温情强化护理对学龄期支气管炎患儿生活质量、依从性的影响

Effect of intensive WARMTH care on quality of life and compliance in school-age children with bronchitis

目的 探讨温情强化护理对学龄期支气管炎患儿生活质量、依从性的影响,以期为临床相关治疗提供参考。方法本研究选取2021年3月—2022年3月南阳医学高等专科学校第一附属医院收治的97例学龄期支气管炎患儿为研究对象。采用随机数字表法将患儿分为对照组(48例)与观察组(49例)。对照组患儿采用常规护理。观察组患儿采用温情强化护理。患儿出院时,采用本院自制的依从性量表评估2组患儿在治疗护理期间的依从性。比较2组患儿咳嗽咳痰消失时间、喘息消失时间、肺部啰音消失时间、痊愈时间。比较2组患儿护理期间的主观感受。比较2组患儿护理前及出院时儿童少年生活质量量表(QLSCA)评分。出院时采用自制家属满意度调查表调查2组患儿家属满意度。结果 观察组患儿总依从率为97.96%,高于对照组的83.33%,差异有统计学意义(P<0.05)。观察组患儿咳嗽咳痰消失时间、喘息消失时间、肺部啰音消失时间、痊愈时间均短于对照组,差异有统计学意义(P<0.05)。护理前,2组患儿QLSCA评分比较,差异无统计学意义(P>0.05)。出院时,2组患儿QLSCA评分均高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组患儿主观感受评分高于对照组,差异有统计学意义(P<0.05)。观察组患儿家属满意度调查表中治疗效果、服务态度、护患沟通、操作熟练度评分及总分均高于对照组,差异均有统计学意义(P<0.05)。结论 温情强化护理对提高学龄期支气管炎患儿护理依从性和治疗效果有积极意义,同时能改善患儿生活质量,提高患儿主观感受以及家属护理满意度,值得推广应用。

Objective To investigate the effect of intensive WARMTH care on the quality of life and compliance of school-age children with bronchitis, so as to provide a reference for clinical treatment. Methods From March 2021 to March 2022, 97 school-age children with bronchitis were enrolled in the First Affiliated Hospital of Nanyang Medical College. The children were assigned to the control group(n=48) and the observation group(n=49) by random number table. Children in the control group were treated with routine care and children in the observation group, WARMTH intensive care. At the time of discharge, the compliance of the children in the two groups during treatment and care was assessed using a self-made compliance scale from our hospital. The time to disappearance of cough and expectoration, wheezing, pulmonary rales, and recovery time were compared between the two groups. Subjective feelings during care were compared between the 2 groups. The Quality of Life Scale for Children and Adolescents(QLSCA) before care and at discharge was compared between the two groups. A self-made family satisfaction questionnaire was used to investigate family satisfaction in the 2 groups at discharge. Results The total compliance rate of the observation group was 97.96%, which was significantly higher than that of the control group(83.33%)(P<0.05). The time to disappearance of cough and expectoration, wheezing, pulmonary rales, and recovery time in the observation group were significantly shorter than those in the control group(P <0.05). Before care, there was no significant difference in QLSCA score between the two groups(P>0.05). At discharge, the QLSCA scores of the children in the 2 groups were higher than those before care, with the observation group higher than the control group, and the differences were statistically significant(P<0.05). The subjective perception score of the observation group was significantly higher than that of the control group(P<0.05). The treatment effectiveness, service, nurse-patient communication, operation proficiency score, and total score in the family satisfaction questionnaire of the children in the observation group were significantly higher than those in the control group(P<0.05). Conclusion The WARMTH intensive care has a positive impact on improving the care compliance and treatment effectiveness of school-age children with bronchitis, increasing the quality of life, ameliorating the subjective feelings of children, and raising family members’ care satisfaction. These benefits justify a wider application of this technique.