动机性访谈对哮喘儿童延续护理效果的影响观察

Effect of continuous nursing on children with asthma based on motivational interviewing

目的研究动机性访谈对哮喘儿童延续护理效果的影响。方法选择2016年1月—2017年1月收治的126例哮喘患儿,按照随机数字表法分为研究组和对照组,每组各63例。对照组患儿给予常规疾病护理及健康教育,在对照组基础上基于动机性访谈对研究组患儿及家长开展延续护理。护理后对2组患儿治疗依从性及再次发作次数和再次入院次数进行比较。结果研究组患儿的治疗依从性明显高于对照组,差异具有统计学意义(P<0.05);研究组患儿哮喘的再次发作次数、再次入院次数分别为(7.85±2.79)次、(2.15±1.19)次,对照组患儿的再次发作次数、再次入院次数分别为(16.38±3.43)次、(4.73±3.86)次,差异具有统计学意义(P<0.05)。结论动机性访谈可有效改善哮喘儿童延续护理的效果,可显著提高其治疗依从性,明显降低哮喘的再次发作次数及再次入院次数。

Objective To study the effect of continuous nursing on children with asthma based on motivational interviewing.Methods The 126 children with asthma admitted from January 2016 to January 2017 were selected and divided into study group and control group according to the random number table method, with 63 cases in each group.The children in the control group were given routine disease care and health education, and the children in the control group and their parents were given continuous care based on motivational interviews.After nursing, the two groups of children were compared in terms of treatment compliance, frequency of recurrence and frequency of readmission.Results The treatment adherence of the study group was significantly higher than that of the control group(P<0.05).The number of recurrent attacks and the number of readmission in the study group were(7.85 ±2.79)times,and(2.15±1.19)times,the number of recurrent attacks and the number of readmission in the control group were(16.38±3.43)times,and(4.73 ±3.86) times,the difference was statistically significant(P<0.05).Conclusion Based on motivational interviewing the continue nursing can significantly improve the treatment compliance of children with asthma,make asthma again attack frequency and number of readmissions have decreased significantly.