闭塞性细支气管炎患儿家庭管理水平现状及其影响因素分析

Analysis of family management level and its influencing factors of family with bronchiolitis obliterans children

目的调查闭塞性细支气管炎患儿家庭管理水平现状并分析其影响因素,为临床医护人员采取针对性的护理和健康教育提供参考。方法采用横断面调查研究方法,应用便利抽样法于2019年1月1日至2022年4月30日选取湖南省儿童医院住院的201例闭塞性细支气管炎患儿家庭作为研究对象,采用一般资料调查表、家庭管理量表、父母用应对方式量表、慢性病健康素养量表进行调查,采用单因素分析、多元线性回归分析闭塞性细支气管炎患儿家庭管理水平的影响因素。结果闭塞性细支气管炎患儿家庭管理量表总分为(179.67±9.92)分,父母用应对方式量表总分为(177.14±22.19)分,慢性病健康素养量表总分为(102.95±8.60)分。多元线性回归分析显示患儿年龄、病程、家庭居住地、家长文化程度、家庭月收入、父母应对方式以及健康素养是家庭管理水平的影响因素(均P<0.05)。结论闭塞性细支气管炎患儿家庭管理水平有待进一步提升。建议医护人员针对患儿年龄、病程、家庭居住地、家长文化程度等情况采取针对性的护理和健康教育,提高家长健康素养水平,引导其采取积极的应对方式对待疾病,进而提高其家庭管理水平,促进患儿疾病康复。

Objective To investigate the family management level of children with bronchiolitis obliterans and analyze its influencing factors,so as to provide reference for clinical medical staff to adopt targeted nursing and health education programs.Methods This was a cross-sectional study.From January 1,2019,to April 30,2022,201 families of bronchiolitis obliterans children hospitalized in Hunan Children's Hospital were selected as the research objects,and the General Data Questionnaire,Family Management Scale,Coping Style Scale of Parents,and Chronic Disease-Related Health Literacy Scale was used to investigate.Single-factor analysis and multiple regression analysis were used to analyze the influencing factors of bronchiolitis obliterans children's family management level.Results The total score of bronchiolitis obliterans children's family management was(179.67±9.92)points,the total score for parents'coping style was(177.14±22.19)points,and the total score for health literacy was(102.95±8.60)points.Multiple regression analysis showed that age,disease course,family residence,parents'education level,family monthly income,parents'coping style,and health literacy level were the influencing factors of family management level(all P<0.05).Conclusions The family management ability of parents of children with bronchiolitis obliterans needs to be further improved.It is suggested that medical staff should formulate corresponding measures according to the age,course of the disease,family residence,parents'education level,etc.,carry out targeted health education and home management training,improve the parents'health literacy level,and guide them to deal with diseases positively,to improve their family management level and promote the recovery of children's diseases.