医护小组式延续护理对支气管哮喘患儿院外疾病控制的影响

Influence of doctor-nurse continuous care on out-of-hospital management for children with bronchial asthma

目的分析医护小组式延续护理对支气管哮喘患儿院外疾病控制的影响。方法选取2018年1月至2019年10月龙岩市第一医院儿科收治的84例支气管哮喘患儿,按入院时间随机分为观察组(n=42)和对照组(n=42)。对照组患儿给予常规护理,观察组患儿在常规护理基础上给予医护小组式延续护理。比较两组患儿的疾病控制率、恢复情况和健康素养评分,以及干预前后自我管理能力变化。结果观察组的疾病控制率为92.86%(39/42),较对照组的76.19%(32/42)显著升高(P<0.05)。观察组的发作持续时间和住院治疗时间均较对照组显著缩短(P值均<0.05),哮喘发作次数和再入院次数均较对照组显著减少(P值均<0.05)。观察组的健康行为和健康知识评分均显著高于对照组(P值均<0.05)。干预后,两组的自我管理能力评分均显著高于同组干预前(P值均<0.05),且观察组的自我管理能力评分显著高于对照组(P<0.05)。结论支气管哮喘患儿应用医护小组式延续护理,可提高患儿的自我管理能力和健康素养,提高院外疾病控制率,改善其恢复情况。

Objective To analyze the influence of doctor-nurse continuous care on out-of-hospital management for children with bronchial asthma.Methods 84 children with bronchial asthma who were admitted to Longyan First Hospital from January 2018 to October 2019 were selected and divided into an observation group(n=42)and a control group(n=42)according to the time of admission.The control group was given routine nursing,and the observation group was given doctor-nurse continuous care on the basis of routine nursing.The disease control rate,recovery status,health literacy score and self-management ability before and after intervention were compared between the two groups.Results The disease control rate of the observation group was 92.86%(39/42),which was significantly higher than 76.19%(32/42)in the control group(P<0.05).The duration of asthma attack and length of hospitalization in the observation group were significantly shorter than those in the control group(both P<0.05),and the frequency of asthma attack and readmission was significantly less than that in the control group(both P<0.05).The scores of health behavior and health knowledge in the observation group were significantly higher than those in the control group(both P<0.05).After the intervention,the self-management ability scores of the two groups were significantly higher than those of the same group before the intervention(both P<0.05),and the selfmanagement ability scores of the observation group were significantly higher than those of the control group(P<0.05).Conclusion The application of doctor-nurse continuous care in children with bronchial asthma can improve the children’s self-management ability and health literacy,increase the rate of disease control out of hospital,and improve the recovery status.