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社区延续护理干预对哮喘患儿的干预价值分析与临床研究(1)
http://www.100md.com 2016年11月15日 《中国实用医药》 2016年第32期
     【摘要】 目的 分析和研究社区延续护理对哮喘患儿治疗效果及生活质量的影响。方法 204例哮喘住院患儿, 按出院后护理干预方式不同分为延续护理组与常规护理组, 各102例。延续护理组患儿出院后社区服务站继续给予专科护理干预, 常规护理组患儿出院后社区服务站不再给予护理干预, 对两组患儿哮喘控制情况及生活质量进行对比。结果 两组患儿出院时哮喘控制测试评分比较, 差异无统计学意义(P>0.05);延续护理组患儿出院6个月哮喘控制测试评分为(18.2±3.1)分高于常规护理组的(10.9±3.5)分, 差异有统计学意义(P<0.05)。两组患儿出院时生活质量综合评定问卷评分比较, 差异无统计学意义(P>0.05);延续护理组患儿出院6个月生活质量综合评定问卷评分为(62.5±8.3)分高于常规护理组的(43.8±9.7)分, 差异有统计学意义(P<0.05)。结论 将社区延续护理干预措施应用于哮喘患儿院外治疗中, 其能够有效控制患儿哮喘复发, 对提高患儿生活质量及促进患儿病情转归均具有重要作用。

    【关键词】 哮喘;延续护理;社区;干预价值;效果观察

    DOI:10.14163/j.cnki.11-5547/r.2016.32.080

    【Abstract】 Objective To analyze and research influence by community continuing nursing on curative effect and quality of life in asthma children. Methods A total of 204 hospitalized children with asthma were divided by different nursing intervention measures into continuing nursing group and conventional nursing group, with 102 cases in each group. The continuing nursing group received specialized nursing intervention in community service center after discharge, and conventional nursing group received no nursing intervention from community service center after discharge. Comparison was made on asthma control and quality of life. Results There was no statistically significant difference of asthma control test score between the two groups at discharge (P>0.05). The continuing nursing group had higher asthma control test score after 6 months as (18.2±3.1) points than (10.9±3.5) points in the conventional nursing group, and the difference had statistical significance (P<0.05). There was no statistically significant difference of quality of life comprehensive evaluation questionnaire score at discharge between the two groups (P>0.05). The continuing nursing group had higher quality of life comprehensive evaluation questionnaire score after 6 months as (62.5±8.3) points than (43.8±9.7) points in the conventional nursing group, and the difference had statistical significance (P<0.05). Conclusion Implement of community continuing nursing intervention measures in treatment for asthma children outside hospital can effectively control recurrence of asthma, and show important effect in improving quality of life and accelerating disease outcome.

    【Key words】 Asthma; Continuing nursing; Community; Intervention value; Observation of effect

    哮喘是支氣管哮喘的简称, 其在呼吸内科是较常见疾病类型, 多由吸入变应原、感染、空气污染、气候转变等因素而引发[1]。目前为止, 临床对于支气管哮喘尚未有有效根治方法, 但经多年临床实践证实[2]:支气管哮喘通过有效管理措施, 可达控制疾病复发目的。因此, 患儿及家长院外自我护理能力优与差将直接关系着哮喘病症控制效果[3-8]。为了探讨延续护理干预对哮喘患儿治疗效果及生活质量影响, 本文选取204例哮喘住院患儿做为研究对象, 在患儿出院后, 分别给予其行社区延续护理干预与常规护理干预, 并将两组患儿护理效果进行对比, 现报告如下。, http://www.100md.com(欧阳知明 叶永青 黄东明 魏可英 周荣峰)
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