前瞻性护理联合居家自我护理对小儿哮喘疾病控制的影响

Effect of prospective nursing combined with home self-nursing on the control of pediatric asthma

目的探讨前瞻性护理联合居家自我护理对小儿哮喘疾病控制的影响。方法选取泰安市妇幼保健院2019年6月至2021年1月收治的112例小儿哮喘患儿。依照入院时间先后顺序分为对照组(2019年6月至2020年3月)与研究组(2020年4月至2021年1月),每组各56例。对照组给予常规护理,研究组给予前瞻性护理联合居家自我护理。比较两组依从性、哮喘症状消失时间、住院时间、儿童哮喘控制测试量表(C-ACT)评分及疾病控制效果。结果研究组患儿依从率为96.43%,高于对照组的83.93%,差异有统计学意义(P<0.05);研究组哮喘症状消失时间及住院时间均短于对照组,差异均有统计学意义(P<0.05);干预后,研究组C-ACT评分高于对照组,差异有统计学意义(P<0.05);研究组疾病控制有效率为94.64%,高于对照组的82.14%,差异有统计学意义(P<0.05)。结论小儿哮喘中实施前瞻性护理联合居家自我护理可提高患儿依从性,改善疾病控制效果。

Objective To explore the effect of prospective nursing combined with home self-nursing on the control of pediatric asthma.Methods A total of 112 children with pediatric asthma admitted to Tai’an Maternal and Child Health Hospital from June 2019 to January 2021 were selected as study subjects.They were divided into the control group(from June 2019 to March 2020)and the study group(from April 2020 to January 2021)according to the time order of admission,with 56 cases in each group.The control group was given conventional nursing,while the study group was given prospective nursing combined with home self-nursing.The compliance of children,the disappearance time of asthma symptoms,length of stay,Childhood Asthma Control Test(C-ACT)scores and disease control effects were compared between the two groups.Results The compliance rate of the children in the study group was 96.43%,which was higher than that of the control group(83.93%),with statistically significant differences(P<0.05).The disappearance time of asthma symptoms and the length of stay in the study group were shorter than those in the control group,with statistically significant diff erences(P<0.05).After the intervention,the score of the C-ACT scale in the study group was higher than that in the control group,with statistically significant difference(P<0.05).The effective rate of disease control in the study group was 94.64%,which was higher than that in the control group(82.14%),with statistically significant difference(P<0.05).Conclusion Prospective nursing combined with home self-nursing can enhanc e the compliance of children with pediatric asthma and improve the disease control effect.