过渡期护理模式在哮喘患儿急性发作期中的应用效果

Effect of transitional care for asthma children in acute attack period

  • 摘要: 目的 探讨过渡期护理模式在哮喘患儿急性发作期中的应用效果.方法 采用随机分组方法将86例哮喘患儿分为对照组及干预组,各43例,分别给予一般护理及过渡期护理,观察并比较2组患儿出院后发作情况、疾病不确定感及干预前后生活质量.结果 干预组患儿急性发作次数及再入院次数显著低于对照组(P<0.05),而发作间隔天数则显著大于对照组(P<0.05).干预组不明确性、不可预测性、复杂性、信息缺乏4个指标得分及疾病不确定感量表总分均显著低于对照组(P<0.05).护理干预后,2组患儿生理、心理、环境、社会领域4个指标得分及生活质量量表总分均显著高于干预前(P<0.05),且干预组得分显著高于对照组(P<0.05).结论 过渡期护理可有效减少患儿出院后发作次数与再入院次数,提升患儿对治疗的信心及依从性,提高患儿生存质量.

     

    Abstract: Objective To explore the effect of transitional care for asthma children in acute attack period.Methods A total of 86 asthma children in acute attack period were randomly divided into two groups.Patients in control group were given general care and patients in intervention group were given transitional care.The attacks of disease after discharge,unconformity and life quality after intervention were compared between two groups.Results Times of acute attack and readmission in the intervention group were significantly lower than that in the control group (P < 0.05),while intervals of attacks was significantly longer than the control group (P < 0.05).Scores in unconformity,unpredictability,complexity,and the lack of information,and the total score of MUIS were significantly lower than the control group (P < 0.05).After nursing intervention,the physical scores,psychological scores,environmental scores,social field scores and total scores of life quality scale were significantly higher than that of intervention before in two groups (P < 0.05),and the control group was significantly lower than the intervention group after intervention (P < 0.05).Conclusion Transitional nursing can effectively reduce the frequency of asthmatic attack after discharge,reduce times of readmission,improve confidence and adherence to treatment,and improve the patient's quality of life.

     

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