摘要
[目的]调查延边地区朝鲜族与汉族哮喘患者对延续性护理的需求状况.[方法]选择在延边地区4家医院接受住院治疗的哮喘患者200例进行问卷调查.[结果]158例(79.0%)哮喘控制测试(ACT)评分低于20分.对延续性护理各项目的需求率均超过60.0%,朝鲜族与汉族患者对延续性护理需求间差异无统计学意义(P>0.05),其中朝鲜族需求内容排名前3位依次为哮喘急性发作的临床表现、哮喘发作前的症状及处理、诱发哮喘发作的食物,汉族为哮喘急性发作的临床表现、过敏原存在的环境、诱发哮喘发作的食物,朝鲜族与汉族对病情监测方法、ACT使用方法、哮喘日记的记录方法的需求程度间差异均有统计学意义(P<0.05).认为实施延续护理最好的时间依次为出院后2周内90例(45.0%),1周内63例(31.5%);希望采取的延续性护理方式中电话随访173例(86.5%),门诊复诊96例(48.0%);希望实施延续性护理的主体最好为医生与护士共同参与.[结论]延续性护理需要多学科协同参与,宜选择合适的时机对患者进行以电话随访为主要手段的延续性护理服务.
OBJECTIVE To investigate the status quo on need for continuous nursing in Korean-Chinese and Han nationality patients with asthma in Yanbian area.METHODS Designed questionnaire survey was carried out in 200 cases of asthma with hospitalization in four hospitals of Yanbian area.RESULTSAsthma control test（ACT）scores of 158cases（79.0%）were less than 20 points.Need for each item of continuous nursing from patients are more than 60.0%,and the need for continuous nursing between Korean-Chinese and Han nationality patients with asthma had no statistical significance（P〉0.05）.The three most needed contents of Korean-Chinese patients were clinical manifestations of asthma with acute attack,preictal symptoms and treatments of asthma and foods of inducing asthmatic attacks and of Han nationality patients were clinical manifestations of asthma with acute attack,environment of existing in allergens and foods of inducing asthmatic attacks in turn.The need degree of Korean-Chinese and Han nationality patients was significantly different among disease monitoring methods,ACT usage and recording methods of asthma diary（P〈0.05）.The best time to implement the extended nursing was within 2weeks after hospital discharge in90cases（45.0%）and within 1week in 63cases（31.5%）.In the way of need for the continuous nursing,the telephone follow-up was in 173cases（86.5%）and outpatient return visit was in 96cases（48.0%）,and the best way was that doctors and nurses participate together.CONCLUSIONContinuous nursing requires multidisciplinary collaborative involvement,and should choose the right time to phone to patients to follow-up as the main means of extended nursing service.
出处
《延边大学医学学报》
CAS
2015年第3期212-215,共4页
Journal of Medical Science Yanbian University
基金
吉林省教育厅项目
项目号:612014038
关键词
哮喘
延续性护理
护理需求
asthma
continuous care
needs for care
