基于尼尔·诺丁斯关怀理论的护理干预在学龄期哮喘患儿中的应用效果

Application effect of nursing intervention based on Neil Noddings'caring theory on school-age children with asthma

目的探讨基于尼尔·诺丁斯关怀理论的护理干预在学龄期哮喘患儿的应用效果。方法于2018年8月—2019年8月选择唐山市妇幼保健院儿内二科收治的112例学龄期支气管哮喘患儿,按照随机数字表法随机分为对照组和观察组,每组56例,对照组采用常规的护理干预,观察组在常规干预基础实施基于尼尔·诺丁斯关怀理论的护理干预,比较两组干预前及干预1个月后儿童焦虑性情绪障碍筛查表(SCARED)、儿童抑郁障碍自评量表(DSRSC)以及自我管理行为得分。结果干预后,两组关于哮喘儿童自我管理行为量表总分及各维度得分均高于干预前(P<0.05),观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组患儿的SCARED、DSRSC得分低于干预前(P<0.05),观察组低于对照组,差异有统计学意义(P<0.05)。结论基于尼尔·诺丁斯关怀理论的护理干预能有效减轻学龄期哮喘患儿负性情绪,提高其自我管理行为。

Objective To explore the application effect of nursing intervention based on Neil Noddings'caring theory in school-age children with asthma.Methods From August 2018 to August 2019,a total of 112 school-age children with bronchial asthma were admitted to the Second Department of Pediatric Internal Medicine of Tangshan Maternal and Child Health Hospital.According to the random number table method,they were randomly divided into the control group and the observation group,with 56 cases in each group.The control group adopted routine nursing intervention,while the observation group adopted nursing intervention based on Neil Noddings'caring theory on the basis of routine intervention.The scores of The Screen for Child Anxiety Related Emotional Disorders(SCARED),Self-Rating Scale for Depressive Disorder in Childhood(DSRSC)and self-management behavior of patients were compared between the two groups before the intervention and 1 month after the intervention.Results After the intervention,the total scores and the scores of all dimensions of self-management behavior scale for children with asthma in the two groups were higher than those before the intervention(P<0.05),and score of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).After the intervention,scores of SCARED and DSRSC of children in the two groups were lower than those before the intervention(P<0.05),and the score of the observation group was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusions Nursing intervention based on Neil Noddings'caring theory can effectively reduce negative emotions of school-age children with asthma and improve their self-management behavior.