应用奥马哈系统对哮喘患儿进行延续性护理的干预研究

INTERVENTION EFFECT OF CONTINUOUS NURSING IN CHILDREN WITH ASTHMA USING THE OMAHA SYSTEM

目的探讨应用奥马哈系统对哮喘患儿进行延续性护理在生理领域和健康相关行为领域的影响,为哮喘患儿的护理提供依据。方法将符合纳入标准的101例哮喘患儿随机分为干预组和对照组,二组患儿均给予常规出院护理,干预组患儿除给予常规出院护理外,应用奥马哈系统进行延续性护理,每周1次,为期3个月。二组患儿分别在干预前及干预3个月时,应用奥马哈评价系统对二组哮喘患儿在生理领域和健康相关行为领域进行干预前后的评分,并应用C-ACT(儿童哮喘控制测试问卷)、PAQLQ(哮喘患儿生命质量问卷)对二组患儿进行干预前后的效果评价。结果 (1)干预组患儿干预后在生理领域的呼吸、消化和传染或感染情况方面评分均优于对照组,在健康相关行为领域的营养、睡眠与休息、身体活动、物质滥用、健康照顾的督导方面评分均优于对照组,组间比较差异有统计学意义(P<0.05);(2)在干预后,干预组患儿的生理领域和健康相关行为领域各项目评分均高于干预前,组内比较差异有统计学意义(P<0.05);(3)干预后,干预组患儿C-ACT和PAQLQ评分均高于干预前,组内比较差异有统计学意义(P<0.05);(4)干预组患儿干预后C-ACT和PAQLQ评分均优于对照组,组间比较差异有统计学意义(P<0.05)。结论应用奥马哈系统对哮喘患儿进行延续性护理,可有效改善哮喘患儿的生理领域和健康相关行为领域问题,从而提高了哮喘患儿的生活质量。

Objective To explore the effect of continuous nursing on the physical and health related behaviors in children with asthma by using the Omaha system,and to provide the basis for nursing care of children with asthma.Methods Totally101 cases of asthma,meet the inclusion criteria,were randomly divided into intervention group and control group.All subjects received routine nursing,and the intervention group was given continuing nursing care with system of Omaha,1 times a week for 3 months;the control group was given routine nursing intervention.The score of two groups of children with asthma were performed using evaluation system of Omaha before and after the intervention in the field of physical and health related behavior;and C-ACT(children asthma control questionnaire),PAQLQ(children with asthma quality of life questionnaire)were evaluated before and after the intervention effect of two groups of children.Results After intervention,the scores of physiology of respiratory and digestive and infectious or infection in the intervention group in the field were better than the control group;and that nutrition,sleep and rest,physical activity,substance abuse,health care supervision scores were also better than the control group(P<0.05).After intervention,the scores of intervention group in the field of physiology and health related behavior were higher than those before(P<0.05);the scores of C-ACT and PAQLQ were higher than those before intervention(P<0.05).The C-ACT and PAQLQ scores in the intervention group were better than those in the control group(P<0.05).Conclusion The application of the Omaha system in the continuous nursing care for children with asthma can effectively improve the physical field and health related behavior problems of children with asthma,thus improving the quality of life of children with asthma.