“全链式”信息化健康管理模式对儿童支气管哮喘的干预价值

Intervention Value of“Full Chain”Information Health Management Model for Children with Bronchial Asthma

目的探讨“全链式”信息化健康管理模式对儿童支气管哮喘的干预价值。方法选取2021年3月至2022年10月河南省儿童医院郑州儿童医院收治的120例支气管哮喘患儿,按入院时间分为试验组(60例)和常规组(60例),常规组接受常规居家护理,试验组在常规组基础上接受“全链式”信息化健康管理模式居家护理。对比两组遵医行为、症状改善时间(咳嗽、发热、肺部啰音、憋喘)、哮喘发作次数及急诊次数、肺功能[用力肺活量(FVC)、第1秒用力呼气量(FEV 1)]水平、儿童少年生活质量量表(QLSCA)及家属护理满意度。结果试验组遵医率[93.33%(56/60)]较常规组[76.67%(46/60)]高(P<0.05);试验组咳嗽、发热、肺部啰音、憋喘改善时间均较常规组短(P<0.05);试验组哮喘发作次数及急诊次数均较常规组少(P<0.05);干预后,试验组FEV 1、FVC水平均较常规组高(P<0.05);干预后,两组QLSCA评分均较干预前高,试验组QLSCA评分较常规组高(P<0.05);试验组家属护理满意度[98.33%(59/60)]较常规组[85.00%(51/60)]高(P<0.05)。结论经“全链式”信息化健康管理模式的护理可以降低支气管哮喘患儿的就诊次数,缓解病情,增强肺部功能,提高生存质量,以及让患儿家长感到满意。

Objective To explore the intervention value of“full chain”information health management model in children with bronchial asthma.Methods A total of 120 children with bronchial asthma in Henan Children’s Hospital Zhengzhou Children’s Hospital from March 2021 to October 2022 were selected and divided into experimental group(60 cases)and routine group(60 cases)according to the time of admission.The routine group was given routine home care,and the experimental group was given home care based on the“full chain”information health management model.Compliance behavior,time to symptom improvement(cough,fever,pulmonary rales,gasping),number of asthma attacks and emergency room visits,pulmonary function[forced vital capacity(FVC),forced expiratory volume in one second(FEV 1)],quality of life scale for children and adolescents(QLSCA)and family care satisfaction were compared between the two groups.Results The compliance rate of the experimental group[93.33%(56/60)]was higher than that of the conventional group[76.67%(46/60)](P<0.05).The improvement time of cough,fever,pulmonary rales and dyspnea in the experimental group was shorter than that in the conventional group(P<0.05).The frequency of asthma attack and emergency department in the experimental group were lower than those in the conventional group(P<0.05).After intervention,the levels of FEV 1 and FVC in the experimental group were higher than those in the conventional group(P<0.05).After intervention,the QLSCA score of the two groups was higher than before intervention,and the QLSCA score of the experimental group was higher than that of the conventional group(P<0.05).The nursing satisfaction of the experimental group[98.33%(59/60)]was higher than that of the conventional group[85.00%(51/60)](P<0.05).Conclusion Through the“full chain”information health management mode of nursing,it can significantly reduce the number of visits of children with bronchial asthma,alleviate the condition,enhance the lung function,and then greatly improve the quality of life,and make the parents of children feel more satisfied.