基于微信平台和以家庭为中心的护理模式在厌食症患儿中的应用效果

Application effect of family-centered care model based on WeChat platform in children with anorexia

目的探讨基于微信平台和以家庭为中心的护理(FCC)模式在厌食症患儿中的应用效果。方法根据干预方法的不同将2022年9月至2023年7月在上海中医药大学附属市中医医院就诊的118例厌食症患儿分为2组,每组59例。最终对照组脱落5例,完成54例;干预组脱落6例,完成53例。对照组采取常规治疗与护理,干预组在对照组干预方式的基础上实施基于微信平台和以家庭为中心的护理模式,干预周期为4周。比较2组的干预效果。结果干预组的治疗总有效率为98.11%(52/53),对照组为85.19%(46/54),2组间比较,干预组更高(P<0.05)。干预4周后,2组患儿的中医证候积分均较干预前降低,进食量均较干预前增加,儿童饮食行为问题筛查评估问卷评分均升高,且与对照组相比,干预组均更优,均有统计学差异(P均<0.05)。结论基于微信平台的(FCC)模式可有效提高厌食症患儿的治疗效果,改善其不良饮食行为,增加其进食量,缓解临床症状。

Objective To explore the application effect of family-centered care(FCC)model based on WeChat platform in children with anorexia.Methods According to different intervention methods,118 children with anorexia who received treatment at the Shanghai Municipal Hospital of Traditional Chinese Medicine from September 2022 to July 2023 were divided into two groups,with 59 cases in each group.The final control group had 5 cases of dropout and completed 54 cases,while the intervention group had 6 cases of dropout and completed 53 cases.The control group received routine treatment and nursing,while the intervention group implemented a family-centered care model based on WeChat platform on the basis of the intervention method in the control group.The intervention period was 4 weeks.The intervention effect of the two groups was compared.Results The total effective rate of treatment was 98.11%(52/53)in the intervention group and 85.19%(46/54)in the control group.Compared between the two groups,the intervention group had a higher effective rate of treatment(P<0.05).After 4 weeks of intervention,the traditional Chinese medicine syndrome scores of both groups of children decreased compared to before intervention,and their food intake increased compared to before intervention.The scores of Identification and Management of Feeding Difficulties scale increased.Compared with the control group,the above indicators in the intervention group were all better,with statistical differences(all P<0.05).Conclusion The FCC model based on WeChat platform for children with anorexia can effectively improve their treatment effectiveness,improve their unhealthy dietary behavior,increase their food intake,and alleviate clinical symptoms.