FCC模式在重症肺炎患儿中的应用观察

Observation of FCC Model in Children with Severe Pneumonia

目的分析以家庭为中心(FCC)模式护理对重症肺炎患儿症状改善情况及家属对护理效果满意度的影响。方法回顾性选取安阳市殷都区人民医院2020年1月至2021年12月收治的重症肺炎患儿84例,根据入院时间分组。对照组42例(2020年1月至2020年12月)给予常规儿科护理,观察组42例(2021年1月至2021年12月)于对照组基础上联合FCC模式护理。比较两组住院时间、症状(咳痰咳嗽、肺哮鸣音、喘息、发热)缓解时间、家属疾病知识知晓率、护理满意度及干预前后家属抑郁自评量表(SDS)、焦虑自评量表(SAS)评分。结果观察组住院时间及咳痰咳嗽、肺哮鸣音、喘息、发热缓解时间较对照组短,差异有统计学意义(P<0.05);观察组家属疾病知识知晓率高于对照组,差异有统计学意义(P<0.05);与对照组比较,干预后观察组SDS评分、SAS评分较低,差异有统计学意义(P<0.05);观察组家属对护理效果满意度较对照组高,差异有统计学意义(P<0.05)。结论应用FCC模式护理有助于控制重症肺炎患儿病情,减轻家属抑郁、焦虑情绪,提高家属疾病知识知晓率,且家属对护理效果满意度较高。

Objective To analyze the effect of family-centered(FCC)model of care on the improvement of symptoms and family care satisfaction in children with severe pneumonia.Methods A total of 84 children with severe pneumonia in our hospital(from January 2020 to December 2021)were retrospectively selected and grouped according to the time of admission.The control group of 42 cases(from January 2020 to December 2020)was given conventional pediatric care,and the observation group of 42 cases(from January 2021-December 2021)was combined with FCC model care on the basis of the control group.The length of hospitalization,time to relief of symptoms(cough and sputum,pulmonary croup sound,wheezing,and fever),disease knowledge awareness rate of family members,family care satisfaction,and the depression self-rating scale(SDS)and anxiety self-rating scale(SAS)scores of family members before and after intervention were compared between the two groups.Results The observation group had a shorter hospital stay and shorter time to relief of cough and sputum,pulmonary croup sound,wheezing,and fever than the control group(P<0.05).The awareness rate of disease knowledge in the observation group was higher than that in the control group,which was significant(P<0.05);Compared with the control group,the observation group had lower SDS scores and SAS scores after the intervention(P<0.05).The families in the observation group were more satisfied with the nursing effect compared with the control group(P<0.05).Conclusion The application of FCC model of care can control the condition of children with severe pneumonia,reduce the depression and anxiety of family members,and improve the awareness rate of family members’knowledge of diseases and the satisfaction of family care.