included in the control group and 63 children with ITP who were given family involvement in nursing between January and December 2018 were included in the observation group.The hospital stay,platelet count(PLT)recovery time,compliance(emotional control,diet,medication),mastery of health knowledge of family members and short-term prognosis were compared between the 2 groups.Results The recovery time of PLT count(30-50)×109/L and(51-100)×109/L in the observation group was(1.97±0.56)d,(3.41±0.45)d,which was shorter than those of the control group[(2.79±0.59)d,(4.02±1.22)d](t value was 7.739,3.693,P<0.05).The scores of emotional control,dietary compliance and medication compliance and total score of compliance of the observation group on the day of discharge were 7.25±1.17,8.18±1.19,7.47±1.35,21.26±4.92,which were higher than those of the control group(5.11±1.34,5.79±1.25,4.86±1.75,15.76±4.34)(t value was-10.630--6.397,all P<0.05).On the day of discharge,the scores of condition monitoring,prevention of complications,dietary guidance,medication guidance,mastery of health knowledge and total score of family members of the observation group were higher than those of the control group(t value was-7.705-5.949,all P<0.05).Conclusions Family involvement in nursing can improve the mastery of health knowledge about ITP of family members and children′s compliance,which is conductive to the recovery of PLT count in children with ITP.It may improve the short-term prognosis.