合作性照顾干预策略在婴幼儿缺铁性贫血中的应用效果观察

Observation on the Application of Cooperative Care Intervention Strategy in Infants and Young Children with Iron Deficiency Anemia

目的:探讨合作性照顾干预策略应用于婴幼儿缺铁性贫血(Iron deficiency anemia,IDA)中的效果。方法:选取2017年6月―2020年1月郑州大学附属儿童医院收治的130例IDA患儿作为研究对象。其中,选取2017年6月―2018年9月收治的63例患儿为对照组,采取常规护理策略;选取2018年10月―2020年1月收治的67例患儿为观察组,在对照组的基础上采取合作性照顾干预策略。比较两组患儿家属疾病知识掌握度,干预前、干预3个月后患儿发育指标(胸围、头围和身长),干预3个月后贫血纠正率。结果:观察组家属疾病知识掌握度为92.54%,高于对照组的76.19%,差异有统计学意义(χ^(2)=6.665,P<0.05)。干预3个月后,观察组胸围、头围及身长大于对照组,差异有统计学意义(t=21.888、21.369、16.179,P<0.05),贫血纠正率高于对照组,差异有统计学意义(χ^(2)=4.122,P<0.05)。结论:合作性照顾干预策略应用于婴幼儿IDA中,可提高家属疾病知识掌握度,有效纠正贫血,促进患儿生长发育。

Objective:To explore the effect of cooperative care intervention strategies applied to infants and young children with iron deficiency anemia(IDA).Methods:130 children with IDA in the hospital from June 2017 to January 2020 were selected as the research objects.63 children from June 2017 to September 2018 were selected as the control group,and routine nursing strategies were adopted.67 cases from October 2018 to January 2020 were included in the observation group,and a cooperative care intervention strategy was adopted on the basis of the control group.The relatives’mastery of disease knowledge,children’s development indicators(chest circumference,head circumference,length)before and after 3 months of intervention,and anemia correction rate after 3 months of intervention were compared between the two groups.Results:The degree of mastery of disease knowledge of family members in the observation group was 92.54%,which was higher than 76.19%in the control group,and the difference was statistically significant(χ^(2)=6.665,P<0.05).After 3 months of intervention,the chest circumference,head circumference and body length of the observation group were greater than those of the control group,and the difference was statistically significant(t=21.888,21.369,16.179,P<0.05).The correction rate of anemia was higher than that of the control group,and the difference was statistically significant(χ^(2)=4.122,P<0.05).Conclusion:Cooperative care intervention strategies applied to infants and young children with IDA can improve family members’knowledge of diseases,effectively correct anemia,and promote children’s growth and development.