感恩拓延-建构理论下家庭护理对哮喘患儿用药依从性、主要照顾者情绪、家庭功能的影响

Effects of Family Nursing under the Gratitude Extension-construction Theory on Medication Compliance,Emotions of Primary Caregiver and Family Function of Children with Asthma

目的:探讨感恩拓延-建构理论下家庭护理对哮喘患儿用药依从性及主要照顾者情绪、家庭功能的影响。方法:选取2020年1月—2023年9月无锡市儿童医院收治的122例哮喘患儿为研究对象,根据随机数表法将其分为参照组61例和研究组61例。参照组予以常规护理,研究组在参照组基础上采用感恩拓延-建构理论下家庭护理。两组均持续干预3个月。观察两组干预前后患儿用药依从性、主要照顾者情绪、家庭功能及患儿生命质量水平。结果:两组患儿干预后用药依从性均较干预前高,且研究组患儿用药依从性高于参照组,差异有统计学意义(P<0.05)。两组主要照顾者干预后抑郁-焦虑-压力量表(depression-anxiety-stress scale,DASS-21)各项评分较干预前低,且研究组较参照组低,差异有统计学意义(P<0.05)。两组干预后家庭功能评定量表(family assessment device,FAD)评分均较干预前高,且研究组较参照组高,差异有统计学意义(P<0.05)。两组患儿干预后哮喘患儿生命质量量表(pediatric asthma quality of life questionnaire,PAQLQ)评分较干预前高,且研究组较参照组高,差异有统计学意义(P<0.05)。结论:感恩拓延-建构理论下家庭护理能够提高哮喘患儿用药依从性,减轻主要照顾者负性情绪,并改善家庭功能及患儿生命质量。

Objective:To explore the effects of family nursing under the gratitude extension-construction theory on medication compliance,emotions of primary caregiver and family function of children with asthma.Method:A total of 122 children with asthma admitted to Wuxi Children's Hospital from January 2020 to September 2023 were selected and they were divided into reference group with 61 cases and study group with 61 cases according to random number table method.The reference group received routine nursing,while the study group received family nursing under the gratitude extension-construction theory on the basis of the reference group.Both groups received continuous intervention for 3 months.The medication compliance of children with asthma,emotions of primary caregiver,family function and life quality of children were observed before and after intervention.Result:The medication compliance after intervention of the two groups were higher than those before intervention,and the medication compliance of the study group was higher than that of the reference group,the differences were statistically significant(P<0.05).The scores of the depression-anxiety-stress scale(DASS-21)after intervention were lower in the two groups than those before intervention,and the study group was lower than the reference group,the differences were statistically significant(P<0.05).The scores of family function device(FAD)after intervention were higher in both groups than those before intervention,and the study group was higher than the reference group,the differences were statistically significant(P<0.05).The scores of pediatric asthma quality of life questionnaire(PAQLQ)in the two groups were higher after intervention than those before intervention,and the study group was higher than the reference group,the differences were statistically significant(P<0.05).Conclusion:Family nursing under the gratitude extension-construction theory can improve the medication compliance of children with asthma,reduce the negative emotions of primary caregivers,and improve the family function and life quality of children.